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* 1. What PSOC committees or workgroups have you participated in? (Select All That Apply)

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* 2. How would you describe yourself/your role? (select all that apply):

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* 3. What is your race or ethnicity? (Select all that apply)

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* 4. Which languages do you speak fluently? (Select all that apply):

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* 5. What is your gender?

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* 6. What do you consider your sexual orientation?

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* 7. What is your age group range?

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* 8. Do you identify as having any of the following? 

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* 9. What Philadelphia neighborhood(s) do you identify as representing?

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* 10. How did you first become connected to Philadelphia SOC?

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* 11. What do you seek most from PSOC? (Please check your top 3)

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* 12. Who have we missed? Who do you recommend PSOC connect with next?

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