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Resident Survey

The Orange County Coalition for a Drug Free Community, Families/Neighborhood Committee would like to get your input on what you perceive to be important issues in your community regarding drugs and drug use. Your input is very important as we look for ways to improve our neighborhoods by reducing and/or eliminating drug use among Orange County residents!! The information you provide is confidential and anonymous, that is, we do not need to know your name.

Personal Information
 

Age Group

Gender

Zip Code
Male  Female
Racial/Ethnic Background If Other please specify

About Your Neighborhood
 

What is the name of your neighborhood?
Do you think there is a drug problem in your neighborhood? Yes  No  

 




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