Zoho Forms

Name

First Last

Email

In what neighborhood do you live? *

Age *

Occupation *

Are you, or do you plan to be an entrepreneur? *

What issues do you face starting-up or operating your business/job? Why? *

What are the major issues your community is facing right now? Why? *

What type of behaviors/activities would you like to see more in your community? Why? *

How do you need to change in order to achieve your personal goals? Why? *

(List 3 ways)

What international communities have solved in a better way issues similar to ours? Why did you choose these? *

About You