EmailMe Form - Sustainable Cities Institute User Survey

Name *
Prefix First Last Suffix
Please select the category that best describes your position/ sector *
Name of Local Government or Organization *
Title / Job Function *
Mailing Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
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Email *
May we contact you to request additional feedback regarding SCI or information about your city's sustainability efforts? *
Yes
No
*

Advanced/ Innovative Progressive Average Early Stages Inactive N/A

Overall, how would you rate your city's efforts to promote sustainability in your community?
What do you consider the top sustainability priorities for your city? (please select up to 5) *
Energy Efficiency and Conservation
Energy Security
Renewable Energy Production
Water Access/ Conservation
Water Infrastructure
Healthy and/or local food (access or production)
Climate change mitigation and/or adaptation
Green economy/ Green jobs
Multi-modal transportation
Open space, urban forestry
Affordable housing
Community design; sustainable land use
Regional development/ planning
Please list any additional sustainability priorities of your city not captured in the above question
What do you consider the top sustainability CHALLENGES your city faces in developing or implementing your sustainability goals? (please select up to 5) *
Lack of financial resources
Lack of community awareness/ support for sustainability
Lack of leadership or support from local elected officials
Lack of staff capacity to support initiatives
Lack of informational resources (please describe below)
Lack of skilled workforce in community
Opposition from private sector
Opposition from nonprofit sector(s)
Opposition from community based groups or organizations
State regulations (please describe below)
Federal regulations (please describe below)
Please list any additional sustainability challenges not captured in the above question or offer any further details regarding these challenges
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	Advanced/ Innovative	Progressive	Average	Early Stages	Inactive	N/A
Overall, how would you rate your city's efforts to promote sustainability in your community?