Engagement and Readiness Survey: Socially Connected Communities

We invite you to begin reflecting on how your interests, talents and resources might best support community connectedness efforts. Your name and contact information will remain confidential.

Question Title

* 1. Please list your name and organization and email address

Name:

Organization:

Email Address:

Question Title

* 2. Would you like to be part of a community solution to reduce loneliness and isolation?

I am supportive, but I am unable to commit at this time

I’d like to be part of a community solution to reduce loneliness and isolation while building social connection