Water Survey

1. First, a little about you... (Page 1 of 3)

Wentzville Middle School students are working with the City of Wentzville to assess the public's awareness and attitudes about our water resources. Your response is anonymous and will guide community projects. Thank you in advance for taking this survey.

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Water Survey

1. First, a little about you... (Page 1 of 3)

1. What is your age?

2. Are you:

*
3. What is your affiliation to the City of Wentzville? (Check all that apply)

4. If you live in Wentzville, what is your subdivision name?

5. Have you ever played in a creek?

What is your affiliation to the City of Wentzville? (Check all that apply) Resident Business Industry Educator Student/Parent	City Employee Developer/Construction Environmental Group Subdivision Trustee No Affiliation
Other (please specify)

Water Survey

1. First, a little about you... (Page 1 of 3)

1. What is your age?

2. Are you:

*3. What is your affiliation to the City of Wentzville? (Check all that apply)

4. If you live in Wentzville, what is your subdivision name?

5. Have you ever played in a creek?

*
3. What is your affiliation to the City of Wentzville? (Check all that apply)