*1.Your Contact Information (Required by City Council)(Required.)

Name

Address

ZIP/Postal Code

Email Address

Phone Number

*2.Did your household recycle when the City provided curbside service?(Required.)

Yes

No

*3.How are you recycling currently?(Required.)

I / we do not recycle.

I / we utilize the drop-off sites

I / we use a private service.

*4.If you use a private service, how much do you pay per month?(Required.)

$15 - $20

$21+

I / we do not use a private service.

*5.If you use a private service, is glass included?(Required.)

Yes

No

I / we do not use a private service.

*6.How much of your recyclable material is:(Required.)

10% - 15%

16% - 20%

21% - 25%

More than 25%

N/A

Cardboard

10% - 15%

16% - 20%

21% - 25%

More than 25%

N/A

Paper

10% - 15%

16% - 20%

21% - 25%

More than 25%

N/A

Plastic

10% - 15%

16% - 20%

21% - 25%

More than 25%

N/A

Aluminum / Tin

10% - 15%

16% - 20%

21% - 25%

More than 25%

N/A

Glass

10% - 15%

16% - 20%

21% - 25%

More than 25%

N/A

*7.If you use the City drop-off sites, please rate the following using a scale of 1 - 5, with 5 being excellent and 1 being poor. If you don't use the City drop-off sites, please select "N/A" as your answer.(Required.)

1 - Poor

2

3 - Average

4

5 - Excellent

N/A

Appropriate number of drop-off locations

1 - Poor

2

3 - Average

4

5 - Excellent

N/A

Location / accessibility

1 - Poor

2

3 - Average

4

5 - Excellent

N/A

Appropriate number of collection containers

1 - Poor

2

3 - Average

4

5 - Excellent

N/A

Type of materials accepted

1 - Poor

2

3 - Average

4

5 - Excellent

N/A

*8.Should the City reinstate the curbside recycling program, please indicate the fee you'd be willing to pay per month.(Required.)

$0 -  I'm not willing to pay a fee.

$5 / month

$6 - $10 / month

$11 - $15 / month

$16 - 20 / month

9.Comments - please provide any comments you'd like to share with City leaders (2,000 characters max).