Benjamin 2017 Survey
Make your voice heard! Tell me what matters to you!
What is your top priority for improving and protecting community residents?
What do you think is the best approach to make positive change on your priority issue?
Your answer
What is one issue you think needs more attention?
Your answer
What issues should we focus on to stand up to the NY State Senate Republicans and the Trump administration?
Your answer
Name *
Your answer
Email Address *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone Number *
Your answer
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