Month you are relocating*:

January February March April May June July August September October November December

Year*:

2006 2007 2008 2009

Number of people in your family who are relocating*:

1 2 3 4 5 6+

Number in your family under 18*:

1 2 3 4 5 6+

Age of Head of Household*:

Under 25 25-34 35-44 45-54 55-64 65+

Occupation*:

clerical/sales manufacturing distribution professional services manager/executive homemaker government student retired other

Combined household income*:

< $25,000 $25,000 - $35,000 $35,000 - $50,000 $50,000 - $75,000 > $75,000

Reason for Relocation*:

Job transfer

Starting new business

Family

Returning to area

Attend or teach school

Retire

Other

If you are returning to the area, please explain why:

Can your story be used for marketing purposes:

Yes      No

Do you plan to*:

Buy Rent Rent short-term

If you are purchasing a home or condominium, what price range are you considering*?

< $60,000 $60,000 - $90,000 $90,000 - $150,000 $150,000 - $225,000 > $225,000

I would like further information about:

Arts & Entertainment
Danville Area Visitors Guide
Historic Sites
Danville Area Brochure
Parks & Recreation
Employment
Schools (public, private, other)
Healthcare
Activities/Events
Real Estate
Demographics