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* 1. I am resident of

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* 2. Do you have any children under 18, in your household?

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* 3. Has the coronavirus had an impact on you or any members of your household?

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* 4. Mark all that you consider a concern/need for you or any members of your household. (Check all that apply)

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* 5. If coronavirus testing was provided at the Authority, how likely is it that you or any members of your household would be tested?

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* 6. Have you or any members of your household participated in any of the Authority's feeding programs?

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* 7. Do you get information about events, programs, and resources from either of these sources?

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* 8. Do you follow the Authority on Social Media via Twitter or Facebook?

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* 9. Are you aware you can receive notifications from the Authority via Text Message and/or E-mail?

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* 10. Please provide any additional comments/concerns/needs:

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