CD4 National Night Out Challenge
How organized is your neighborhood? In recognition of National Night Out, District 4 is offering FREE Oakland A's tickets to the most organized communities in the area. Submit your survey for your chance to win!
What is your name?
Your answer
Please tell us your street and cross-street name. *
Address optional.
Your answer
Does your street have an active neighborhood watch group with shared contact information? *
How often does your immediate neighborhood hold social events to stay connected? *
(cook-outs, parties, ect)
Did your street participate in the CORE Citywide Exercise of April 2013? *
If your street has gone through CORE training, what level(s) have you completed? *
How many households on your block have surveillance cameras? *
Does someone on your block regularly attend Neighborhood Crime Prevention Council (NCPC) meetings and share information with the neighborhood? *
Does your immediate neighborhood do any other things that are not on this list?
(volunteering, community beautification, providing local services, ect.)
Your answer
Please leave your email address and/or phone number. *
This is so we can contact you if your neighborhood wins. Your information will not be kept or collected for purposes beyond this contest.
Your answer
Can we add your email to our newsletter mailing list?
The newsletter is a bi-monthly email with news and information about District Four and current events.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service