RWD #2 Demographic Survey
Rural Water District #2 has been working towards replacing our 12" main line due to its age and the number of breaks we've had. We are exploring different funding options, but most places request, or require, our demographics. We are asking our members to please take the time to fill out this survey for every member of your household, ages zero & up. We appreciate your assistance.
Rural Water District #2 Account Number
Your answer
Name on Account
Your answer
PERSON # 1
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 2
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 3
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 4
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 5
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 6
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 7
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 8
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
PERSON # 9
Race or Origin
Print Origin or name of enrolled tribe. For example: German, Creek, African American, Mexican, Korean, Samoan, and so on.
Your answer
Age
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