Belong in Burlington Evaluation

2. Are you a Burlington resident?*

   1. Yes
   2. No

3. If yes, when did you move to Burlington?

4. Do you feel more connected to the community as a result of Belong in Burlington?*

   1. Yes
   2. No

6. Did you learn something new at Belong in Burlington?*

   1. Yes
   2. No

7. Do you plan to complete a "Challenge Card" item, attend an "Exclusive New Resident Event," or get more involved in the community after Belong in Burlington?*

   1. Challenge Card Item
   2. Exclusive New Resident Event
   3. Get More Involved in Another Way
   4. I do not intend to do any of the above

8. Would you recommend Belong in Burlington to a friend who is new to town?*

   1. Yes
   2. No

10. How did you learn about Belong in Burlington?

    1. Postcard
    2. City Works Newsletter
    3. City Website
    4. Email Newsletter
    5. Newspaper
    6. Television
    7. Social Media
    8. Word of Mouth

11. Let us know what we can do to improve the Belong in Burlington program, and/or what you really liked about it and want us to keep doing:

Leave This Blank:


13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field