First Name *

Last Name *

Phone *

Email *

Questions:

1. What community issues are most important to you right now? *

2. How would you describe the biggest challenge facing your neighborhood? *

3. What type of programs or services would you like to see more of in East Brooklyn? *

4. How familiar are you with Innovative Resilience East Brooklyn Village Inc. and its work? *

Very Familiar

Somewhat Familiar

Just Heard About It

Not Familiar Yet

5. How likely are you to get involved in future community projects, events, or groups?

Very Likely

Somewhat Likely

Maybe in the Future

Not at This Time