This survey will help us understand your village's impact on you and your community. The Montgomery County Department of Health and Human Services will manage and review the survey. Your answers are anonymous. DHHS will only share aggregate results with Village leaders and the public.

The survey will take about 10 minutes to complete.

Questions marked with an asterisk (*) are required. They must be answered to go to the next page. Some questions are not required, but we encourage you to answer all of them.

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1. How long have you been involved with your local Village? (Required.)

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2. REMOVED: In the past 12 months, have you attended at least one Village event and/or activity? (Required.)

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3. In the past 12 months, how often have you participated in village events and/or activities? (such as parties, group outings, walks, exercise classes, games, lectures) (Required.)

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4. Please rate your level of agreement with the following statements about your experience with the village:

  Strongly Agree Agree Neutral Disagree Strongly Disagree Not applicable
I know more people now
I leave home more than I used to
I take part in more activities and events now
I feel more connected to my community
I have more meaningful social interactions
I feel the village is welcoming to all people
My village is responsive to the needs of the community

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