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Utility Disconnections: Share Your Story
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Zip Code
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Have you had your utilities disconnected when is was really cold or really hot?
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What was disconnected?
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What is the name of your utility company?
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Do you remember when your disconnection happened and how long were you disconnected?
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How much did you owe at the time of disconnection?
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How were you impacted by the disconnection?
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Can we share your story?
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Can we contact you?
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Name
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Email
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Phone
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Optional Other Questions
When you were facing disconnection,  did you reach out to your utility about assistance? What did they say/offer?
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When you were facing disconnection,  did you reach out to community agencies or churches (like Community Action) for assistance? Were they able to help?
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Have you chosen not to pay other important bills so that you can pay for electricity or water? Which bills did you defer?
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How many times have you had your utilities disconnected?
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Is there anything else that you want to share?
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Demographic Information
Please indicate your household income.
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Do you consider yourself part of a vulnerable household?  (Check all that apply.)
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How many people are in your household
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Do you support protections that prevent utility shutoffs during extreme heat or cold weather?
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