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        <div class="app-inner leader border-bottom">
          <h2 class="app-card_question">We’d like to ask about your current housing situation.</h2>
          <p class="t-small c-steel">Thinking about the past 30 days, what best describes your living situation?</p>
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{
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  "sections": [
    {
      "header": "You",
      "info-items": [
        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
          "value": "12/02/1980"
        },
        {
          "name": "Phone",
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          "name": "Additional Phone",
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          "note": "Home"
        },
        {
          "name": "Email",
          "value": "lara.smith@gmail.com"
        },
        {
          "name": "Address",
          "value": "649 Avalon St <br> San Francisco, CA 94117"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Alternate Contact",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
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          "secondary": "MEDA"
        },
        {
          "name": "Email",
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        },
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          "name": "Phone",
          "value": "415-876-5432"
        },
        {
          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Members",
      "info-items": [
        {
          "name": "Name",
          "value": "Michael Smith",
          "note": "Child"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1980"
        },
        {
          "divider": true
        },
        {
          "name": "Name",
          "value": "Michael Johnson",
          "note": "Family Member"
        },
        {
          "name": "Date of Birth",
          "value": "12/2/1970"
        },
        {
          "name": "Address",
          "value": "700 Avalon St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Details",
      "info-items": [
        {
          "name": "Rent at 2106 Park Blvd",
          "value": "$1200 per month",
          "note": "for Michael Smith"
        },
        {
          "name": "Rent at 4106 Terrace St",
          "value": "$1200 per month",
          "note": "for Jane Smith and Denise Jones"
        },
        {
          "name": "Seniors in Household",
          "value": "Yes"
        },
        {
          "name": "Veterans in Household",
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          "name": "People with Developmental Disabilities",
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          "value": "Mobility Impairments<br> Visual Impairments"
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    {
      "header": "Income",
      "info-items": [
        {
          "name": "Vouchers and Subsidies",
          "value": "Yes"
        },
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      ]
    },
    {
      "header": "Preferences",
      "info-items": [
        {
          "name": "You Have Claimed",
          "value": "Certificate of Preference",
          "note": "for Michael Smith"
        },
        {
          "name": "You Have Claimed",
          "value": "Neighborhood Resident Housing Preference",
          "note": "for Michael Smith",
          "secondary": "Telephone Bill attached"
        },
        {
          "name": "You Have Claimed",
          "value": "Rent Burden Preference",
          "note": "for 2106 Park Blvd",
          "secondary": "Copy of Lease and Cancelled Check attached",
          "note-2": "for 4106 Terrace St",
          "secondary-2": "Copy of Lease and Money order attached"
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    }
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      "header": "You",
      "info-items": [
        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
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        }
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          "is-sentence": "yes"
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    {
      "header": "Income",
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        {
          "name": "Vouchers and Subsidies",
          "value": "No"
        },
        {
          "name": "Household Income",
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        }
      ]
    }
  ],
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      "header": "You",
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        {
          "name": "Name",
          "value": "Laura Smith"
        },
        {
          "name": "Date of Birth",
          "value": "12/02/1980"
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        {
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        }
      ]
    },
    {
      "header": "Alternate Contact",
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          "name": "Mailing Address",
          "value": "456 Mission St <br> San Francisco, CA 94117"
        }
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      "header": "Household Members",
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        {
          "name": "Name",
          "value": "Michael Smith",
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          "name": "Date of Birth",
          "value": "12/2/1970"
        },
        {
          "name": "Address",
          "value": "700 Avalon St <br> San Francisco, CA 94117"
        }
      ]
    },
    {
      "header": "Household Details",
      "info-items": [
        {
          "name": "Seniors in Household",
          "value": "Yes"
        },
        {
          "name": "Veterans in Household",
          "value": "Yes"
        },
        {
          "name": "People with Developmental Disabilities",
          "value": "Yes"
        }
      ]
    }
  ]
}

There are no notes for this item.