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* 1. In which Indiana county do you reside?

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* 2. Do you identify as a person with a disability?

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* 3. Are you a parent or guardian of someone with a disability?

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* 4. Do you identify as any of the following? (Select all that apply)

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* 5. Please rank which issues are most important to you.

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* 6. What would you like INSILC to know about disability services in your area?

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* 7. How did you hear about INSILC?

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