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PAGE 101 <br />Demographics Data Collection Form <br />11/3/23, 11:11 AM Demographic Data Collection <br />https://docs.google.com/forms/d/e/1FAIpQLSfQAJgmdHBHLVl5AmLmX5tYteJFVDZhHlEkRNT5OSj4TQKuPw/viewform 1/8 <br />Demographic Data Collection  <br />Thank you for helping with the needs assessment of the Tri-Valley! We really appreciate <br />your time and willingness to share your experiences as someone living or working in the <br />Tri-Valley. To gain a better understanding of who is participating in focus groups or <br />interviews, we would like to collect some basic demographic information. In our reports <br />and summaries of the data, we will not attach your name to any of the demographic data <br />collected.  <br />nadia_syed@jsi.com Switch account <br />Not shared <br />* Indicates required question <br />First Name  <br />Your answer <br />Last Name * <br />Your answer <br />What is your email address * <br />Your answer <br />What is your phone number?* <br />Your answer <br />EASTERN ALAMEDA COUNTY HUMAN SERVICES NEEDS ASSESSMENTSS Page 159 of 554