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Have you received services at Community Action Marin before?
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Which services have you used?
Child Development Program
Head Start
Enterprise Recovery Center
CARE Outreach Teams
LIHEAP
SparkPoint Coaching
Tax Assistance
Are you a Marin County resident?
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No
What is your household’s gross monthly income?
Are you looking for childcare or parenting support?
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Do you need services for an expectant mother?
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No
Are there children in your home from 0 (birth) - 12 years of age?
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How many children do you have?
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5
How old are they?
Child #1
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Child #2
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Child #4
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Child #5
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Do you need assistance paying for energy for your home?
(PG&E, wood or propane)
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Are you experiencing a housing, food, mental health, or other concern?
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