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  1. Surveys
  2. 2009
  3. August
  4. W
  5. Word-Import - 2
0%
 
 
1.I reside in this area of MT:
 
Northern
 
Eastern
 
Western
 
Southern
 
Central
 
 
 
2.I would describe myself as a:
 
Parent
 
Grandparent
 
Family member
 
Educator
 
Professional
 
Service provider
 
Other
 
 
 
3.My ethnicity:
 
American Indian
 
Hispanic
 
African American
 
Asian
 
Pacific Islander
 
Caucasian
 
Other
 
 
 
4.Household:
 
Single parent
 
Two parent
 
Other
 
 
 
5. Total Household Income(approximate):
   
 
 
 
Will this work?
 
Yes
 
No
 
Cheeseburger

 
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