Let’s Get to Know You! – Dutchtown Main Streets

All of the questions below are optional! Please only share as much as you would like. Answers provided on this form are private and will not be shared with any third party. Dutchtown Main Streets uses this data to learn more about the neighbors and visitors we meet so that we can serve them better.

Name

This field is for validation purposes and should be left unchanged.

Tell us about yourself.

Your age

Your gender

Your racial/ethnic background

Your education

Where were you born?

What city, state, and/or country were you born in?

Where did you grow up?

What city, state, and/or country did you grow up in?

Tell us about your household.

How many people do you live with, including yourself?

How many of your household members are under 21?

What is your approximate household income?

Tell us about where you live.

Your ZIP code

Your block

for example, “3900 Pennsylvania Ave”

Your housing type

Your housing status

Want to keep in touch?

Let us know if we can occasionally reach out via email or text message.

First name

Last name

Can we send you emails occasionally?

Sure!

Mobile phone

Can we send you text messages occasionally?

Sure!

Are you interested in volunteering with Dutchtown Main Streets?

No obligation! If you choose “yes,” we will reach out soon.

Yes