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Litter Index: District 4 Survey

  1. Please indicate your score for each of the areas listed below.
  2. District 4 Area 1*
  3. District 4 Area 2*
  4. District 4 Area 3*
  5. District 4 Area 4*
  6. District 4 Area 5*
  7. District 4 Area 6*
  8. District 4 Area 7*
  9. District 4 Area 8*
  10. District 4 Area 9*
  11. District 4 Area 10 *
  12. Leave This Blank:

  13. This field is not part of the form submission.