2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Contact Number
14. Email Address
16. Have you or someone you know suffered from a tick borne illness?

    1. Yes

    1. No
18. Have you experienced any sort of property damage (vehicular, ornamental, agricultural, etc.) due to the overpopulation of deer?

    1. Yes

    1. No
20. How do you view the overpopulation of deer in the Town of Southold?

    1. Not a problem.
    2. A problem, however it does not need to be addressed.
    3. A problem that requires action.
    4. An economic, environmental and public health crisis that requires immediate action.
22. Would you consider including your property in the Town of Southold’s deer management efforts?

    1. Yes

    1. No
24. Would you like to learn more about Southold’s Deer Management Program and how permitting the use of your property can help address this crisis?

    1. Yes

    1. No
26. On behalf of the Town of Southold, we would like to thank you for your participation in this survey. Expressing interest in these efforts and answering this survey by no means is a commitment and will be viewed as an inquiry only.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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