Thank you for filling out this survey.

From chemical safety, food access, to climate change impacts, states and communities throughout the country are tackling issues that deeply effect our health and safety. When community members and scientists work together, they can help address these issues and inform decision making at the local level. As a community member, scientist, or both, your experiences on the benefits and challenges of this type of collaboration can provide important insight into expanding opportunities to other communities. At the Center for Science and Democracy at the Union of Concerned Scientists, we are working with an Advisory Committee, community leaders, and scientific experts to learn more about these partnerships to highlight best practices and identify ways to overcome obstacles in connecting communities with scientific experts. Your responses to the survey below will help us get started.

There are 17 questions in total, and we estimate it will take approximately 25 minutes to complete.

Please fill out this completely survey by June 20th. If you would prefer to answer these questions over the phone, please contact Jessica Thomas at jthomas@ucsusa.org or 617-301-8056 to schedule. The results of the survey will be shared with community leaders, scientific experts, and the public at a town hall meeting in Houston, TX in September. As a survey participant, you are welcome to attend in person or via webcast to ask questions and find out more ways that communities and scientific experts can partner together.

As a thank you for your time and input, all participants who fill out the survey completely will be entered into a drawing to win one of ten $50 gift cards. (UCS employees and their families are not eligible to enter).

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* 1. Name, role, and location of person filling out this survey

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* 2. Your organization and type of organization (community, scientific, academic, etc)

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* 3. How many years has this organization had a presence in this community?

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* 4. Who did you collaborate with on this project? (Name and role of individual, or organization) You may fill out this survey multiple times for multiple projects and collaborations.

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