Community Survey 

We would like to know your thoughts and opinions about the problems that confront our Southwest community.  Please take a moment to answer the questions below and send us your personal comments as well. 

We greatly appreciate your input.

What is the greatest problem that confronts our Southwest area?

Poverty              Health Care          Crime                Education System   
Substance Abuse      Domestic Violence    Terrorism            Debt               
Gambling             Illegal Immigration  
Other Issue:  

We would love to contact you! (Not required)

Name
Address
City
State
Zip Code
Phone
E-mail

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