Survey
The following survey will be used to gather information to be provided to the Prescott City Council in support of the adoption of a nondiscrimination ordinance.  Twelve Arizona cities have already approved such an ordinance.  Your response will be used to make the case for creating a more inclusive environment in Prescott, so that we can truly claim to be 'Everybody's Hometown'.  All responses will be kept anonymous.  

Instructions: Please mark the box next to all responses that apply to you.
I live in:
While in Prescott I have (or someone I love has):
While in Prescott, I have (or someone I love has) been discriminated against due to my (select as many as apply):
In general, I am more likely:
Please provide any details you would like to share regarding these incidents in the space below:
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