Community Engagement

Your Voice Matters. Join the conversation.

So much is happening in San José. We're facing unprecedented change regarding the fate of our city. As community members, our participation in community decision-making and action matters. As a member of the San José community, your voice matters. We want to listen and understand your perspective.

Please take a few minutes to answer this brief survey. All questions are optional. You may skip any questions you prefer not to respond to.

1.Residential Zip Code (or No Fixed Address)

2.Number of people who live in your household (Part-time and Full-time)

3.Age groups of people in your household (Select all that apply)

0-5 years

6-17 years

18-30 years

31-65 years

65+ years

4.Racial/Ethnic Identity (Select all that apply)

African American or Black

Asian

Latinx/Hispanic

Middle Eastern

Native American

Native Hawaiian, Pacific Islander

White

Other (please specify)

5.Language(s) spoken at home (Select all that apply)

American Sign Language

English

Spanish

Mandarin or Cantonese

Japanese

Tagalog

Vietnamese

Hindi

Other (please specify)

6.Gender Identity

Woman

Man

Gender Non-Conforming

Prefer not to share

Transgender (please specify)

7.What kind of community do you want to live in?

8.Why is that important to you?

9.How is that different from how you see things now?

10.What are some of the things that need to happen to create that kind of change?

See how easy it is to create surveys and forms.

Privacy & Cookie Notice