Survey

PROSPECT DEMOCRATIC TOWN COMMITTEE

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Share your Feedback! You are invited to participate in a short survey being conducted by the Prospect Democratic Town Committee. In this survey, several hundred people will be asked to share their feedback about issues important to our town. It will take approximately three minutes to complete. All survey responses will be kept confidential and will not be shared with third parties. We appreciate you feedback.

Pleas indicate the way(s) you receive news about the Town of Prpospect. (check all boxes that apply) *

Prospect Town Website Prospect Pages Citizen's News Waterbury Republican-American New Haven Register Democratic Town Committee Website Democratic Town Committee Facebook Page

Other *

Communication

Issues: How important are the following issues to you? Choose from the drop-down menus.

Strengthening the economy of the Town of Prospect *

Installing sidewalks *

Providing affordable senior housing *

Providing a quality education *

Improving infrastructure (i.e. roadways) *

Maintaining a social media presence (i.e. town website, facebook) *

Sponsoring town-wide events *

Other *

Democratic Town Committee

Have you attended any Democratic sponsored events? *

Yes No

Have youpreviosly accessed the Prospect Democratic Town Committee website *

Yes No

Have you accessed the Prospect Democratic Town Committee Facebook page *

Yes No

About You (optional)

Name *

First

Last

Phone number *

Cell Phone Number *

Email *

Please check all sources that apply.

Address *

Line 1

Line 2

City

State

Zip Code

Country

May we add you to our mailing list? *

Yes No

Thank you for your time and support!

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P.O BOX 7180, Prospect CT 06712 prospectdems@gmail.com
Paid for by Prospect Democrat Town Committee; Carey Fitzgerald, Treasurer