Bolinas Community Needs Survey

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This survey is being circulated with the intention of understanding Bolinians civic needs and desires to better inform community communications.

Your personal information is not being collected, nor will it be shared if you choose to provide your email address.

Your responses may be shared publicly and anonymously at Bolinas Civic Group meetings and on the BCG website.

Age *

Under 18

18-30

30-45

45-65

65-80

80+

Prefer not to say.

Ethnicity *

Caucasian

Hispanic or Latine

Asian

Black

Pacific Islander

Other

Prefer not to say.

Gender Identity *

Female

Male

Non-binary

Other

Prefer not to say

West Marin Residency *

I am a full time resident of West Marin.

I am a part-time resident of West Marin.

Prefer not to say.

Location *

Bolinas

Stinson

Olema/Point Reyes

Inverness

San Geronimo Valley

Prefer not to say.

Housing Status *

I rent my home.

I own my home.

I am houseless.

Prefer not to say.

Do you currently receive public assistance? (EBT/Section 8/MediCal/Medicare/etc.)

Yes

I don't know

Prefer not to say.

Clear selection

*OPTIONAL* Email Address

Clear form

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