You are being invited to participate in a survey by the Bolinas Fire Protection District. The purpose of this survey is to gather information about Bolinas residents so that the Bolinas Fire Protection District can better assist residents during these uncertain times and beyond. The information you provide may also be shared with local non-profits to better set up assistance programs within the community.

If you agree to these terms and voluntarily participate in this study, please check the “I agree to the terms & conditions above” box and fill in any information that you would like. All questions are optional. You may answer all questions or only those you wish.  

Your participation in this survey is voluntary. You may choose not to participate. If you decide to participate in this survey, you may withdraw at any time by notifying the Bolinas Fire Protection District.


By clicking “I agree to the terms & conditions above” below, you are certifying that you are at least 18 years old, have read and understood this consent form, and agree to voluntarily participate in this study.

COVID 19 Community Survey

Thanks for submitting!