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Community Feedback Form
Thank you for participating in our community feedback form. Your input is invaluable in helping us address potential concerns regarding loose dogs in our community. This form seeks to gather your thoughts and experiences to better understand the extent of any issues and identify possible solutions. Your responses will assist us in creating a safer environment for everyone in our neighborhood.
Please take a few moments to share your thoughts and experiences. Your responses will remain anonymous and confidential.
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How much of a concern are loose dogs for you in your community?
Not much of a concern
1
2
3
4
5
Very concerned
Clear selection
Do you have concerns of being chased by a loose dog in your community?
Not much of a concern
1
2
3
4
5
Very concerned
Clear selection
Do you have concerns of being bitten by a loose dog in your community?
Not much of a concern
1
2
3
4
5
Very concerned
Clear selection
Have you had or witnessed any incidents with loose dogs in your community? If so, can you describe those incidents?
Your answer
What do you think would be an effective solution to loose dogs in the community?
Your answer
What else would you like to share about loose dogs in your community?
Your answer
What is your age range?
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65+ years old
Clear selection
What is your identified race/ ethnic identity? (Please check all that apply).
White
Black of African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Hispanic or Latinx
Other:
Where did you hear about this survey?
Survey Team Member
Social Media (Facebook, Instagram, Twitter, etc)
Family or Friend
Flyer or Poster
Online Forum or Community (Nextdoor, Neighborhood Group, etc)
Other
Clear selection
Where is your current address located near?
Example: 9710 Forest Lane, Dallas TX, 75243 would be 9700 block of Forest Lane, Dallas TX, 75243
Your answer
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