* 1. Which age group best describes you: 

* 2. What is your gender?

* 3. Which ward of Bessemer City do you reside?

* 4. How long have you lived in Bessemer City?

* 5. Please rate each of the following:

  Excellent Good Fair Poor Don't know
Overall appearance of Bessemer City
Public places where people want to spend time
Variety of housing options
Availability of affordable quality housing
Fitness opportunities (including exercise classes and paths or trails)
Recreational opportunities

* 6. Please rate each of the following characteristics as they relate to Bessemer City as a whole:

  Excellent Good Fair Poor Don't know
Availability of affordable quality child care/preschool
K-12 public education
Adult educational opportunities
Opportunities to attend cultural/arts/music activities
Opportunities to participate in religious or spiritual events and activities
Employment opportunities
Shopping opportunities
Cost of living in Bessemer City
Overall quality of business and service establishments in Bessemer City
Vibrant Downtown/commercial area
Overall quality of new development in Bessemer City
Opportunities to participate in social events and activities
Opportunities to volunteer
Opportunities to participate in community matters
Openness and acceptance of the community toward people of diverse backgrounds
Neighborliness of residents in Bessemer City

* 7. Thinking about local public meetings (of local elected officials like City Council, advisory boards, neighborhood watch, etc.) in the last 12 months, about how many times, if at all, have you or other household members attended or watched a public meeting?

  2 times a week or more 2-4 times a month Once a month or less Not at all
Attended a local public meeting

* 8. Please rate the following categories of Bessemer City government performance:

  Excellent Good Fair Poor Prefer not to answer
The value of services for the taxes paid
The job Bessemer City government does at welcoming citizen involvement
Overall confidence in Bessemer City government
The overall direction that Bessemer City is taking

* 9. Overall, how would you rate the quality of the services provided by each of the following?

  Excellent Good Fair Poor Prefer not to answer
The City of Bessemer City
The Federal Government
The State of North Carolina

* 10. Please rate the following categories of Bessemer City government performance:

  Excellent Good Fair Poor Prefer not to answer
Generally acting in the best interest of the community
Being honest
Treating all residents fairly

* 11. How often, if ever, do you use any of the following to access information or services?

  Always Usually Rarely Never Prefer not to answer
Bessemercity.com
Gastongov.com
Pay bill online
Pay bill over the counter/drive thru/drop box
Bessemer City Social Media (Twitter and Facebook)
Blackboard Connect

* 12. How often, if at all, do you do each of the following, considering all of the times you could?

  Always  Usually  Rarely Never Prefer not to answer
Recycle at home
Purchase goods or services from a business located in Bessemer City
Eat at least 5 portions of fruits and vegetables a day
Read or watch local news (via television, paper, computer, etc.)
Vote in local elections 

* 13. Please use the space below to provide additional comments, concerns, or ways for us to improve.

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