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* 1. What year were you born?

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* 2. The children you support in 2019-2020 are? (select all that apply)

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* 4. Are you satisfied with the level of support your local school(s) offer your current student(s)?

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* 5. Your role (person completing survey) as a caregiver is:

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* 6. What is the structure of your home population? (choose all that apply)

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* 7. Schooling completed (by person completing survey)

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* 8. Employment situation (can choose more than one)

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* 9. Economic situation (select all that apply)

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* 10. Do you feel comfortable in your living situation?

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* 11. Where do you feel safe? (select any that apply)

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* 12. Do you feel you know what to do in a crisis situation?

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* 13. Do you have someone you can go to for emotional support?

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* 14. Do you ever feel threatened or intimidated by a household member?

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* 15. Do you have needs that are unmet? If so, what needs do you have?

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