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- Who is this about?*
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- How many places did you have to call or visit before you got an answer?
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- May we tell them they made a difference?
- How did it turn out?
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- What was it about?
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- Which county do you live or work in?*
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- Your gender
- Your race or ethnicity
- Who lives in your home?
- Is it often hard for your household to pay for basic needs?
- In the past year, has your household used any of these?
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- May we quote what you wrote?
- D4. CAPTCHA*
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- Should be Empty: