"Becoming an Engaged Neighbor" Project Feedback

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* 1. How much of an impact do you feel your efforts at "neighboring" have had?

A great deal of impact

A lot of impact

A moderate amount of impact

A little impact

No impact at all

Other (please specify)

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* 2. Please share a story from your experience in neighboring or completing the who is my neighbor name chart. Explain how this has made a difference for you.

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* 3. Please share with us any additional stories or feedback about the neighboring program that you would like to share.

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* 4. We would like to be able to stay in touch with you and invite you to participate in other local neighboring events, updates and training. For that reason MU Extension would like your contact information. The information is not shared with outside organizations or individuals.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number