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What information are you looking for? (Check one or more boxes that apply.)
Education (schools, colleges, etc.)
Entertainment (movies, concerts, museums, etc.)
Government (state, local, etc.)
Healthcare (hospitals, doctors, dentists, etc..)
Housing (new homes, resale, apartments, land for sale, etc)
Lodging/Overnight stays (hotels, motels, bed & breakfasts, etc.)
News (local, community calendars, etc..)
Recreation (sports, leisure, nature trails, boating, etc)
Relocation (real estate, employment, cost of living, etc.)
Restaurants (eateries, bars, fine dining, etc.)
Retirement (assisted living, retirement communities, etc..)
Shopping (malls, retail stores, etc.)
Travel (tourist spots, siteseeing, vacation, etc.)
Transportation (cars, airplanes, trains, etc.)
Other (Specify: )

Do you currently live... (Check one.)
in the state of Virginia?
      What is your a 5-digit zip code?

outside the state of Virginia
      What is your a 5-digit zip code?

outside the USA
     

Are you... (Check one)
Under 18 years of age
18 - 25 years of age
26 - 35 years of age
36 - 45 years of age
46 - 55 years of age
56+ years of age

Are you... (Check one)
Female
Male

Any comments you'd like to add?