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* 1. House Number:

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* 2. Street Name:

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* 3. How long have you lived here?

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* 4. Which of these best describes you?

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* 5. Can you park and/or access your house from the rear alley?

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* 6. When you think about your street and neighborhood in general, what things are most important to you? (Rank in order of importance, with 1 being the most important and 4 being the least important)

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* 7. Are there any other important items that were not reflected in the question above? (Optional)

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* 8. As you learned in the presentation, bump-outs extend into the street 7 feet (the standard width of a car), and would be planted with various native Ohio plants and flowers. The pros and cons of bumpouts are unique to individual neighborhoods.

What are some benefits you think having bumpouts could bring to your neighborhood? (Select up to 2 answers)

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* 9. What are your top concerns about having bump-outs in your neighborhood? (Select up to 2 answers)

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* 10. As the Department of Public Utilities finalizes their design plans, what is ONE thing about your neighborhood you would want them to know?

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* 11. Any other questions, comments, or concerns you would like to share? (If you would like a response to a specific question, please include your name and contact information to receive a response)

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* 12. How would you like to stay informed about the Blueprint Columbus design and construction process? (Select all that apply)

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* 13. If you would like to receive text messages, calls, or emails, please provide your contact information below.

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* 14. Your Name (Optional)

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