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Criteria
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Needs Assessment
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Needs Assessment
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Country
*
City or Zipcode
*
County (US Only)
Marital Status
*
Select your answer
Single
Married
Separated
Divorced
Widow
Gender
*
Select your answer
Female
Male
Age Range
*
Select your answer
Below 12
13 -19
20 - 35
36 - 49
50 - 69
70+
# People in Household
*
Select your answer
1-3
4-7
8-10
10+
# Dependents
*
Select your answer
0
1-2
3-4
5-6
6+
Race
*
Select your answer
Afroamerican
Asian
American
Latin
Other
Your household need
*
Mortgage default assistance
Rental arrears assistance
Utility assistance
Food distribution access
What is your household monthly income?
*
Most pressing needs in your community
*
Health
Housing
Food
Education
Jobs
Homelessness
Environment
Child Care
After school programs
Free Drugs
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