Community Survey about Local (City) Government

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THIS SURVEY IS ANONYMOUS, AND YOUR ANSWERS WILL NOT IDENTIFY YOU.

Introduction to the Survey

Politics affects many facets of our lives. To make meaningful change, Democracy requires action. Change is never easy, but if you ever wonder what change in your local Government looks like, here is an interactive way to go about it. Join us in making meaningful change by completing this survey and joining us at a public forum to discuss our local government. This survey will be used as a teaching tool to frame future discussions.

Do you feel like you understand how your local (city) government works? *

Yes

No/not really

How do you think your local (city) government is working for you?
*

Great

Okay

Not so great

Terrible

Do you know who your local (city) government representatives are? *

Yes, I am familiar with many of them.

I know of one or two of them.

No, I do not know who they are.

What do you wish your local government would do for you or help you with? Please be as specific as possible.
*

Can we contact you?

Can we contact you to invite you to a public forum to talk about local (city) government and to learn more about local government? If yes, please provide your contact information below. YOU DO NOT NEED TO PROVIDE CONTACT INFORMATION IF YOU DO NOT WANT TO BE CONTACTED.

Your name:

Phone (we will text you):

Email (we will email you):

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