SURVEY

We need your input to help us grow. Please take time to complete this form to help us determine the direction our members think the Alliance should take in expanding our services to Champaign County.

Please copy the form to your computer, fill it out, and mail it to us.

MEMBERSHIP MEETINGS

In developing and scheduling our yearly membership meetings, we need information about what you as a member would like.

CONTENT
Instructional:
The hows and whys of creating, restoring or repairing.

Structural/Architecture:
Defining, describing and discussion of architecture types and styles.

Entertainment:
Entertaining speakers on preservation subjects.

Educational:
Learning about the past and present preservation.

LOCATION
Do you prefer:

Champaign County Urbana proper
Surrounding communities Other

PROJECTS
When the Alliance elects to develop a new project, would you be willing to donate:

Time Money Materials
Other

PROGRAM
DEVELOPMENT
The Alliance is developing new programs to expand our service to the community, please check the ones you feel are important

Referral Source:
Aiding persons in findings quality repairman an restorers.

Research Resources:
Help in finding information on restoration or reservation topics.

Restoration Resources:
Proper restoration techniques and period authenticity.

Restoration Resources:
Provide preservation information for learning.

AGE GROUP AND GENDER
__Under 25 __ 25-39 __40-55 __ Over 65

__Male __Female

HOME OWNERSHIP
yes no

If Yes, age of home

EMPLOYMENT Full time Part time Retired

Please mail any additional comments to our office. Champaign County Preservation Alliance, P.O. 748, Urbana, Ohio 43078. Or call our telephone number 800/791-6010.

CONTENT		Instructional: The hows and whys of creating, restoring or repairing. Structural/Architecture: Defining, describing and discussion of architecture types and styles. Entertainment: Entertaining speakers on preservation subjects. Educational: Learning about the past and present preservation.

LOCATION		Do you prefer: Champaign County Urbana proper Surrounding communities Other
PROJECTS		When the Alliance elects to develop a new project, would you be willing to donate: Time Money Materials Other
PROGRAM DEVELOPMENT		The Alliance is developing new programs to expand our service to the community, please check the ones you feel are important Referral Source: Aiding persons in findings quality repairman an restorers. Research Resources: Help in finding information on restoration or reservation topics. Restoration Resources: Proper restoration techniques and period authenticity. Restoration Resources: Provide preservation information for learning.
AGE GROUP AND GENDER		__Under 25 __ 25-39 __40-55 __ Over 65 __Male __Female
HOME OWNERSHIP		yes no If Yes, age of home
EMPLOYMENT		Full time Part time Retired

Please mail any additional comments to our office.		Champaign County Preservation Alliance, P.O. 748, Urbana, Ohio 43078. Or call our telephone number 800/791-6010.