Resident Survey
Thank you for sharing your opinions and concerns with Supervisor Larry Palm. I appreciate the opportunity to learn more about your concerns and issues for Dane County.
Please share your neighborhood.
Please indicate issues to your neighborhood or area in District 12. Check all that you think are important.
Please add more information about local issues that you think are important.
Please indicate issues for Dane County you think are important.

Rank Local/Dane County Issues

Please rank on a scale from one (not important) to five (very important)
Please rank on a scale from one (not important) to five (very important)
Please rank on a scale from one (not important) to five (very important)
Please rank on a scale from one (not important) to five (very important)
Please rank on a scale from one (not important) to five (very important)
Please add any additional information you would like to share with Larry

Your Information

If you would like a response please indicate your contact information.

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