211 Survey Question Title * 1. What is your age? 15 yrs to 20 yrs 21 yrs to 30 yrs 31 yrs to 40 yrs 41 yrs to 50 yrs 51 yrs to 60 yrs 61 yrs to 70 yrs 71 yrs to 80 yrs 81 yrs + Question Title * 2. Gender Female Male Other Question Title * 3. Do you have children under 18 years of age? Yes No Question Title * 4. What city do you live in? Alta Sierra Cedar Ridge Chicago Park Grass Valley Nevada City North San Juan Peardale Penn Valley Rough & Ready Smartsville Truckee Washington Other (please specify) Question Title * 5. How did you hear about us? Text message Agency referral Radio Social media (Facebook or Twitter) Newspaper article Flyer I have called before Word of mouth Advertisement 211 car Community event T-shirt Newsletter 211 tote bag Other (please specify) Question Title * 6. Are you searching for resources for yourself or someone else? Self Someone else Question Title * 7. Did you find these resources helpful? Yes No Question Title * 8. Do you have any suggestions for improving our website? Question Title * 9. Are you having trouble with this website? If you would like a 211 representative to contact you, please give us your first name and a phone number or email address. Done
