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* 1. What is your age

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* 2. Which Health Department Services are you most familiar with?

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* 3. Which services have been the most helpful to you

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* 4. How did you hear about the services you received?

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* 5. Is someone in your household receiving WIC services

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* 6. What is the best way to reach you with information on programs or events we are offering?

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* 7. Are you satisfied with the programs that the Pondera County Health Department Provides?

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* 8. What is your race

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* 9. How many live in your household?

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* 10. In the last 12 months, did you get information from the Pondera County Health Department that was helpful

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