1. Tell us about yourself:

We ask that only the residents or those persons who visit the City of Lafayette on a frequent bases, complete the following survey. We ask that each person check only the boxes that pertain to them.
Residency:

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* 1. Residency:

How long have you lived in Lafayette:

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* 2. How long have you lived in Lafayette:

Gender:

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* 3. Gender:

Ethnicity:

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* 4. Ethnicity:

Age:

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* 5. Age:

Police Department Precinct:

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* 6. Police Department Precinct:

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