PES English healthydemocracy.org/petaluma Email Español Equity Survey Your response to this survey will help inform the work of the Petaluma Fairgrounds Advisory Panel, a group of everyday Petalumans working to make recommendations about the future of the fairgrounds property. This survey is intended to gather the voices of communities who have been left out of Petaluma’s public conversations. Please respond only if you identify with a community that has experienced underrepresentation or exclusion. The survey is 5 questions and you will receive a $10 Visa gift card for your participation. Please answer freely and honestly. Your responses will be shared with the Panel anonymously. We will never share your information with anyone. Email Address * Limit of 1 response per email address My household owns our primary residence rents our primary residence is currently unhoused Age * Which best describes how you primarily identify? * Asian or Pacific Islander Black or African American Hispanic or Latina/o (of any race) Native American or Alaska Native White Multiracial Gender: * Female Male Another gender identity Do you experience a disability? * Yes No Highest education level attained? * Some schooling but no diploma High school diploma or equivalent Some college or Associate’s degree Bachelor’s degree or higher How might we use the City’s fairgrounds property to create the experiences, activities, resources, and places that our community needs and desires now and for the foreseeable future? Short answers please, limit 100 characters per answer What EXPERIENCES would you like to have at the fairgrounds property? * What ACTIVITIES would you like to participate in at the fairgrounds property? * What RESOURCES should the fairgrounds property create for our community? * What PLACES would you like to see at the fairgrounds property? * Additional thoughts and comments you would like to add Please provide a mailing address or email address where we can send your $10 Visa gift card: Address: *
