Please take a few minutes to complete this brief survey on behalf of your household. Only one member of each household should take the survey, but responses should reflect the needs and preferences of the entire household. Your responses will be anonymous.

Demographic Information

*1.Please indicate your age.(Required.)

Under 25

25-44

45-64

65+

*2.How many people live in your household, including you?(Required.)

one

two

three

four

five or more

*3.How long have you lived in Pound Ridge?(Required.)

less than 5 years

5-14 years

15-24 years

25+ years

*4.Do you rent or own your home?(Required.)

Rent

Own

*5.Is Pound Ridge your primary residence?(Required.)

Yes

No

*6.If Pound Ridge is not your primary residence, how often do you spend time in Pound Ridge?(Required.)

Most weekends

Once or twice a month

Other (please specify)

N/A (full-time resident)

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