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* 1. Please provide your Street Name

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* 2. Please provide your Subdivision

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* 3. Are you a

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* 4. Please give your view of housing needs in Missouri City: Affordable Housing

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* 5. Please give your view of housing needs in Missouri City: Housing Repairs/Rehabilitation

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* 6. Please give your view of housing needs in Missouri City: Workforce Housing

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* 7. Please give your view of social service needs in Missouri City: Adult Employment & Education Assistance

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* 8. Please give your view of social service needs in Missouri City: Battered/Abused/Neglected Individuals Assistance

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* 9. Please give your view of social service needs in Missouri City: Disabled & Elderly Residents Assistance

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* 10. Please give your view of social service needs in Missouri City: Health Services

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* 11. Please give your view of social service needs in Missouri City: Homeless Services

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* 12. Please give your view of social service needs in Missouri City: Infrastructure Improvements (streets, sidewalks, utilities, drainage, etc.)

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* 13. Please give your view of social service needs in Missouri City: Mental Health Services

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* 14. Please give your view of social service needs in Missouri City: New Business Development

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* 15. Please give your view of social service needs in Missouri City: Quality of Life Amenities (parks, community centers, etc.)

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* 16. Please give your view of social service needs in Missouri City: Temporary Food Assistance

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* 17. Please give your view of social service needs in Missouri City: Utility Assistance

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* 18. Please give your view of social service needs in Missouri City: Youth Programs & Education Assistance

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* 19. Missouri City Commitment: Fair Housing for All - Do you know of instances where realtors, brokers, lenders, or insurance companies have refused to work with owners, sellers, buyers, or renters because they live or propose to live in certain Missouri City neighborhoods?

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* 20. Missouri City Commitment: Fair Housing for All - Do you know of any City, County, or State laws that are unfair to people based on race, color, religion, national origin, sex (including gender identity and sexual orientation), family status, disability, or low-income when seeking housing of their choice?

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* 21. Missouri City Commitment: Fair Housing for All - Do you know of any neighborhoods with deed restrictions that are unfair to people based on race, color, religion, national origin, sex (including gender identity and sexual orientation), family status, disability, or low-income?

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* 22. Please tell us how the CDBG Program can better serve residents or leave suggestions on how the program can address community needs.

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* 23. Please leave you name

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* 25. Please provide a phone number if you would like to receive a call from staff.

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