Burlington County Women’s Survey

Thank you for agreeing to take part in this survey so that we can better serve you and all residents in the future and ensure that we are addressing the unique needs facing women in Burlington County. This survey should only take 5 minutes to complete. Be assured that all responses you provide will be kept strictly confidential.

-Freeholder Director Kate Gibbs and Freeholder Deputy Director Linda Hughes 

Do you live or work in Burlington County? (check all that apply)

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* 1. Do you live or work in Burlington County? (check all that apply)

Do you care for someone who lives in Burlington County (check all that apply)

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* 2. Do you care for someone who lives in Burlington County (check all that apply)

How long have you (or your dependent) lived in Burlington County?

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* 3. How long have you (or your dependent) lived in Burlington County?

What is your age range?

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* 4. What is your age range?

How would you best identify? (check all that apply)

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* 5. How would you best identify? (check all that apply)

What best describes your employment?

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* 6. What best describes your employment?

What is the biggest challenge you are facing finding employment?

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* 7. What is the biggest challenge you are facing finding employment?

Do you intend to go back to work? Why or why not?

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* 8. Do you intend to go back to work? Why or why not?

Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral.


My impression of the job market in Burlington County is good.

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* 9. Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral.


My impression of the job market in Burlington County is good.

Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral or N/A.

There are adequate options for child care available in Burlington County.

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* 10. Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral or N/A.

There are adequate options for child care available in Burlington County.

Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral.

Burlington County offers a good variety of educational opportunities to meet to my/my family's needs

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* 11. Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral.

Burlington County offers a good variety of educational opportunities to meet to my/my family's needs

Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral.

I feel very connected to the community here in Burlington County.

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* 12. Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral.

I feel very connected to the community here in Burlington County.

Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral or N/A.

There are adequate options of access to healthcare in Burlington County.

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* 13. Please read the following statement and select whether you strongly agree, strongly disagree or remain neutral. 5 is strongly agree, 1 is strongly disagree, 3 is neutral or N/A.

There are adequate options of access to healthcare in Burlington County.

Please select which, if any, of the following Burlington County Health Department services you are aware of: (check all that apply)

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* 14. Please select which, if any, of the following Burlington County Health Department services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Human Services you are aware of: (check all that apply)

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* 15. Please select which, if any, of the following Burlington County Human Services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Sheriff’s Department services you are aware of: (check all that apply)

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* 16. Please select which, if any, of the following Burlington County Sheriff’s Department services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Military and Veterans services you are aware of: (check all that apply)

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* 17. Please select which, if any, of the following Burlington County Military and Veterans services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Clerk’s Office services you are aware of: (check all that apply)

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* 18. Please select which, if any, of the following Burlington County Clerk’s Office services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Library System services you are aware of: (check all that apply)

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* 19. Please select which, if any, of the following Burlington County Library System services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Workforce Development services you are aware of: (check all that apply)

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* 20. Please select which, if any, of the following Burlington County Workforce Development services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington County Office on Aging services you are aware of: (check all that apply)

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* 21. Please select which, if any, of the following Burlington County Office on Aging services you are aware of: (check all that apply)

Please select which, if any, of the following Burlington Senior Legal services you are aware of:

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* 22. Please select which, if any, of the following Burlington Senior Legal services you are aware of:

Please select which, if any, of the following Burlington County Sheriff’s Department senior services you are aware of: (check all that apply)

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* 23. Please select which, if any, of the following Burlington County Sheriff’s Department senior services you are aware of: (check all that apply)

By providing your contact information you are giving us permission to contact you regarding your survey responses. Your information and all survey responses will be kept confidential.

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* 24. By providing your contact information you are giving us permission to contact you regarding your survey responses. Your information and all survey responses will be kept confidential.

Do you have any additional suggestions or concerns?

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* 25. Do you have any additional suggestions or concerns?

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