Part 1 - Background Information: Please tell us about yourself and your family.

Quincy Community Action Programs, Inc. is conducting this survey to help us understand the needs of our community and how we can best help. All information is confidential, will not be shared, and will not affect your ability to obtain services. Thank you!

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* 1. Where do you live?

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* 2. Age (choose one)

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* 3. What is your gender?

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* 4. Ethnicity: How would you describe your racial or ethnic background?

 
 5% of survey complete.

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