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* 1. Age of Participant: ____________________________________

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* 2. Would you consider moving into the Autumn House

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* 3. What age do yo feel people would consider moving into the Autumn House?

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* 4. Did you know that the Autumn House is a not-for-profit and does not receive any funding from the government?

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* 5. Should the government fund the Autumn House?

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* 6. Would you sell an asset or use savings to reside in the Autumn House?

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* 7. Do you feel the Autumn House board has fulfilled its responsibilities and contributed positively to the Autumn House?

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