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* 1. How would you describe your household?

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* 2. Does your household have a need for housing with social services or accessibility features?

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* 3. What category best describes your gross total household income from all sources?

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* 4. What is your current housing arrangement?

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* 5. What type and size of home does your household need? (Select all that apply)

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* 6. If you prefer to own, what is the price you can afford?

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* 7. If you prefer to rent, which would you prefer?

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* 8. If you choose to rent, about how much can you afford per month (not including utilities)?

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* 9. What are some of the things that get in the way from choosing the housing you prefer?

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* 10. If you are already a resident of Loudoun County, are you considering moving out of the county?

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* 11. Are you interested in being contacted to participate in our events (e.g. public hearings or community conversations)? If so, please share your email address below.

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