Welcome to our community input survey!

Thank you for your important feedback as we look to build and improve our grassroots efforts.

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* 1. Are you registered with a party affiliation? (choose one)

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* 2. What issues are most important to you right now? (select all that apply)

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* 3. What opportunities for advocacy, voter engagement or change-making are of interest to you? (select all that apply)

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* 4. What types of events are of interest to you? (select all that apply)

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* 5. What do you feel are the biggest barriers to membership/involvement with AWADC? (check all that apply)

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* 6. Anything else you'd like us to know that is not covered elsewhere?

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* 7. How do you prefer to receive communication/updates/event news? (select all that apply)

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* 8. Are you a resident of the Anthony Wayne area? (Waterville, Whitehouse, Monclova, Neapolis, etc.)

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* 9. What is your age?

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* 10. With your permission, we’d like to reach out to you about AWADC membership and for more information about your responses. If agreeable, please feel free to include your preferred email address and/or cell phone below:

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