| For the following statement, mark the option that best represents your opinion
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| Please mark the major sources of pollution in your community |
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| Have you or anyone in your household developed any of the following health effects since you've lived in the Ramona Gardens Community (mark all that apply) |
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| Where do you shop for most of your groceries? |
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| Have you shopped at Nico's? |
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| Please rate the quality of the following products sold at Nico's
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| For the following statement, mark the option that best represents your opinion
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| Please mark on average, how often you consume the following foods
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| For the following statements, mark the response that best represents your opinion
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