Community Concerns and Interests Survey
Thank you for taking this five minute survey to help our community!

The goal of this survey is to understand the current political and social concerns of our broader community and the ways people would like to learn more or take action.

The sponsor of this survey is the Alliance of White Anti-Racists Everywhere-Los Angeles (AWARE-LA). Your information will not be given to other organizations and will be used solely by our organization to develop better outreach and education efforts.

Thank you for your time and contribution. You can email us at

Which of the following concerns are most important to you at this time locally or nationally? (Please select all that apply.)
Please complete the following sentence in your own words: "I would be motivated to attend an event or discussion if the topic were __________."
Your answer
Which of the following would be viable ways for you to connect with others on topics that matter to you? (Please select all that apply.)
Of the following ways you'd like to connect with others on these topics, which one is the *most* appealing to you?
Would you be willing to tell us about yourself?
Information you share in the sections below is for our internal use only, and won't be shared with any other parties
Political Identity: "I lean..."
Race/Ethnicity (Select all that apply.)
Age Range:
What city/state do you live in? (If you live in Los Angeles, please specify your neighborhood.)
Your answer
Would you be interested in helping us with our education efforts?
If you are interested in future efforts, in what ways would you like to support?
If you are interested in hearing more about our future events, please include your name, phone, and email address below:
(Your information will not be given out to other organizations. If you are a member of an organization that might be interested in future events, please include that information in "Organizational Affiliations." To learn more about our work, check out our website at
Your answer
Your answer
Phone Number [(xxx)-xxx-xxxx]
Your answer
Organizational Affiliations
Your answer
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