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Online Survey

1. Sign-in name used on the eTownHall blog (this is the only required field- all others are optional)

2. Zip Code

3. Gender
Male
Female
4. Age
Under 20
20-30
30-40
40-50
50-60
Over 60
5. Registered Voter
Yes
No
6. Do you rent or own your own home?
Rent
Own
7. Are you a Pinellas County resident?
Yes
No
8. Would you be willing to volunteer for Pinellas County?
Yes
No
9. How did you hear about tonight’s meeting?
Newspaper
TV/ Radio
Flyer/ poster
E-mail
Twitter/ You Tube
Word of Mouth