Healthy Land Use Engagement Survey
Ubuntu Green’s Healthy Land Use Engagement Project (HELP) in South Sacramentoseeks to engage South Sacramento residents and stakeholders in healthy land usedecision-making, leadership development and advocacy. We want to hear your voice!Please take 5-10 minutes to answer a few questions about your neighborhood andinterest in the project. Thank you for your participation.
Name: _________________________________________________________________ Email: ______________________________________ Phone: _____________________ Street Address:_______________________________ Zip: _______________________ What neighborhood do you live in?: - __________________________________________ How long have you lived in the above listed neighborhood?: ______________________ Did you grow up in South Sacramento? (Check one): Yes _______ No _______ What (if any) land-use (i.e. transportation, food access, environmental,green/outdoorspace, etc.) barriers do you see in yourneighborhood?:__________________________ Do you have a history of addressing these issues? (Check one): Yes ____ No ____ If yes, what specific actions have you taken? __________________________________ _______________________________________________________________________ _______________________________________________________________________ What changes would you like to see occur in your community regarding landuse issues in the next 2-10 years? ____________________________________________________ _______________________________________________________________________