Shape Up SF Coalition Partner Asset Survey Question Title * 1. Please provide your contact information Name * Organization * Title * Website Email Address * Phone Number * OK Question Title * 2. Please select the SUSFC priority area(s) that are in alignment with your organization. Check all that apply. Healthy food Physical activity Water Sugary drinks OK Question Title * 3. Please select the neighborhood(s) in which you/your organization work. Check all that apply. Citywide Bayview Chinatown Civic Center Crocker-Amazon Excelsior Fillmore Haight Ashbury Ingleside/Ingleside Terraces Mid-Market Mission North Beach Ocean View Outer Mission Parkside Portola Potrero Hill Richmond South of Market Sunset Tenderloin Visitacion Valley Western Addition Other (please specify) OK Question Title * 4. Please check all the race/ethnicities for which you/your organization provides services, support and education. American Indian or Alaskan Native Asian Black/African American Latino Pacific Islander White Other (please specify) OK Question Title * 5. Please check all the age groups for which you/your organization provides services, support and education. Children (0-5) Youth (6-17) Transitional Age Youth (18-24) Adult (25-64) Seniors (65+) All ages OK Question Title * 6. There may be occasions when reaching out to elected officials can help move the Coalition's work forward. Please check all the policy makers to whom you/your organization might be willing to reach out. Board of Supervisors Board of Education Commissioners State level policymakers None Other (please specify) OK NEXT