Midlothian University Interest Survey

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* 2. Which statement(s) describes your interest in Midlothian University? (Check all that apply.)

I am interested in learning about the City of Midlothian government, services, functions, programs, and activities.

I am interested in applying to volunteer for City Council-appointed boards, commissions, and task forces, or becoming involved in city government in other ways.

I am a stakeholder involved in a community organization, such as education, healthcare, church or religious organization, homeowner association, civic or service club, and I am interested in becoming a resource about the city to members of my group.

None of the above

Other (please specify)

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* 3. Do your answers apply to the Midlothian University program being offered from the week of September 13 through the week of November 1, 2021?

Yes

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* 4. If you answered, "NO," to question #3, please indicate another date range or time of year that you would like to attend.

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* 5. Which day of the week would you be most likely to attend an evening program? (Rank 1-3, with 1 being the most likely and 3 being the least likely.)

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* 6. What time of the evening would be best for you to attend the program? (Rank 1-3, with 1 being the best time and 3 being the worst time.)

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* 7. Tell us your level of interest in each of these topics from "very interested " to "not at all interested."

	Very interested	Somewhat interested	Neutral	Not very interested	Not at all interested
Planning and zoning, business and residential development	Planning and zoning, business and residential development Very interested	Planning and zoning, business and residential development Somewhat interested	Planning and zoning, business and residential development Neutral	Planning and zoning, business and residential development Not very interested	Planning and zoning, business and residential development Not at all interested
Public works projects, utility and road maintenance	Public works projects, utility and road maintenance Very interested	Public works projects, utility and road maintenance Somewhat interested	Public works projects, utility and road maintenance Neutral	Public works projects, utility and road maintenance Not very interested	Public works projects, utility and road maintenance Not at all interested
Support and development of the local economy	Support and development of the local economy Very interested	Support and development of the local economy Somewhat interested	Support and development of the local economy Neutral	Support and development of the local economy Not very interested	Support and development of the local economy Not at all interested
Support and development of community services, programs, and amenities	Support and development of community services, programs, and amenities Very interested	Support and development of community services, programs, and amenities Somewhat interested	Support and development of community services, programs, and amenities Neutral	Support and development of community services, programs, and amenities Not very interested	Support and development of community services, programs, and amenities Not at all interested
Programs and services for senior citizens	Programs and services for senior citizens Very interested	Programs and services for senior citizens Somewhat interested	Programs and services for senior citizens Neutral	Programs and services for senior citizens Not very interested	Programs and services for senior citizens Not at all interested
Municipal government and the decision-making process	Municipal government and the decision-making process Very interested	Municipal government and the decision-making process Somewhat interested	Municipal government and the decision-making process Neutral	Municipal government and the decision-making process Not very interested	Municipal government and the decision-making process Not at all interested
Fire safety and prevention and emergency medical services	Fire safety and prevention and emergency medical services Very interested	Fire safety and prevention and emergency medical services Somewhat interested	Fire safety and prevention and emergency medical services Neutral	Fire safety and prevention and emergency medical services Not very interested	Fire safety and prevention and emergency medical services Not at all interested
Public safety and code enforcement services	Public safety and code enforcement services Very interested	Public safety and code enforcement services Somewhat interested	Public safety and code enforcement services Neutral	Public safety and code enforcement services Not very interested	Public safety and code enforcement services Not at all interested
Municipal finance, budgeting, and purchasing services	Municipal finance, budgeting, and purchasing services Very interested	Municipal finance, budgeting, and purchasing services Somewhat interested	Municipal finance, budgeting, and purchasing services Neutral	Municipal finance, budgeting, and purchasing services Not very interested	Municipal finance, budgeting, and purchasing services Not at all interested
Parks and recreation programs and facilities	Parks and recreation programs and facilities Very interested	Parks and recreation programs and facilities Somewhat interested	Parks and recreation programs and facilities Neutral	Parks and recreation programs and facilities Not very interested	Parks and recreation programs and facilities Not at all interested
Water treatment services	Water treatment services Very interested	Water treatment services Somewhat interested	Water treatment services Neutral	Water treatment services Not very interested	Water treatment services Not at all interested
Involvement opportunities	Involvement opportunities Very interested	Involvement opportunities Somewhat interested	Involvement opportunities Neutral	Involvement opportunities Not very interested	Involvement opportunities Not at all interested
Engineering and road construction	Engineering and road construction Very interested	Engineering and road construction Somewhat interested	Engineering and road construction Neutral	Engineering and road construction Not very interested	Engineering and road construction Not at all interested
Municipal information technology (IT)	Municipal information technology (IT) Very interested	Municipal information technology (IT) Somewhat interested	Municipal information technology (IT) Neutral	Municipal information technology (IT) Not very interested	Municipal information technology (IT) Not at all interested
Animal services	Animal services Very interested	Animal services Somewhat interested	Animal services Neutral	Animal services Not very interested	Animal services Not at all interested
Public information and communications	Public information and communications Very interested	Public information and communications Somewhat interested	Public information and communications Neutral	Public information and communications Not very interested	Public information and communications Not at all interested
Attending a City Council or other board or commission meeting	Attending a City Council or other board or commission meeting Very interested	Attending a City Council or other board or commission meeting Somewhat interested	Attending a City Council or other board or commission meeting Neutral	Attending a City Council or other board or commission meeting Not very interested	Attending a City Council or other board or commission meeting Not at all interested

Other topics you would be interested in learning about (Please specify.)

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* 8. Would you be interested in receiving information about attending in person a free, seven-week Midlothian University program that would be held once a week for 2 1/2 hours each week?

Yes

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* 9. Would you be interested in receiving information about a free, online Midlothian University program (pre-recorded sessions of the program topics)?

Yes

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* 10. If you would like more information about the free, Midlothian University program, please provide your contact information and we will send you the details. We ask that you provide at least two contact types (e.g., email and telephone or mailing address) because emails from the City of Midlothian may go to your SPAM folder. Also, mark the City of Midlothian a "safe sender" to prevent the city's emails from landing in your SPAM folder.
Note: your information will not be used for any other purpose without your permission and will not be sold or transferred to any other party.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Midlothian University Interest Survey

Help us plan the next session of Midlothian University.

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* 1. Are you 18 years or older?

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* 2. Which statement(s) describes your interest in Midlothian University? (Check all that apply.)

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* 3. Do your answers apply to the Midlothian University program being offered from the week of September 13 through the week of November 1, 2021?

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* 4. If you answered, "NO," to question #3, please indicate another date range or time of year that you would like to attend.

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* 5. Which day of the week would you be most likely to attend an evening program? (Rank 1-3, with 1 being the most likely and 3 being the least likely.)

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* 6. What time of the evening would be best for you to attend the program? (Rank 1-3, with 1 being the best time and 3 being the worst time.)

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* 7. Tell us your level of interest in each of these topics from "very interested " to "not at all interested."

Question Title

* 8. Would you be interested in receiving information about attending in person a free, seven-week Midlothian University program that would be held once a week for 2 1/2 hours each week?

Question Title

* 9. Would you be interested in receiving information about a free, online Midlothian University program (pre-recorded sessions of the program topics)?

Question Title