Pine Hills Civic Association

Pine Hills Neighborhood Survey

   Pine Hills Civic Association Neighborhood Survey

How long have you lived in our neighborhood?__________________________________

What made you decide to live in this neighborhood? ____________________________

Please list 3 positive aspects of our community: ________________________________

Please list 3 concerns: ________________________________________________________

Please choose one of your concerns and write below what you think we should do?

________________________________________

Are you willing to help? How? ___________________________________________________

OPTIONAL:

Name:__________________________________________________

Address:___________________________________________Phone_______________

Email:______________________________________________



Please return to: Les Balij 1789 Orlando Rd. 864-1433