Action Plan Survey: Some Information about You
All information will be held strictly confidential by the survey administrator.
Thank you for taking the time to provide us with the following information. Information marked with **red stars** is required for analysis of the survey only.
**Name:
**In which town do you live or work?
What is your age?
Are you an employee of any university or state/federal agency?

If yes: Other (please specify):

Are you a member of any of the following community organizations?
Woonasquatucket River Watershed Council
Audubon Society of RI
GrowSmartRI
Dam owner's association
Conservation Commission
Historic preservation commission
Land Trust
Municipal office
Chamber of Commerce
Northern/Southern RI Conservation District
Other (please specify):
How involved would you say you are in environmental or watershed issues?
Very involved Somewhat involved Not involved at all Would like to be more involved
How did you hear about this website?
Watershed listserv or other email
Poster
Providence Journal article
Family or friend
Work
Community organization
Postcard mailing
Other
Other (please specify):
Would you like to be on our mailing list?
Yes! Send me information!
Street:
City:
State:
Zip:
Email: