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1.
What is the identifying letter on the corresponding map?
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2.
What is your current Zipcode?
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3.
What is your age?
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4.
Which branch(es) of the armed forces did you serve in?
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5.
When were you discharged?
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6.
What industry do you work in?
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7.
What is your yearly income?
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8.
What is your household yearly income?
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9.
Do you receive income from the Veteran's Administration?
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10.
What is your current living situation?
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11.
If you are currently paying rent, how much do you pay per month?
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12.
How do you get from your home to work?
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13.
How long does it take you to get from your home to work?
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14.
What is your highest level of education?
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15.
Please select one or more statements which best describe your racial composition:
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16.
Please select the family type that best describes your family type:
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17.
How many adults are currently living in your house?
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18.
How many children under 18 currently live with you? (if none, write 0)
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19.
Where would you want to live?
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20.
Where would you want to live?
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21.
What percent of your neighbors would you want to be Veterans?
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22.
What is important to you with home ownership?
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23.
How many bedrooms would you need?
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24.
How many bathrooms would you need?
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25.
How important is each of these features to a house?
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26.
Would you be interested in finding out more information regarding the Lehigh Valley Community Land Trust (LVCLT)?
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27.
Would you be interested in becoming involved with the Lehigh Valley Community Land Trust (LVCLT)?
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28.
If you would like to receive more information or become involved with the Lehigh Valley Community Land Trust, please leave your phone number and/or e-mail.
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