SMD 5B02 outreach survey
My name is Nandini (pronounced: Naan-di-ni) and I'm the Commissioner for 5B02. 

Please answer the questions below to help me with my work as your Commissioner and to share any thoughts or concerns you have about the neighborhood and the city.

It's important that I reach as many folks within our SMD, so please pass the link around, or help someone not as comfortable with a web form fill in some information (or just reach out to me [5B02 at] with some info about them and I'll call or visit).
Sign in to Google to save your progress. Learn more
Email *
Make sure you live in 5B02 by checking 

Please indicate where you live (e.g. 1234 18th St NE or 1200 block of 18th ST. NE, or near Yes! Organic, etc.
Where do you get your neighborhood news?
Are there other ways you receive neighborhood news that are not listed above? 
Which of the following topics interest you?
If you have a concern you want to discuss with me as your Commissioner, how would you prefer we talk?
If you prefer phone or text, please share your number here
If there's anything else you'd like to tell me that wasn't covered, feel free to share!
ANC can be a big job, especially when there are big ambitions, like the ones I know a lot of you share for our neighborhood, Ward, and the city. I also want to make sure there is a succession plan, so that the work continues 2 or 4 years down the road. If you want to volunteer, join a future task-force, etc. please indicate below. I will reach back out to you with opportunities. Thank you! 
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy