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We are conducting a survey to better understand the needs of mamas of color in the USA. Participation in this survey is voluntary and your responses will remain anonymous. 

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* 1. Please choose the race and/or ethnicity that best describes you. (Select all that apply)

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* 2. What is your Gender Identity?

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* 3. Are you currently caring for children under the age of 18?

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* 4. Are you currently caring for a dependent over the age of 18?

Please answer the following questions based on your experience as a Mama:

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* 5. I do not have to make choices of certain needs over others because of money (i.e. food over medication).

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* 6. No one in my household has any type of disability. (i.e. Daily caregiving for a disabled child or family member over the age of 18, who you currently claim as a dependent for state or federal tax; or social security or  state benefits)

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* 7. It is easy for me to find housing that meets the needs of my disabled family members.

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* 8. My utility bills are affordable for me and I have not had a shut-off notice in the past three years.

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* 9. It has been easy for me to find affordable housing in my desired neighborhood.

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* 10. I can afford where I live and pay to get things fixed.

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* 11. I have enough money each month to purchase enough food to feed my family.

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* 12. I do not need money from tax credits to get me the things I need for my family (i.e. earned income tax credit a.k.a. "EITC").

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* 13. I am the primary source of income for my family.

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* 14. I have enough money every month to do what I need to do for my family and I know when I'll get it.

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* 15. I need the following amount of money (more than I already have) to meet my basic needs each month (i.e. money for bills, food, rent/mortgage, health insurance, etc.)

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* 16. Do you CURRENTLY have any of the following types of loans? 

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* 17. Which of the following types of auto loans do you CURRENTLY have?

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* 18. Which of the following types of personal loans do you CURRENTLY have?

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* 19. Please provide your contact info (Your responses will remain anonymous)

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* 20. Do you agree to receive additional communications from Mothering Justice?

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