3/20/2019 DSNWK Community Awareness Survey

DSNWK Community Awareness Survey

Please take a few minutes to fill out this survey for DSNWK. All who participate will be
entered to win 1 of 4 $25 Chamber Bucks prizes.

* Required

1. Do you know what DSNWK stands for? *

Mark only one oval.

Yes
No
Maybe

2. Do you know where DSNWK buildings are located in Norton? *

Mark only one oval.

Yes
No
Maybe

3. Would you recognize DSNWK's logo? *

Mark only one oval.

Yes
No
Maybe

4. In your own words describe what DSNWK is and what they do. *

https://docs.google.com/forms/d/1ziKZFsbCl_59PJy7gs7NQHmUkolozl49ARe4vocl6RI/edit 1/3
3/20/2019 DSNWK Community Awareness Survey

5. Are you male or female? *

Mark only one oval.

Female
Male
Prefer not to say

Other:

6. Please select an age range. *

Mark only one oval.

10-19
20-29
30-39
40-49
50-59
60-69
70-79
80-89
90-99

7. Where in Norton County do you live? *

Mark only one oval.

Norton
Lenora
Clayton
Almena
New Almelo
Edmond
Other
I do not live in Norton County

8. What is your email? (will be used for

contact if you win Chamber Bucks) *

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