Down Home Community Listening Survey
Thank you for helping Down Home get to know your community better by filling out this survey! Please fill out as much, or as little, information as you'd like -- all of it helps us get to know you better so that we can work together to build power for poor and working folks across the state!

Please fill this out to the best of your ability. We will take whatever you give us, so if you run out of steam or want to skip a section, send it anyway! We'd rather get something than nothing.

*Just so you know, we NEVER share your name or contact information with other organizations and your responses to this survey will be completely confidential.

In this first section, we're going to start with very simple introductions!
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First Name *
Last Name *
Email *
Zip Code *
Phone Number
How familiar are you with Down Home NC? *
Which Down Home Chapter, if any, are you affiliated with or follow the most?
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