Urban Smart City Exploration - Participation Form

Urban experiences and assessments is a  smart city exploration that provides an opportunity for you to engage in thinking about your city as a smart city. Making a difference could start here.
After completing this brief sign up form you will be invited to complete a short survey, with the option to discuss the survey in more detail.
​Please confirm that you have read the Informed Consent document and want to participate in this exploratory study. 

First Name

Last Name

Email

Please indicate your age range (must be 18 or older)

• age 18-19
• age 20-29
• age 30-39
• age 40-49
• age 50-59
• age 60-69
• 70 or older

How would you describe yourself?

• I am a city official
• I am a student
• I am an instructor
• I am a local business owner
• I am a person-on-the-street
• I am a community member
• I am a visitor to the city
• Other:

What is the name of the city or urban area where you are located for this study?