Thank you for your interest in participating in future rounds of the Community Pulse survey.

This survey provides the Federal Reserve Bank of Richmond with a tool to assess changes in community conditions across our District. All identifying information is kept confidential.

Aggregrate results are published at

If you are interested in participating in our survey and you represent an organization which serves low- and moderate-income (LMI) communities in Maryland, North Carolina, South Carolina, Virginia, Washington, D.C. or West Virginia, please complete the following questionnaire.

If selected to participate, you will receive an email from us once a year with a link to a secure survey webpage.

* Questions marked with an asterisk (*) are required.

* 1. Please enter your contact information in the space below.

* 2. Please enter information about your organization in the space below.

* 3. Email Address:

* 4. Phone Number:

* 5. Please select the option below that best describes your organization.

* 6. Please select the jurisdiction in which your organization has its primary location.

* 7. Please select the type of clients your organization serves or represents.

Thank you!