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Celebrating Black Cully Program Info
1
Start
2
Complete
Contact Information
First Name
Last Name
Age Range
0-4 years
5-17
18-30
31-44
45-64
65+
No response
Job Title
Street Address
City
Postal Code
State/Province
Phone Number
Email
Preferred Communication Method(s)
Phone
Email
Postal Mail
SMS
Fax
Demographics
Housing Status
- None -
Renter - Private Market/Unknown
Renter - Public/Non-profit Housing
Homeowner - Private Market/Unknown
Homeowner - Habitat for Humanity
Homeowner - Land Trust
MHP - Owner/Unknown
MHP Renter
MHP RV
Homeless
Years Lived In Home
- None -
Less than 6 months
6 months-1 year
1-2 years
2-3 years
3-4 years
4-5 years
5-10 years
10-15 years
15-20 years
More than 20 years
Lives with
ADU Possibility?
- None -
Not Possible
Not Interested
Needs More Info
Interested
Celebrating Black Cully Program Info
What are the good things happening in your neighborhood?
What issues are you most concerned about in your neighborhood?
Housing Costs
Gentrification
Law enforcement
Schools
Public transportation
Jobs and business opportunities
Public safety
Opportunities and activities for youth
Services and activities for elders
Other
Other: Please Share
What are spaces in the community where you see people come together?
Do you go online?
Yes
No
If so, how often do you go online?
Often/daily
A few times a week
Once a week
Monthly/Rarely
What places do you enjoy going in your neighborhood?
Which neighborhood parks do you visit more often?
What kinds of places are missing from your neighborhood?
How do you stay connected with other Black folks in your neighborhood?
What skills, talents, passions and interests do you like to contribute to your community?
What kinds of gatherings and events would you like to participate in for the Black community?
Informal gatherings to build community
Arts, music, cultural events
Meetings and events to take action on issues in the neighborhood
Other
Other: Please describe
If you could build or add gathering place to the neighborhood, where would it be located and what purpose would it serve? How would people engage with the space?
Please define what feeling valued means to you?
Please define what feeling heard means to you?
Please describe what would it look like for Living Cully to demonstrate that your voice is valued and that we hear you?
Other comments welcome:
Submitted by
Jess
on Fri, 07/12/2019 - 14:37