What is the total number of persons in your household? *
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Do you or any other member of your family have accessibility needs related to a disability? *
Do you or any other member of your family require hearing or visual accessibility features within your apartment? *
Do you or any other member of your family require any of the following features: Roll‐in shower, widened doorways and access points, lowered kitchen and bathroom cabinets and ADA compliant appliances? *
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