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SOM Precinct Questionnaire
Your Name
*
Your Surname
Address
Phone Number
Your Email
*
Are you a home/property owner
Yes
No
Employed
Yes
No
Pensioner
Yes
No
Do you feel safe in your area
Yes
No
Motivate
Have you been affected by crime
Yes
No
Are you satisfied with current waste removal services?
Yes
No
Are you happy with the state of our parks?
Yes
No
Are there enough activities available to our youth currently?
Yes
No
What sort of events would you like to see happening in SOM?
Are you available to volunteer for positive change
Yes
No
Do you consider relocating to another area?
Yes
No
Motivate
Reason for staying
What is your most serious concern
Would you like to see a permanent SOM Community Development Centre running positive community upliftment projects with all the schools, churches, businesses, Community Policing Forum and our Ward Committee
Yes
No
Would you be willing to pay a 8% levy on your rates and taxes for security, street cleaning and area rejuvenation?
Yes
No
If Yes Amount
Preferred method of future communication
Call
SMS
Whatsapp
Email
I hereby give consent to the SOM CUP or IMSD initiative to send me information via my preferred communication preference.
Yes
No
Other suggestions
Subject
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Your Question
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