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1. Do you live in the City of Champaign? (Required.)

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2. Do you rent or own your primary residence? (Required.)

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3. What is your age?

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4. What is your race?

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5. What is your ethnicity?

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6. What is the most significant issue facing your neighborhood? (Choose one) (Required.)

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7. If you own your home, what factors, if any, are barriers to maintaining and/or remaining in your home? (Select all that apply)

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8. If you rent, what issues, if any, do you face? (Select all that apply)

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9. Have you or your household ever had to temporarily give up paying for food, utilities, or healthcare to pay your rent or mortgage? (Select one)

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10. How should the City prioritize spending public service funds in the community? Check all that apply.

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