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Do you rent or own? <br /> <br />Do you have a sensory, <br /> <br />physical, or mental <br />disability? <br />If "Other" please <br />describe: <br />What category represents <br /> <br />your age? <br />What was your total <br /> <br />household income in the <br />previous year before <br />taxes? <br />What is your employment <br /> <br />status? (Check all that <br />apply) <br />What is the highest level <br /> <br />of education you have <br />completed? <br />What is your <br /> <br />race/ethnicity? (Check all <br />that apply) <br />Minnesota Government <br />Yes <br />Data Practices Act <br />Minnesota Statute <br />Email Address <br />§13.601. subd. 3(b) <br />Background <br />Yes <br />Authorization <br />Acknowledgement <br />Yes <br /> <br /> <br /> <br />Qbhf!:7!pg!413 <br /> <br />