Community Input Survey for Martin Luther King Jr. Avenue

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* 1. Please fill out the relevant information

Name

City/Town *

ZIP/Postal Code *

Email Address

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Use this map as a reference for Question 2

Use this map as a reference for Question 2

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* 2. What is your Neighborhood?

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* 3. What is your age?

Under 18

18-24

25-40

41-56

56-75

75+

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* 4. How many people are in your household?

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* 5. Select the status that best describes your current situation

25% of survey complete.