*CONFIDENTIAL* Survey of Rocklin Residents to inform Josh Rolph, City Council candidate
Have an opinion to share about improving the City of Rocklin? Your CONFIDENTIAL answers will inform my campaign for City Council on the issues most critical to Rocklin residents. Your email is required to validate that you are not a bot – I am the only one with the ability to see your email and answers.

The survey is divided into five brief sections, with emphasis on the three middle sections which are the central themes of this campaign (SAFETY, PROSPERITY, FUN), plus a section for you to address any other issues that are important to you. Estimated time to fill out the survey: 5-15 minutes.

**This is a survey of the campaign of Josh Rolph for Rocklin City Council 2020**
Sign in to Google to save your progress. Learn more
Email *
SECTION 1: GETTING TO KNOW YOU
Tell me about yourself!
1. In which section of Rocklin do you live? *
2. When did you move to Rocklin?
Clear selection
3. If you haven't lived here most of your life, where outside of Rocklin have you lived?
4. Why do you live in Rocklin? Check all that apply.
5. What is your age?
6. Including you, how many individuals live in your household for the majority of the year?
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Yeah Yeah Agency. Report Abuse