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Name

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* 1. Name

Age

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* 2. Age

Cross street or intersection where you live

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* 3. Cross street or intersection where you live

Where do you get local information about your community? rank 1-8

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* 4. Where do you get local information about your community? rank 1-8

Do you own or have regular access to? (check all that apply):

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* 5. Do you own or have regular access to? (check all that apply):

How do you normally access the internet? check all that apply

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* 6. How do you normally access the internet? check all that apply

When you go online, what websites do you visit for local information? (ex: facebook, twitter, NOLA.com) List all that apply

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* 7. When you go online, what websites do you visit for local information? (ex: facebook, twitter, NOLA.com) List all that apply

What local issues do you wish you had more information about? List all that apply (ex: housing, jobs, local economy, healthcare, education, safety/security, nutrition, transportation, other?)

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* 8. What local issues do you wish you had more information about? List all that apply (ex: housing, jobs, local economy, healthcare, education, safety/security, nutrition, transportation, other?)

We’d like to include you in a new Text Messaging news initiative we’re starting as part of our Listening Post project.
If you share your cell phone number with us, we’ll send you questions from time to time about local community issues that we’d like your feedback on.
We’ll also send you weekly news alerts about important issues in New Orleans. If you’d like to participate, share your number with us.

Cell #

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* 9. We’d like to include you in a new Text Messaging news initiative we’re starting as part of our Listening Post project.
If you share your cell phone number with us, we’ll send you questions from time to time about local community issues that we’d like your feedback on.
We’ll also send you weekly news alerts about important issues in New Orleans. If you’d like to participate, share your number with us.

Cell #

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