1.	Gender
	Male Female

2.	Which of the following describes you best?
	Student Employed Homemaker Retired Unemployed

3.	Do you reside in:
	Timmins Proper Schumacher South Porcupine / Porcupine Mountjoy Township Other

4.	Are you familiar with mining operations, and that of Porcupine Gold Mines (PGM) in particular?
	Yes No Somewhat

5.	Have you ever visited one of our minesites? If so, which one?
	Hoyle Pond Mine    Dome Mine    Pamour Open Pit

6.	What areas, if any, do you feel that PGM can improve upon?
	Safety    Community Involvement    Communications    Environmental Impacts / Efforts    Exploration Programs