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* 1. Are you a current resident of Benton Park?

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* 2. Do you own or rent your home:

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* 3. How many years have you lived in Benton Park? (example: 3) 

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* 4. What is your age?

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* 5. Counting yourself, how many people live in your household?

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* 6. What was your 2017 income before taxes?

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* 7. How difficult is it for you to maintain your property?

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* 8. How difficult is it for you to improve your property?

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* 9. How difficult is it for you to do yardwork?

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* 10. Here are X tasks which some people have difficulty. For each one, do you find it

  extremely difficult very difficult somewhat difficult not very difficult not at all difficult
weeding
mowing
painting (indoor)
painting (outdoor)
fencing
moving heavy objects

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* 11. How difficult is it to afford the following household items?

  extremely difficult very difficult somewhat difficult not very difficult not at all difficult
furniture
cleaning supplies

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* 12. How likely would you request assistance for the following pet-related tasks?

  extremely likely very likely somewhat likely not very likely or not at all likely
dog walking
cat sitting

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* 13. If the Benton Park Neighborhood Association launched a Neighbor Assist Program, how likely is it that you would apply for assistance?

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* 14. If the Benton Park Neighborhood Association had a Neighbor Assist Program, how likely is it that you donate funds?

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* 15. If the Benton Park Neighborhood Association had a Neighbor Assist Program, how likely is it that you volunteer your services?

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* 16. Other feedback for the neighborhood association?

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* 17. If you would like to receive assistance, donate or volunteer, you may provide your contact information below

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