Section 1

Questions about you and your household

Question Title

* 1. What is the location of your residence?

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* 2. What is your age?

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* 3. With which gender do you identify?

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* 4. How many people in each of the following age groups reside in your household?

  Zero One Two Three Four or more
Under 5 years
5 to 10 years
11 to 14 years
15 to 18 years
19 to 65 years
Over 65 years

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* 5. What is  your annual household income?

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* 6. Do you rent or own your residence?

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* 7. What is your employment status?

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* 8. How often do you use the following sources to learn about civic issues?

  Frequently Sometimes Rarely Never
Village of Cottage Grove website
Village of Cottage Grove, CGPD, or CG Park & Rec Facebook feed
Facebook or other social media (other than Village feeds)
Herald Independent newspaper (hardcopy or online)
Other newspaper (hardcopy or online)
Nextdoor.com
Local TV news
Village public meeting (in person)
Village public meeting (on TV or YouTube)
Word of mouth

Question Title

* 9. If you are interested in receiving subsequent information about the Comprehensive Plan, including occasional questions posted on the Village's POLCO survey system, please provide your email address below.

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