* 1. Do you have a suggestion for an arts event or activity that is needed in Springfield? If so, please explain below.

* 2. What kind of events do you like to participate in? Check all that apply.

* 3. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 4. Age

* 5. What is your gender?

* 6. How many people currently live in your household?

* 7. Do you have any children under 18?

* 8. Additional comments.

T