Rockingham Community Survey
To help us understand what issues and desires this group of folks is concerned with, please answer this short survey.

Each survey participant will be entered into a drawing for a virtual door prize!

Please note this survey is for information purposes only and will NOT be shared with the public.

The meeting will not be driven by your answers.
Email *
Tell us your name or the organization you represent *
Email *
Which Generation does your birthdate fall in? *
What do you think is the biggest problem facing Black people in Rockingham County today? *
Required
If you answered "Something Else" as the biggest problem facing Black people in Rockingham County today, please share your concerns about today's current state of affairs or resources you are willing to provide to support progress.
How has the COVID-19 pandemic impacted your life and/or work short term and/or potentially long term? *
How would you rate your knowledge and/or ability to speak out or discuss issues impacting racial inequity on a scale of 1-5, with 1 being very little and 5 being an expert? *
Very Little
Expert
About NC 100:
NC 100 is an organization connected to and working directly with local and statewide leaders that believe in the power of community organizing and extending networks as an avenue for supporting education, workforce development, and community service.

Using a modified asset-based development approach, we look to build upon assets that are already found in the community and mobilize individuals, associations, and institutions to come together to support that power without concentrating 100% of our time on needs.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside nc-100.org. Report Abuse