Platform For Change: Community Feedback Form
The following questions are provided to participants at every Platform for Change Town Hall. The goal is to intentionally de-center the voices of people outside of our community and to center your experiences and observations as a member of this community.
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Demographic Information
Are you a resident of Spokane County?
Clear selection
What is your zip code?
Are you experiencing housing insecurity (e.g., your rent/mortgage is late or delinquent, you're currently staying with relatives or a friend, etc.)?
Clear selection
Select a category below that best describes your age.
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How would you self-describe your gender? (Check all that apply)
How would you self-describe your sexual orientation? (Check all that apply.)
Please select which racial and ethnic category you identify with? (Check all that apply.)
What languages are spoken in your home?
Were you born in the United States?
Clear selection
At any point in your life, have you ever been arrested, on probation, on parole, or incarcerated for any length of time?
Clear selection
At any point in your life, has someone in your immediate family ever been arrested, on probation, on parole, or incarcerated for any length of time?
Clear selection
Are you currently experiencing homelessness/houselessness (e.g., couch surfing, living in a motel, living in a car or tent, unsheltered)?
Clear selection
Community Safety and Wellness Policy
What do we need in our community to keep each other safe and well?
What does safety mean to you? What does it look like? Feel like? Sound like? Smell like?
What makes Spokane unsafe for our community members? What is negatively affecting the well-being of our community members?
What do we want to change so that we can maintain the safety and well-being of our community?
If Spokane were safe it would … (finish the sentence)
What is already happening in Spokane that keeps us safe and well?
What would be possible if Spokane were more safe?
What would increase your sense of safety in Spokane?
What would it look like to be physically safe in Spokane? Mentally? Emotionally?
Who do you turn to for safety?
What do you see as your role in creating community safety and wellness?
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