Community Survey

Your name

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* 1. Your name

Your address

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* 2. Your address

Your email address - (we may email you from time to time - you can unsubscribe at anytime.)

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* 3. Your email address - (we may email you from time to time - you can unsubscribe at anytime.)

Your phone number

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* 4. Your phone number

What are the top 3 issues for you and your family?

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* 5. What are the top 3 issues for you and your family?

Do you think your town/village needs more affordable housing?

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* 6. Do you think your town/village needs more affordable housing?

If you answered yes to Q6 - what type?

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* 7. If you answered yes to Q6 - what type?

Which political party best reflects your views?

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* 8. Which political party best reflects your views?

I can help!

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* 9. I can help!

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