The West Side Community Healthcare District (the “District”) is exploring funding options to continue to provide your community with lifesaving services. This survey is being used to gauge your knowledge about the services provided by the District and to determine the community's level of support to continue these services. Your feedback is valuable.

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* 1. Do you live within District boundaries? You can look up your parcel on the web map at civicmic.com/WestSideCHD.

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* 2. Are you aware of the ambulance services that the District provides?

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* 3. Are you aware of how the District funds the ambulance services?

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* 4. Are you aware that there is a shortage of funding for the ambulance services provided by the District?

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* 5. I support the current ambulance services provided by the District.

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* 6. It is important to me that the District continues to provide ambulance services in my area.

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* 7. I would support an annual tax to help the District generate sufficient funds to continue to provide ambulance services.

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* 8. Are you interested in helping with outreach about this topic in your community?

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* 9. In the future, how would you like to learn about the District and how they plan to fund continued services?

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* 10. The District will be hosting an informational meeting soon. What time of day would you likely be able to participate?

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* 11. Please provide any additional comments, feedback, or questions about the District.

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* 12. Please provide your full name.

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* 13. Please provide your address.

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* 14. Please provide your telephone number (optional).

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* 15. Please provide your email address.

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