* 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 how safe or unsafe you feel in Bessemer City:

  Very safe Some what safe Some what unsafe Very unsafe Neither safe nor unsafe
In your neighborhood during the day
In Bessemer City's downtown area during the day
Bessemer City in general

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

  Excellent Good Fair Poor Don't know
Traffic flow on major streets
Ease of public parking
Ease of travel by car in Bessemer City
Ease of travel by bicycle in Bessemer City
Ease of walking in Bessemer City
Availability of paths and walking trails
Air quality
Cleanliness of Bessemer City

* 7. Please indicate whether or not you have done any of the following in the last 12 months:

  No Yes I am not sure
Made efforts to conserve water
Made efforts to make your home more energy efficient
Observed a code violation or other hazard in Bessemer City
Household member was a victim of a crime in Bessemer City
Reported a crime to the police in Bessemer City
Stocked supplies in preparation for an emergency
Campaigned or advocated for an issue, cause, or candidate
Contacted Bessemer City (in-person, phone, email or web) to express your opinion
Made efforts to replace a water-using appliance

* 8. Please rate the quality of each of the following services in Bessemer City:

  Excellent Good Fair Poor Prefer not to answer
Police services
Fire services
County ambulance or emergency medical services
Crime Prevention
Fire prevention and education

* 9. Please rate how important, if at all, you think it is for the Bessemer City community to focus on each of the following in the coming two years:

  Very Important Some what Important Some what Unlikely Very Unlikely Don't know
Overall feeling of safety in Bessemer City
Overall ease of getting to the places you usually have to visit
Quality of overall natural environment in Bessemer City
Overall "built environment" of Bessemer City (including overall design, buildings, and parks)
Health and wellness opportunities in Bessemer City
Overall opportunities for education and enrichment
Overall economic health of Bessemer City
Sense of community

* 10. How often, if ever, do you use each of the following to describe where you live?

  Always Usually Rarely Never Prefer not to answer
Bessemer City
Gaston County
North Carolina
Your specific neighborhood

* 11. How familiar, if at all, do you consider yourself with each of the following?

  Extremely familiar Very familiar Somewhat familiar Not at all familiar Prefer not to answer
City's economic development initiatives
City's investments in infrastructure (street, sidewalks, storm water and sewer)
City's plans for development and growth
City's transportation and transit plan
City's housing and neighborhood policies
City's environmental initiatives (tree canopy, air quality, recycling, water quality, energy efficiency)
City's budget

* 12. 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
Gaston County
The State of North Carolina

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