How long have you lived in our neighborhood?__________________________________
What made you decide to live in this neighborhood? ____________________________
Please list 3 positive aspects of our community: ________________________________
Please list 3 concerns: ________________________________________________________
Please choose one of your concerns and write below what you think we should do?
________________________________________
Are you willing to help? How? ___________________________________________________
OPTIONAL:
Name:__________________________________________________
Address:___________________________________________Phone_______________
Email:______________________________________________
Please return to: Les Balij 1789 Orlando Rd. 864-1433