Community Survey

* 1. Your name

* 2. Your address

* 3. Your email address - (we may email you from time to time - you can unsubscribe at anytime.)

* 4. Your phone number

* 5. What are the top 3 issues for you and your family?

* 6. Do you think your town/village needs more affordable housing?

* 7. If you answered yes to Q6 - what type?

* 8. Which political party best reflects your views?

* 9. I can help!

Report a problem

T