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1. Enter your contact information (Required.)

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2. What is the highest [or greatest] cost burden for you and your family living in Greater Danbury?

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3. What is one thing that would make your neighborhood better?

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4. What do you think it will take to bring about that kind of change?

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5. If you were in charge of the city what would be the very first thing you would change?

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6. What do you see as the greatest obstacle to making changes that benefit your community?

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7. Rate these issues on importance on a scale of 1-10

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8. Identify any other important issue you’d like to share that is not listed?

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9. If you were in charge and could choose one thing to fix, what would it be?

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