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ATTACHMENT D <br /> <br /> <br />AMBULANCE FUNDING FEEDBACK FORM <br />Please take a few moments to indicate your opinions to the Task Force studying this issue. Thank you! <br /> <br />Option A1 – General Fund Support. <br /> 5 4 3 2 1 <br /> Good idea Not a good idea <br /> <br />Option A2 – Form a Fire District that Provides Ambulance Service. <br /> 5 4 3 2 1 <br /> Good idea Not a good idea <br /> <br />Option A3 – Form a Special Health Taxing District. <br /> 5 4 3 2 1 <br /> Good idea Not a good idea <br /> <br />Option B4 – Change Service Area Boundaries. <br /> 5 4 3 2 1 <br /> Good idea Not a good idea <br /> <br />Option B5 – Mobile Health Care System. <br /> 5 4 3 2 1 <br /> Good idea Not a good idea <br /> <br />Additional comments: _____________________________________________________ <br />_______________________________________________________________________ <br />_______________________________________________________________________ <br />_______________________________________________________________________ <br /> <br />I live in: ___ Eugene ___ Springfield ____ Lane Rural Fire/Rescue District ____ Other <br /> <br /> <br />Please contact me: Name ___________________________________________ <br /> Contact info ______________________________________ <br />