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* 1. I am an (check all that apply)

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* 2. What do you appreciate about the store(s)?

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* 3. What are some things we can improve to better meet your needs?

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* 4. Any other comments?

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* 5. Do you have a story about the co-op you would like to share? We would love to hear from you.

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* 6. If you would like to be contacted to see how you can further help the cooperative, please provide your information below: