Do More Survey

DO MORE SURVEY

We want to know more about YOU! This information will help us improve our Do More newsletter to ensure it is best serving you. Thank you for your responses!

Email - Do More Demographic Survey

Name

First

Last

Are you a Columbia resident?

Which village do you live in?

Which city do you live in?

What state do you live in? What state do you live in?

Select your job status Select your job status

Age

Race/Ethnicity Race/Ethnicity

Gender

What kind of CA membership do you have?

How did you hear about the "DO MORE" newsletter? How did you hear about the "DO MORE" newsletter?

Select your interests

Additional comments

If you are human, leave this field blank.