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* 1. When did you move to your current residence?

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* 2. Did you move here from another location in Washington, DC? (Skip if lived here entire life)

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* 3. If yes, from which neighborhood or major intersection in DC did you move here?

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* 4. If no, from which state or country did you move here?

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* 5. Before you moved here, what did you imagine the neighborhood would be like?

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* 6. What do you like most about the neighborhood? Choose 1-3 options, or specify other.

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* 7. For each item about the neighborhood, tell if the item is a problem for you. If it is not a problem or does not apply to you, select N/A. If it is a problem, specify whether it is a major problem or a minor problem.

  Major problem Minor problem N/A
Schools
Recreational facilities
Property values too high
Property values too low
Rent too high
Crime
Lack of retail businesses including bars/restaurants
Lack of affordable retail businesses
New housing development
Police harassment
Lack of activities for youth
Lack of activities for seniors

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* 8. In the past two years, have you participated in any of the following? Select all that apply.

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* 9. Of the statements below, specify whether you strongly agree, agree, disagree, strongly disagree, or are neutral about each of these statements:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Potomac Gardens is a special place where I have found community.
Potomac Gardens is like any other apartment buidling.
Potomac Gardens is attracting negative elements.

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* 10. For each item, specify whether you have done these activities daily, weekly, monthly, once or twice per year, or never. With the people who live in the apartments inside the Potomac Gardens fence, how often do you personally:

  Daily Weekly Monthly Once/twice per year Never
Wave or say hello/good morning to them.
Talk with them in the front yard, courtyard, etc.
Attend events with them, such as youth sports or church.
Have dinner or spend time at their home or your home

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* 11. For each of the statements below, specify whether or not the item is a worry for you. If it is not a worry or does not apply to you, select N/A. If it is a worry, specify whether it is a major worry or a minor worry.

  Major worry Minor worry N/A
I'd like to go back to school but I can't afford it.
I am currently unemployed and looking for work.
I am looking for work that pays more than my current job.
I would prefer to be working in a different field.
I pay more than 1/3 of my income on rent or on a mortgage.
I'm afraid that I might be evicted or lose my home.
My house or apartment is too small for my family's needs.
My apartment or house has maintenance issues that I can't afford to fix.
I have had difficulty finding quality and affordable child care.
I am not satisfied that my children are receiving the education they deserve.
I am concerned that I do not have enough money saved for my retirement.
I do not always have enough money to pay my bills on time
I have had to take in a relative who has fallen on hard times.
I or someone close to me has difficulties finding a job because of their status as a returning citizen.
I have had to provide financial assistance to a relative who has fallen on hard times.
I do not have health insurance.
I do not have dental insurance.
I have required the assistance of the police, ambulance or fire department within the last year.
I have a chronic mental or healthcare issue that interferes with my ability to make a living.

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* 12. How do you envision the neighborhood in the future?

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* 13. What is your gender?

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* 14. Regarding this residence, do you

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* 15. What is your age?

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* 16. Please specify your race or ethnicity (select any that apply)

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* 17. What is the highest level or education you have completed?

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* 18. Have you personally been a victim of a crime in the neighborhood?

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* 19. Any further comments or questions?

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