Young people in Chicago want to make sure their voices are heard and many aldermen are interested in serving young people in their wards better. Please fill out this short survey to help your Alderman understand how to communicate with and address the concerns of young people in Chicago.

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* 1. What neighborhood do you live in?

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* 2. What is your favorite thing about your neighborhood?

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* 3. What issues are most important to you? (Check all that apply.)

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* 4. Who is your Alderman?

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* 5. Which of the following duties of Aldermen are most important to you? (Choose up to 4.)

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* 6. Where do you spend most of your time outside of school?

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* 7. Which of the following are safe spaces in your neighborhood/community area where young people are welcome to gather and spend their time? (Check all that apply.)

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* 8. The problem with youth programs in my neighborhood is… (Check all that apply.)

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* 9. If you could ask your Alderman to address a single most important issue, what would it be?

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* 10. Would you be interested in meeting your Alderman and communicating more with him/her about issues in your ward?

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* 11. If your Alderman wanted to communicate with young people (like yourself), what are the best ways for him/her to reach you? (Check all that apply.)

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* 12. Which places would be most convenient for you to meet with your Alderman? (Check all that apply.)

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* 13. If you attend a school in Chicago, what school do you attend? (If you do not currently attend school, what high school did you attend?)

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* 14. What race/ethnicity do you identify with?

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* 15. What gender do you identify with ?

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* 16. What is your age?

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* 17. If you would like to be contacted by your Alderman’s office about future opportunities, please provide your contact information. (OPTIONAL)

Thank you very much for your feedback! If you are interested in learning about the results of the survey or more about the Mikva Challenge organization, please visit www.mikvachallenge.org or like us on Facebook!

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