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2012
April
H
Hearts and Homes Survey
Hearts and Homes Survey
Please answer the following questions as accurately and thoroughly as possible.
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Are you an Arkansas resident?
Yes
No
Are you a homeowner?
Yes
No
Have you ever heard of Hearts and Homes?
Yes
No
If so, how did you hear about Hearts and Homes?
Realtor
Internet
Friend/Family Member
Media (Newspaper, Magazine, Television, Radio, etc.)
Other
Has your home ever experienced significant damage from a natural disaster or other catastrophic event? (Tornado, Flood, Severe Thunderstorm, Hail Storm, Fire,etc.)
Yes
No
Have you ever experienced financial difficulty due to a medical emergency or serious,long-term medical condition?
Yes
No
What is your gender?
Male
Female
What is your marital status?
Single
Married
Divorced
Widowed
Which age range fits you best?
17 or younger
18-29
30-39
40-49
50-59
60-69
70 or older
Which county do you live in?
Thank you for your time!
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