Community Input Survey
Both Pueblo City Schools District 60 and Pueblo County District 70 have created District Wellness Task Force committees. Both committees are working to create Comprehensive Health & Wellness Plans that address health issues within the school districts. Please complete this simple survey to help us determine the 3-5 most important health issues in each district.
What is your age?
Under 12 years old
12-17 years old
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65 and older
To which gender identity do you most identify?
Prefer Not to Say
Please specify your ethnicity
Hispanic or Latino
Black or African American
Native American or American Indian
Please select the option(s) below that best describes your role in your school district and community
Please select the school district for which you are completing the survey
Pueblo City Schools District 60
Pueblo County District 70
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service