Healthy Streets Feedback Form

Thank you for reaching out to Healthy Streets! We appreciate you taking the time to fill out this form.

Please fill out this form if you would to provide feedback on a current Healthy Street location, or share ideas for future consideration.

If you have any questions, please email us at HealthyStreets@seattle.gov

Privacy Notice:
Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement.

Question Title

* 1. Tell us about you!

Name

ZIP/Postal Code

Email Address

Question Title

* 2. I currently live on, near, or use a Healthy Street in my neighborhood

Yes, I live on or near a Healthy Street location

No, but I use a current Healthy Street location

No, I'd like to make a suggestion for future Healthy Streets

I'm not sure