Tell us about you...

Thank you for taking the time to share your thoughts on our community. Your feedback will help shape our Community Assessment Report, which will be released in September.

Please read the following questions carefully. Keep in mind that your answers are anonymous and confidential. We appreciate your participation! This survey should take about 10 minutes.

* 1. What is your gender?

* 2. What is your age?

* 3. Ethnicity origin (or Race): Please specify your ethnicity.

* 4. What is your marital status?

* 5. What is your highest level of education? (check only one)

* 6. Are you the parent or primary caregiver of a child or children under 21?

* 7. How many people live in your household, including you?

* 8. What is your approximate total annual household income from all sources before taxes? (Remember that your answers are anonymous and confidential.)

* 9. Do you own or rent your home?

* 10. What best describes your current employment status? (Check as many as apply.)

* 11. Which of the following describes your voting habits?

* 12. Does anyone in your household receive public assistance such as food stamps, reduced price school meals, or Social Security disability?

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