* 1. Name and Address

* 2. Do you feel connected to the following communities? (mark all that apply)

  Very strong Strong More or less Not so much Not at all
Echo Park
Victor Heights
Angelino Heights
Temple Beaudry
Solano Canyon
Elysian Heights
Other

* 3. Have you ever voted in a Neighborhood Council election?

* 4. Which Neighborhood Council elections have you voted in?

  Always More than once Once Never Not familiar with this entity
EPNC/GEPENC (Echo Park Neighborhood Council)
HCNC (Historic Cultural Neighborhood Council)
Other

* 5. Have you participated in Neighborhood Council Committee work?

  Often A few times Once Never
EPNC/GEPENC
HCNC
Other

* 6. Have you attended Neighborhood Council meetings?

  Often More than once Once Never
EPNC/GEPENC
HCNC
Other

* 7. Would you like to be represented by EPNC (Echo Park Neighborhood Council)?

T