Assemblymember Kim’s Community Survey March 20, 2023 Please Rank Your Top Five Community Issues: Javascript must be enabled to properly view this page. * Indicates Required Field Title First Name * Middle Initial Last Name * Suffix Phone Number * Email * Confirm Email * Address (Street Address, P.O. Box, Company Name, c/o)* Street Address, P.O. Box, Company Name, c/o Address Line 2 (Suite, Unit, Building, Floor, etc.) Suite, Unit, Building, Floor, etc. Apt Number City * State * Zip * 1. Please Rank Your Top Five Community Issues from 1 to 5: Affordable Housing12345678910 Public Safety12345678910 Education12345678910 Cost of Living12345678910 Jobs12345678910 Climate Change12345678910 Public Transportation12345678910 Home Care & Nursing Homes12345678910 Identity Theft and Targeting of Older Adults12345678910 Noise Pollution12345678910 User Name
