Tell us about your status as of today 11/21/22.

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* 1. What is the name of your Center or Family Child Care Home?

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* 2. Are you open and serving families?

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* 3. What damage did you experience from Hurricane Ian?  Click as many as apply

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* 4. If you answered other please explain your damages

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* 5. Tell us what you need as of today, 11/21/22.

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* 6. What is your email address?

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* 7. Who is the best contact at your facility?

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* 8. What is the best phone number to reach this person?

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