Middle Neighborhoods Community of Practice Questionnaire
Please fill out the following questionnaire so that the middle neighborhoods Community of Practice may learn more about your neighborhood stabilization efforts. The questionnaire takes approximately 20 minutes to complete.

This form is being administered by The American Assembly: http://americanassembly.org. If you have any questions, please contact ss4336@columbia.edu.

A note on information privacy: The information you provide in the questionnaire below may be shared with other members of the Community of Practice but will not be otherwise published without your permission. Note that there are two intended outlets for information gathered from the questionnaire: 1) a matrix of middle neighborhood organizations and the services they provide (similar to: http://middleneighborhoods.org/org-matrix) and 2) case studies for research. You will have multiple opportunities to opt-out of information sharing below.

Email address *
First name *
Your answer
Last name *
Your answer
Street address
Your answer
City *
Your answer
State *
Your answer
Title *
Your answer
Phone Number
Your answer
Name of Organization *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service