Engagement and Readiness Survey: Socially Connected Communities

We invite you to begin reflecting on how your interests, talents and resources might best support community connectedness efforts. Your name and contact information will remain confidential.

*1.Please list your name and organization and email address(Required.)

Name:

Organization:

Email Address:

*2.Would you like to be part of a community solution to reduce loneliness and isolation?(Required.)

I am supportive, but I am unable to commit at this time

I’d like to be part of a community solution to reduce loneliness and isolation while building social connection

Current Progress,

0 of 4 answered

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