Thank you for using our survey form, please complete the seven questions below.
Fields marked (*) are required
City of Residence:
Zip Code:
Ethnicity: Caucasian African American Hispanic Native American Asian Other
Age: Under 20 21-25 26-35 41-45 46-50 51-65 65 or More
Thank you for participating in the Western Riverside Council of Governments Clean Boater survey. It is important that we all work together to keep our lakes and water bodies clean. With your help we will continue to have waterways that are safe and clean for recreation and drinking purposes.