This survey is an important part of evaluating the Heart & Soul Community Planning project in your community. In your community The municipality and project partners, including the Orton Family Foundation, are interested in collecting information about your community to see if we have met our project goals. Your input is very important and we appreciate your willingness to complete the surveys at three different stages of your community’s work!

This survey will take about 15 minutes. Your individual responses will be confidential and seen only by the evaluation team and Orton Family Foundation staff. In the survey, you will be asked confidentially for some demographic information ONLY for data analysis purposes. THANKS!

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* 1. For which project/community are you responding to this survey?

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* 2. Did you participate in the baseline survey two years ago?

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* 3. What is your age?

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* 4. I am a (check all that apply)...

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* 5. If a resident, how long have you lived in the community?

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* 6. What is your annual household income?

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