PLEASE COMPLETE OUR SURVEY

PRESERVING THE QUALITY OF RURAL LIFE IN TINICUM TOWNSHIP A SURVEY OF QUALITY OF LIFE FACTORS & VOLUNTEER RESOURCES

Dear Neighbor:

The purpose of this form is for ECO-Bucks to learn more about your attitudes towards growth and quality of life in Tinicum Township. We also hope to find among our neighbors volunteers with time, interest and some skills as we work together to preserve our rural quality of life.

Please return the completed the form by e-mail, or print, complete and mail it to:

ECO-Bucks, P.O.Box 174, Pipersville, PA 18947.

Name:
Address:
Phone Number Home: Phone Number Work:
E-mail Address:

QUALITY OF LIFE ISSUES

How many years have you lived in Tinicum Township?

Years

Which of the following growth impacts are of concern to you? (check all that apply)

school over-crowding
traffic congestion
increased taxes
impacts upon well water
pollution of the Tohickon and/or Tinicum Creek and other local watersheds
other environmental damage
lower quality in police, fire, and ambulance services
increased crime
loss of property value
loss of farmland
Other Detail

Please check which three impacts are of greatest concern to you.

VOLUNTEER SKILLS

If you are willing to volunteer some of your time for ECO-Bucks projects when would you prefer to volunteer?

Week days During school hours Evenings Weekends

Please check any of the following activities of interest to you:

Writing articles, letters to the editor, creating fliers or posters.
Helping to mail out fliers.
Editing a newsletter.
Fund-raising
recruiting new members.
Phoning to inform neighbors without email about hearings, meetings, and other important events
Computer data entry, mail list maintenance, etc.
Sampling streams, wells, and other water quality projects
looking for endangered species
making traffic counts
Serving on the ECO-Bucks Steering Committee.
Serving as neighborhood captain, Polling neighbors on their concerns, and keeping them informed.
Other

EXPERTISE

Do you have experience or expertise in any of the following fields? (Or, if you know someone who does and may be willing to donate their services, please forward a form to them)

Traffic engineer.
Transportation or land use planner.
Teacher or anyone interested in studying the effects of growth upon schools.
Financial background to help assess the fiscal impacts of growth.
Financial background to help assess the fiscal impacts of growth.
Financial background to help assess the fiscal impacts of growth.
Wetland scientist, ecologist, Wildlife/fishery biologist or some related field.
Botanist or anyone with plant identification expertise.
Hydrologist, hydro-geologist, or geologist.
Civil engineer with expertise in soils, foundation, roads, or wastewater engineering.
Fund-raiser.
Real estate appraiser.
Advertising, public relations, or any related field.
Strategy, management, etc.

FUNDING A SUCCESSFUL QUALITY OF LIFE PRESERVATION CAMPAIGN

If you have supported ECO-Bucks with a financial contribution, please accept our thanks.

If you would like to contribute to the Defense Fund, what amount would you be willing to contribute?

$200 $100 $75 $50 $25 $10 Other

If you do NOT want your name listed as a Supporter on the website, please check here. _(Note that the amount you donate will NOT be posted.)

General Comments: Is there anything else not covered in this survey form that you feel we should know or consider? Please note any volunteer skill or expertise you have which was not included above, but could be of value to the effort.

Enter comments in the box below:

Thank you.