Create the Change Durham Survey

1. In general, how would you like to see Durham change, grow, or develop in the next 10 years?

In general, how would you like to see Durham change, grow, or develop in the next 10 years?

2. What is the most important problem or the most pressing need that Durham residents will face over the next 5 years?

What is the most important problem or the most pressing need that Durham residents will face over the next 5 years?

3. What hurdles do you and your family face in order to achieve what you want for yourself, your family and your neighborhood in the next five years?

What hurdles do you and your family face in order to achieve what you want for yourself, your family and your neighborhood in the next five years?

4. Thinking about Durham...

Thinking about Durham... What do you like most?
What do you dislike most?

5. Are you currently, or have recently been involved in community organizing or political activity in Durham?

Are you currently, or have recently been involved in community organizing or political activity in Durham? If so, what motivates you to be involved?
If not, what would inspire you to get involved?
What would make it possible or easier for you to get involved (childcare, transportation, etc.)?

6. What issues or activities would you most like to be involved in or contribute to? Tell us about yourself, your skills, enthusiasms, talents, what you most want to do.

What issues or activities would you most like to be involved in or contribute to? Tell us about yourself, your skills, enthusiasms, talents, what you most want to do.

7. On reflection.... Thinking of this past election, what most interested, excited, inspired, and motivated you - or your friends and family? How do you think that energy can continue?

On reflection.... Thinking of this past election, what most interested, excited, inspired, and motivated you - or your friends and family? How do you think that energy can continue?

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8. Tell us about yourself. This information is confidential and will not be shared for any commercial solicitations.

Tell us about yourself. This information is confidential and will not be shared for any commercial solicitations. Name:
Organizational Affiliations:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Gender:
Email Address:
Phone Number:

9. Please check all that apply:

Please check all that apply: Employed full time

Employed part time

Full time student

Part time student

Retired

Homemaker

Currently Unemployed

I own my home

I rent my home

10. About you and your family:

About you and your family: Your age:
Your race:
Number of people in your household:
Ages of people living in your household (please separate by commas):

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