United Way Community Needs Assessment Question Title * 1. In which county do you reside? Butte Glenn Lassen Modoc Plumas Shasta Siskiyou Tehama Trinity Question Title * 2. In which city / town / municipality / village do you reside? Question Title * 3. Please select that choice that includes your age: Under 18 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 4. What is your gender? Female Male Other (please specify) Next