Energize Clinton - Community Heart & Soul Survey

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We need your help. We know that you love Clinton, and we want to be sure that your voice is heard as we develop ideas and plans for the future of our community. This short survey will introduce you to our process and give us input about how we can make our town even better. All information is confidential and will not be connected in any way to your individual responses or your contact information. Please be honest and give us as many details as you’re comfortable providing.

Thanks for your time!

We need some basic demographic information to be sure we are hearing from a broad range of people who live in Clinton.

Gender: *

Male

Female

Prefer not to answer

Age: *

5 & under

5 - 9

10 - 19

20 - 34

35 - 54

55 - 74

75 & over

Household Income:

$19,999 or less

$20,000 - $39,999

$40,000 - $59,999

$60,000 - $79,999

$80,000 - $99,999

$100,000 or more

Clear selection

Race / Ethnicity: *

Asian / Pacific Islander

Black or African American

Hispanic or Latino

Native American or American Indian

White

How long have you lived in Clinton? *

Less than 5 years

5 - 10 years

11 - 20 years

More than 20 years

How would you describe your involvement in past community development efforts? *

Very Involved

Somewhat Involved

Knew about them, but not involved at all

No knowledge about any past efforts

How did you hear about the Energize Clinton Heart & Soul program? *

Newspaper

Community Event

Radio

Social Media (Facebook, Instagram)

Flyer / Poster at ______________________________________________________

From a friend / Word of mouth

Email / Newsletter

Other... _______________________________________________________________

Please answer each question as well as you can! We appreciate your honesty and ideas.

What do you love about Clinton? *

Why are those things important to you? *

What are your hopes for the future of Clinton? What concerns do you have? *

What types of things should we do to make Clinton an even better community? *

We are looking for people from all walks of life to participate in events and interviews to gather stories about what makes Clinton a special place to live.

Are you interested?

Yes

Do you have more ideas or want to get more involved with Energize Clinton - Heart & Soul? *

Yes

If you answered yes to either of the questions above, please provide your name, email address, and phone number below. We will be in contact with you.

Your responses to this survey are completely confidential and will not be connected with your demographic or contact information.

Name

Email address

Phone number

Your responses to this survey are completely confidential and will not be connected with your demographic or contact information.

Thank you for your time and thoughtful responses!

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