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Boca Raton Moonshots

Thank you for you interest. By filling out this quick form you are providing key insights that will help in building the most effective Moonshot program for our city along with keeping you updated on when we officially launch. 

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1

Full Name

2

Email

3

Phone Number

4

Zip Code

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5

How beneficial do you believe Moonshot Challenges will be to the community?

Select one answer
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Tell us why you answered the way you did

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7

Which Moonshot project categories interest you most?

(Select your Top 5)
8

Based on our community needs, which Moonshot project categories are most needed?

(Select your Top 5)
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9

Generally speaking, in what ways would you be interested in being involved with Moonshot Challenges? We understand your involvement will change depending on the Challenge.

(Select all categories that may be relevant to you)
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10

Would you be interested in participating in an interview or focus group to provide additional insights?

Select one answer