1) Choose the town nearest your home. Andale Colwich Goddard Maize Wichita

 Select yes or no on the following questions.
2) Do you have a stream or lake near your home?    Yes No

 3) Do you know the name of that stream? Yes No   What is the name of that stream?

 4) Do you believe a water quality problem exists in the streams or lakes in your area? Yes No

 5) Do you believe that your community has a shortage of good available water? Yes No

 6) Is flooding a problem during certain times of the year in your area? Yes No

 7) Would you say that the rural character of your community is changing? Yes No

 8) Would you like to preserve the rural character of your area? Yes No

 9) Do you think our community should apply for grants and special programs to help pay for any improvements? Yes No

10) Is there an abundance of wildlife near your home? Yes No

11) Do you use nearby streams or lakes for livestock or agricultural purpose? Yes No

12) Do you believe the streams and lakes in your area are important to have? Yes No

13) Do you consider nearby streams and lakes fit for swimming or other recreation? Yes No

14) Does the community work to preserve wild habitat in the area? Yes No

15) Would you like to see organizations working to conserve wild habitat areas? Yes No

16) Would you like to see low cost programs that help recharge aquifers? Yes No

17) Would you be willing to pay a nominal fee to address flooding areas in your community? Yes No

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