1) How did you learn about this meeting? (Please check all that apply)

E-mail message
E-Newsletter
Printed newsletter
Posted agenda
Direct mail to your home
Flyer delivered to your home
Telephone call
Word of mouth
Other (Please describe):
 

2) Do you receive notices or communications from your council on a regular basis (emails, newsletters, etc.)

Yes
No

If yes, how often?

Once a month
About every three months
About twice a year
Once a year
Other (Please describe)
 

3) Did you come to this meeting because of a particular issue or just to find out more about the council?

Particular Issue - Please describe the issue:
To find out more about the Neighborhood Council
 

4) Did you speak or make a written comment at this meeting?

Yes
No

If yes, what did you talk about? Please describe the topic:
 

5) To what extent do you agree with the following statements?

	Strongly Disagree	Somewhat Disagree	Somewhat Agree	Strongly Agree
Members of the board paid attention to me(if you spoke)/to other speakers (if you didn't)
Board members were courteous and respectful to all persons attending the meeting.
The meeting started on time.
Materials (agendas, reports, etc.) were available to me and others at the meeting.
Board members were responsive to those attending the meeting.
This meeting was organized and well-run
This Neighborhood Council meeting was a good use of my time.

 

6) Which issues concern you the most as a stakeholder in the Neighborhood Council area?

Neighborhood crime
Safe places for children to play
Delivery of city services
Community celebrations and events
Environmental issues
Schools
Improvements to roads, streetlights, public areas
Land use issues
Other (Please describe):
 

7) Did you vote in the last neighborhood council election?

Yes No
 

8) How many Neighborhood Council meetings have you attended in the last six months?

I have attended meetings
 

9) Would you be willing to serve as a:

Council volunteer? Yes    No
Member of the board or a committee? Yes   No

If yes, Please provide a telephone number and/or email address and the best time to contact you:
 

10) Would you like someone from the council to contact you regarding your issue or concern?

Yes   No

If yes, Please provide a telephone number and/or email address and the best time to contact you:
 

11) Please tell us about yourself

Are you... Male Female

What is your age?
18 or younger
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 or older

What is your race/ethnicity? [Please check all that apply]
Asian/Pacific Islander
Black or African American
Latino/Hispanic
Native American
White, Non-Hispanic
Other - Please describe

Within the boundaries of your Neighborhood Council, are you a:

Resident (Homeowner)
Resident (Renter)
Business Owner
Employed in NC area
Property owner
Employed by or volunteer at a community organization (e.g. non-profit, religious, organization, school)
Other - Please describe