Places to live Question Title * 1. Where do you live? Kokomo Logansport Monticello Delphi Winamac Other (please specify) Question Title * 2. What is your age group? Under 18 18-29 30-45 46-60 Older than 60 Question Title * 3. What is your annual household income? Less than $25,000 $25,000-$49,000 $50,000-$99,000 $100,000 or more Question Title * 4. Do you read Heartland magazine? Yes, every issue. Sometimes. Never. Question Title * 5. Rate your community on the following factors. Safety Educational system Access to health care Entertainment options Cost of living Excellent Excellent Safety Excellent Educational system Excellent Access to health care Excellent Entertainment options Excellent Cost of living Average Average Safety Average Educational system Average Access to health care Average Entertainment options Average Cost of living Poor Poor Safety Poor Educational system Poor Access to health care Poor Entertainment options Poor Cost of living Question Title * 6. Tell us what makes your community a great place to live. Question Title * 7. If you are willing to be contacted for a story about your community, fill out the following form. Name Address Address 2 City / Town State / Province ZIP / Postal Code Email Phone Done