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1. Which of the following best describes you? Check all that apply.

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2. What housing problems do you experience or observe? Check all that apply.

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3. Are there other housing problems not listed above you have experienced or observed?

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4. Based on your experience or observation, what are the causes of these problems? Check all that apply.

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5. Are there any other causes not listed above you would like to identify or comment on?

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6. What are the consequences that result from the housing problems you experience or observe?

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7. Please check the five greatest housing needs in Fairfax County.

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8. Are there any other housing needs not listed above you have or other comments you would like to make?

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9. What changes would you most like to see? Please prioritize (rank) the housing outcomes you would like to see, with 1 being the most important and 7 being the least.

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10. Are there any other housing outcomes not listed above you would like to see or other comments you would like to make?