Network Map Questionnaire - English
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1. Default Section
LCW Network Map—Find Out How You’re Connected!
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. Your Full Name:
Your Full Name:
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. Your Full Address:
Your Full Address:
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. Are you an LCW member?
Yes
No
Are you an LCW member?
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. Are you employed?
Yes
No
Are you employed?
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. If yes, for what company do you work (name and location)?
If yes, for what company do you work (name and location)?
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. If you first heard about LCW from a person, who is that person?
If you first heard about LCW from a person, who is that person?
Person's Full Name
Street He/She Lives On (this helps us distinguish between people with the same name)
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. Who are the people that you talk to in order to learn about what’s going on in Lawrence (news, events, etc.)? List up to five (5) names and the street each person lives on.
Who are the people that you talk to in order to learn about what’s going on in Lawrence (news, events, etc.)? List up to five (5) names and the street each person lives on.
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. Who do you regard as a neighborhood or community leader? List up to five (5) names and the street each person lives on.
Who do you regard as a neighborhood or community leader? List up to five (5) names and the street each person lives on.
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. Please list all organizations at which you currently volunteer, if any. Please give the organization’s full name and the city where it is located.
Please list all organizations at which you currently volunteer, if any. Please give the organization’s full name and the city where it is located.
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. Please list all organizations for which you are currently a Board Member, if any. Please give the organization’s full name and the city where it is located.
Please list all organizations for which you are currently a Board Member, if any. Please give the organization’s full name and the city where it is located.
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