Carmen De La Rosa for City Council Community Survey
This survey is for residents and businesses of the 10th City Council District.
As Carmen begins her transition to City Hall in January 2022, she wants to hear from you!
The needs and vision of the community are essential as she further develops her priorities in the next City Council.
***We collect certain demographic information to understand who is completing our survey as part of our work to deliver inclusive programs that appeal to everyone in our community. Only intake staff can see this information***
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What Neighborhood Do You Live/Work In?
Race-Ethnicity(ies). Select all that apply.
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic, Latino, Latina, or Latinx
Middle Eastern or Northern African
Native Hawaiian or Other Pacific Islander
I prefer not to answer this question
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65-74 years old
75 and above
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This form was created inside of Carmen for Council.