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"I know of no safe depository of the ultimate powers of society but the people themselves."
Thomas Jefferson, 1821
Multnomah County Citizen Involvement Survey
Name:

Address:

Zip:

Phone:

E-Mail: (Please print clearly)


Have you ever provided input to a decision by Multnomah County?
Yes No
(If no) The reason(s) I haven't are (check all that apply):
Heard about issue too late to comment
Not generally interested in County Government decisions
Not fully informed about County Government decisions
Other
(if yes) Were you satisfied with your opportunity to provide input?
Yes No (if no explain why):




Do you generally hear about opportunities to comment on decisions by Multnomah County?
Yes No (If yes - How do you learn of opportunities?)




Do you have suggestions for increasing or improving citizen participation in decisions by Multnomah County?




Mail this form to:
Multnomah County Citizen Involvement Committee
501 SE Hawthorne, Room 192
Portland, OR 97214