SIKESTON INCOME SURVEY

THE CITY OF SIKESTON IS CONDUCTING A SURVEY TO DETERMINE THE NEED FOR THE IMPROVEMENTS IN PUBLIC FACILITIES, HOUSING, AND SERVICES. SOME OF THE IMPROVEMENT PROJECTS MAY BE ELIGIBLE FOR FEDERAL FUNDING. THIS SURVEY IS AN ELIGIBILITY REQUIREMENT FOR SUCH FUNDING. YOUR SURVEY ANSWERS WILL BE KEPT CONFIDENTIAL.

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* 1. PLEASE INDICATE THE NUMBER OF FAMILIES (PERSONS RELATED BY BIRTH, MARRIAGE, OR ADOPTION) LIVING AT THIS ADDRESS (AN UNRELATED INDIVIDUAL IS CONSIDERED A ONE-PERSON FAMILY, WHETHER LIVING ALONE OR WITH ANOTHER FAMILY)

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* 2. PLEASE INDICATE THE TOTAL NUMBER OF PERSONS LIVING AT THIS ADDRESS

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* 3. HOW MANY MEMBERS IN EACH FAMILY

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* 5. HOW MANY PERSONS AT THIS ADDRESS ARE:

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* 6. TO HELP DETERMINE THE POPULATION CHARACTERISTICS OF THE PROJECT AREA, PLEASE INDICATE THE NUMBER OF PERSONS AT THIS ADDRESS THAT ARE:

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* 7. TO FURTHER HELP DETERMINE THE POPULATION CHARACTERISTICS OF THE PROJECT AREA, PLEASE INDICATE THE NUMBER OF PERSONS AT THIS ADDRESS THAT ARE:

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* 8. PLEASE ENTER THE SURVEY ID NUMBER AND DATE

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* 9. IF YOU WOULD LIKE TO PROVIDE YOUR NAME, PLEASE DO SO HERE.  THIS STEP IS OPTIONAL.

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