PA Montgomery County Chapter Democratic Black Caucus
Listening Tour 2024 - Feedback Form
ALL QUESTIONS ARE OPTIONAL
(Including name & E-mail address)
1. Name
First Name
Last Name
2. Email
example@example.com
3. Phone Number
Please enter a valid phone number.
4. Your Municipality
Please Select
Abington
Ambler
Bridgeport
Bryn Athyn
Cheltenham
Collegeville
Conshohocken
Douglass
East Greenville
East Norriton
Franconia
Green Lane
Hatboro
Hatfield Borough
Hatfield Township
Horsham
Jenkintown
Lansdale
Limerick
Lower Frederick
Lower Gwynedd
Lower Merion
Lower Moreland
Lower Pottsgrove
Lower Providence
Lower Salford
Marlborough
Montgomery
Montgomeryville
Narberth
New Hanover
Norristown
Pennsburg
Perkiomenville
Plymouth Meeting
Pottsgrove
Pottstown
Red Hill
Rockledge
Royersford
Salford
Schwenksville
Skippack
Souderton
Springfield
Telford
Towamencin
Trappe
Upper Dublin
Upper Frederick
Upper Gwynedd
Upper Hanover
Upper Merion
Upper Moreland
Upper Pottsgrove
Upper Providece
Upper Salford
West Conshohocken
West Norritown
West Pottsgrove
Whitemarsh
Whitpain
Worcester
5. What issues are you concerned about? Check all that apply.
1. Housing (1st time Buyer, evictions, mortgage/rent assistance, property rehabilitation, shelter services).
2. Schools (Security, Discrimination, Public & Private School Education)
3. Discrimination
4. Re-Entry into community (2nd Chances)
5. Business Development (Start ups, funding,)
6. Education (Curriculum, scholarships)
7. Employment
8. Medical/Health (Access, Pregnancy, Equality, Cost)
9. Taxes
10. Policing (Fair, Neighborhood Safety, Retail Theft)
11. Veterans Services
12. Senior Services
13. Legal Representation (Quality Independent Legal Representation, Public Defenders)
14. Community Advocates
15. Food (Access, price)
16. Project 2025
17. 2024 Presidential Election
18. Child Care
19.Supreme Court
20. Other (Please list concern in box 5A)
5A. Additional comments on the issues you selected in question 5?:
6) Do you know of a program/organization that is doing a great job in the Black community in Montgomery County? Name the program or organization and briefly describe their work.
7) Do you know of an individual who is doing great work in the Black Community in Montgomery County? If yes, name them and briefly describe their work.
8) Are you voting in the 2024 Presidential Election?
Yes
No
Unsure
9) Do you identify as a Black Voter?
Yes
No
Submit
Should be Empty: