Middleton Questionnaire

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Middleton Questionnaire

* Indicates required field

Name (First, Last) *

Email *

Phone Number *

Address *

NOT REQUIRED but super helpful for us when coordinating in-person gatherings or mobilizing citizens

Area(s) of Interest *

City Council School Board Library Public Service State Representative Planning and Zoning Commission Impact Fee Advisory Board Urban Renewal Board Other *fill in your not-listed area of interest in Comments below

Comments (area of interest) *

If you checked OTHER under Area(s) of interest, please tell us what area(s) you are interested in here.

What are you willing to do? *

Knock on Doors Show up at Meetings Stuff Envelopes Post on Social Media Send Emails Send Texts Organize in-person Meetings Provide Snacks for Volunteers Engage the Media Network with Citizens and/or Businesses Other *enter in Comments

Comments (willing to do) *

If you checked OTHER under What are you willing to do, please enter your idea/ ability here.

When are you available? *List days of the week and time blocks. *

Please share what you LOVE about Middleton. *

Ex: People, Home prices, Community opportunites, etc.

What do you GRIEVE about Middleton? *

Ex: Crime rates, too few businesses, cost of living, too many developments, etc.

What do you DESIRE for Middleton? *

Ex: New schools, Robust library, More officers, Farmer's market growth, tight-knit community, etc.

Lastly, please share any other thoughts you have about Middleton in part or as a whole. *

THANK YOU!

Middleton citizen, THANK YOU, so much for taking the time to fill this out. We have an incredible town and it's changing, despite our efforts to keep it the way we like it. This form is just one step in bringing our community together in awareness, solidarity, and action. You deserve to be heard!

Submit

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Home
- Contact
- Book Me
Love & Faith
Essential Oils
- EO Resources
Dempsey - Leukemia
Whole Foods
Store