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Current Survey

Thank you for visiting the survey page. We would like to use this initial survey form to ask general questions to get to know our neighbors.

The first three questions would appear on the Neighbors page.

Your Family Name:         
Your Street Address:      
Your Phone Number:        
Can we list you on the neighbor page?

Do you own a computer?
Do you use the Internet at Home? at Office?
Your E-mail Address:      
Do you have a family web page?
If so, Web Page Address:  

How many in your family:  
Number of children:       
Ages of children:         

Do you own a business?
  Is it home based?
  Would you like to have your business listed in our business
  directory on our web site? YES, IT IS FREE!
  Company name:           
  Phone Number:           
  Nature of Business:     
  E-mail Address:         
  Web Page Address:       
Do you have a skill or talent to sell to others?
  Skill or Talent:        
Do you feel you are well informed of community events?
What do you feel you would like to know more about:
Do you think you would use this local (south San Jose) area web
site to keep up with what's going on in our area?
Why or why not:

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