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* 1. What is your age?

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* 2. What is your zip code?

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* 3. What is your housing status?

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* 4. What languages do you speak at home? (check all that apply)

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* 5. Do you have children in the home under age 16?

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* 6. How do you learn about what is happening in our community? Check all that apply.

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* 7. Which veterinary clinic(s) have you used in the past eight years?

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* 8. What services should HSSCM offer? (check all that apply)

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* 9. Which of HSSCM's current programs or services have you utilized? (check all)

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* 10. Why have you visited HSSCM (on Watkins Road) in the past year?

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* 11. If you have visited or called HSSCM in the past six months, how would you describe our customer service?

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* 12. What potential areas of growth or building rehabilitation would you be most interested in?

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* 13. What kind of fundraising events would you like to attend in the next year?

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* 14. If you do not currently donate to HSSCM, why?

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* 15. Do you have any other comments or feedback to help us better serve the community?

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