This survey is to gather information from people who live, work, visit or are otherwise impacted by the trees and forests within the area being addressed by the urban forest management plan. Your participation is greatly appreciated. All responses are kept confidential and without identification of any individuals. You have the option of providing your contact information if you wish. Your input is greatly appreciated!
Urban Area Name:
SECTION 1 – Stakeholder Information (optional)
Please provide your contact information if you would like to have someone follow up with you on your answers or if you would like to receive the results of this information gathering process.
Last Name:	First Name:
Mr.	Mrs.	Ms.
Mailing Address:
City:	State:	Zip:
Home Phone:	Work Phone:
E-mail:	Cell Phone:
SECTION 2 – Survey Questions
1. What best describes your relationship to the area? (check all that apply)
Live in the area
Work in the area
Visit the area frequently (i.e., more than once per month)
Visit the area infrequently (i.e., less than once per month)
Own residential property in the area
Own business property in the area
Other (please describe)
2. How long have you had a connection with the area?
< 1 year
1 – 5 years
6 – 10 years
> 10 years
3. What are the most important attributes or benefits of the trees and forests in the area for you personally? (please describe)
4. What would make the trees and forests in the area more beneficial for you personally? (please describe)

5. What do you want to see stay the same with the trees and urban forest in the area? (please describe)
6. What do you want to see change with the trees and urban forest in the area? (please describe)
7. Please rank the following actions in order of priority for the trees and forests of the area. (#1 indicates the most important)
Plant more trees.
Improve care and maintenance of existing trees.
Remove unhealthy or damaged trees.
Utilize wood from urban trees and/or reduce wood waste.
Provide greater education and/or volunteer opportunities.
Other (specify)
8. Which of the following objectives should be prioritized for addressing in the plan? (choose up to three priority objectives)
Climate change mitigation and the climate benefits of urban trees and forests.
Tree equity and improving access and distribution of urban forest and green infrastructure benefits.
Education, outreach and volunteer opportunities to build community and urban forest stewardship.
Full-circle planning for the urban forest from tree planting to maintenance, removals as needed, and utilization of urban wood to support local business growth.
Other (describe)
9. Do you have any additional comments you would like to share?
10. Are there any other people or organizations that you would recommend to be engage in this process?
11. Would you like to receive the results of this information gathering process?	Yes	No
12. Would you like to have someone follow up with you on your answers?	Yes	No
SECTION 3 – Return Survey to Virginia Department of Forestry Contact
Return completed survey to:
VDOF Employee Name:
Mailing Address:
City:	State:	Zip:
E-mail:	Cell Phone: