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Fairview Empowerment Group
Community Survey
Fairview residents: Please share your interests, skills and business ideas here and get involved in creating a new inclusive economic vision for Fairview!
1.
SKILLS:
What is your industry?
2.
What skill set(s) do you have?
3.
If you are a business owner, check off any that apply:
Former biz owner
Current biz owner
Brick and mortar biz only
Online biz only
Both brick and mortar and online
Do e-commerce
Tech start-up
4.
If you have a business owner or someone interested in starting one in your family, would they want to participate in this project?
Yes
No
5.
INTERESTS:
What are your interests professionally?
6.
Which of the following would you like to see in the Fairview Community (check off all that apply):
Tech industry
Renewable energy
Light manufacturing (i.e. micro breweries, glass and window makers, LED, renewable energy, food product production)
Farm-share - members purchase share of farm for fresh food pickup regularly
Marijuana industry
Food store
Food consumer coop
Worker coop in any industry
Resident run not-for-profit business incubator
Cafe, community gathering space
Art gallery
Performance space
Coworking facility
Gym
Dry cleaner
Minority/female-owned business
OTHER products/industries/services, please specify:
7.
If you had the opportunity to get involved with the creation of a locally owned store or marketplace how interested would you be?
1 (least interested)
2
3
4
5
6 (most interested)
1 (least interested)
2
3
4
5
6 (most interested)
8.
How important to you is it that a business
1 (least important)
2
3
4
5
6 (most important)
Be locally-owned
1 (least important)
2
3
4
5
6 (most important)
Be worker-owned
1 (least important)
2
3
4
5
6 (most important)
9.
FOOD:
Rate on a scale from 1-6 the following food related questions:
1 (least)
2
3
4
5
6 (most)
How satisfied are you with your current options for purchasing groceries?
1 (least)
2
3
4
5
6 (most)
How satisfied are you with the location of where you currently shop for the majority of your groceries?
1 (least)
2
3
4
5
6 (most)
How much of an issue is transportation to purchase groceries?
1 (least)
2
3
4
5
6 (most)
How satisfied are you with the quality of food available to you?
1 (least)
2
3
4
5
6 (most)
How satisfied are you with the prices of food available to you locally?
1 (least)
2
3
4
5
6 (most)
How important is it for you to support and purchase from minority and women-owned farms?
1 (least)
2
3
4
5
6 (most)
10.
Optional: please provide us with your name and contact info if you would like to be part of the Fairview Empowerment Group and/or updated on developments:
NAME:
EMAIL:
PHONE: