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Regional Planning Email List
*
1.
Your Contact Information
(Required.)
First Name
Last Name
Organization or Affiliation
Home Zip Code
*
2.
Valid Email Address
(Required.)
*
3.
In which of the following topics are you interested?
(Required.)
Aging and Disability Issues
Economic Development Trends
Environmental Quality
Freight and Goods Movement
General news and updates on transportation planning
Housing Affordability
Land Use and Urban Design
Proposed Transportation Improvements
Public Funding and Financing
Public Meetings and Events
Public Transit Issues
Real Estate Development Trends
Regional Policy and Decision-making
Roadway Construction
Roadway Safety Issues
Rural Issues
Social Equity and Inclusion
Upcoming Planning Activities and Studies
Walking & Bicycling Issues
Other (please specify)
4.
In which ways are you interested in being involved in regional planning efforts?
I am interested in taking surveys
I am interested in participating in a small focus group discussion
I am interested in attending public meetings and workshops
I am interested in having a formal role on a taskforce or committee
I am interested in sharing my opinion through social media platforms like Facebook, Twitter, and Instagram
I am interested in reviewing draft documents prior to formal adoption
Other (please specify)
5.
What is your gender?
Female
Male
Other (please specify)
6.
What is your age?
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
7.
With which races or ethnicity groups do you identify?
White or Caucasian
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Other (please specify)
8.
Which of the following categories best describes your employment status?
Employed, working full-time
Employed, working part-time
Not employed, looking for work
Not employed, NOT looking for work
Retired
Disabled, not able to work
9.
How many people currently live in your household? (include adults and children)
1
2
3
4
5
6
7
8
9
10 or more
10.
How many children, age 17 or younger, currently live in your household?
None
1
2
3
4
5
6
7
8
9
10 or more
11.
What is your approximate annual household income?
Less than $25,000
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000-$199,999
$200,000 and up
12.
Please share any comments you have for us at this time.
