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r <br />The XYZ of ABC <br />14, Please rate the following statements by circling the numbier that most clearly represents your opinion: <br />Strc ng ly Somewhat Neither agree Sornewh.at Strongly Don't <br />agreQ l reei n-or disagreQ disaciree disa-gre know <br />receive good value for the XYZ of ABC <br />taxesI a ....................................... 1 2 3 4 5 <br />j,� Z 77 7 �,]-'W way _, <br />A h. <br />a <br />.0V <br />The XYZ of' ARC government welcomes citizen <br />jn�violvelment. .,, .............. ....... ........ A ......... 1 2 3 4 6 <br />'B <br />M. <br />111sa. <br />�OW - <br />LA4 - .t� -.r-! - ,, <br />V. <br />T <br />E. 07, <br />1,5. What impact, it any, do you think the economy will have on your, family income in the next 6 months? Do you <br />think the Impact will be: <br />0 <br />'dory positive 0 Somewhat positive 0 Neutral 0 Somewhat negative 0 Very negative <br />16, Please check, the response that comes closest to your opinion for each of the following questions: <br />a. Policy Question #1 Policy Question #1 Policy Question #1 Pollicy Question #1 Policy Ouesti-on #1 Policy <br />Question #1 Piolicy Question #1 Policy Question #1 Policy Question #1 Policy Question #1 Policy Question #1 <br />Policy, Question #1 Policy Question #1 Policy Question #1 Policy Question #1 Policy Question #1 Policy <br />Question #1 Policy Question #1 <br />0 Scale point 1 0 Scale point 3 0 Scale ploint 5 <br />0 Scalle point 2 0 Scale <br />• 4 0 Scale point 6 <br />�bi. Policy Question #2 Policy Question #2 Policy Question #2 Pollcy Question #2 Policy Question #2. Policy <br />Question #2 Pollicy Guestion #2 Policy Question #2 Policy Question #2 Policy Question #2 Policy Question # <br />icy <br />Pol'icy Question #2 Policy Question #2 Policy Question #2 Policy Question #2 Policy Question #2 Pol" <br />Oulestion #2 Policy Question #,2 <br />0 Scale point 1 0 Scale point 31 (D Scale, point 5 <br />01 Scale point 2 0 Scale point 4 0 Scale, point 6 <br />C,. Policy Question #3 Policy Question #3 Policy Question 93 Poliicy Question #3 Policy Question #3 Policy <br />Question #31 Policy Question #3 Policy Question #3 Policy Question #3 Policy Question #3 Policy Question #r,-.1 <br />Policy Qu�est,ioln #3 Policy Question #3 Policy Question #3 Piol�icy Question #3 Policy Question #3 Policy <br />Quiestion #,3 Policy Question #,3 <br />(D Sicale poiint 1 (:)1 Scale Point 3 0 Scale point 5 <br />0 Scale polint 2 01 Sca,le, po,i�nt 4 Q Scalle, ploint 6 <br />d. OPTIONAL [See Worksheets for det6ils and price • this option] Open-Ended Question Open-Ended Question <br />Open-Ended Questi I on Open-Ended Question Open-Enideld Quiestion Open-Ended Question Open-Ended <br />Guestion Open-Ended Question Open-Ended Question Op•n-Ended Question Open-Ended Question Open- <br />Ended Question <br />0 <br />4- <br />ra <br />Z <br />....l - <br />The, National Citizen Survey TM Page 4 of 5 <br />