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1. Date of Cleanup (Required.)

Date

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2. Number of Participants at the Cleanup Event

(only required if this was a community cleanup)

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3. Event Address

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4. How would you rate your experience using the Tool Trailer Program?

Bad Great
Clear
i We adjusted the number you entered based on the slider’s scale.

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5. Were the directions to receive the tools easy to follow?

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6. How would you rate the condition of the tools received?

Bad Great
Clear
i We adjusted the number you entered based on the slider’s scale.

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7. Focus of the Cleanup Event (Required.)

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8. How was the communication with City Staff?

Bad Great
Clear
i We adjusted the number you entered based on the slider’s scale.

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9. Are there other tools you think would be useful in this program?

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10. How could this experience be better for residents?

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11. Do you plan on using this program again?

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12. How did you hear about the Tool Trailer Program?

Please attach before and after pictures of event and any event photos you care to share.

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13. Before Photo

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14. After Photo

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15. Event Photo

T