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* 1. Age of son or daughter

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* 2. Zip Code

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* 3. City of Residence

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* 4. County of Residence

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* 5. Please rate how much you agree with following statements regarding the Family Support (FSSP) staff & services.

  Strongly Disagree Somewhat Disagree Somewhat Agree Strongly Agree N/A
The FSSP Staff responds to me promptly.
The FSSP staff keeps me informed about sources of support available to me.
I'm satisfied with the FSSP staff's level of knowledge.
Family Support Information, Referral, and Assistance has helped my family.
I find the FSSP Newsletter a valuable tool.

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* 6. Did you receive a Family Support Grant this past fiscal year (July 2018-June 2019)?

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