Screen Reader Mode Icon

Question Title

* 1. Affordable Housing is a problem in this community because: (check all that apply)

Question Title

* 2. Unemployment is a problem in this community because: (check all that apply)

Question Title

* 3. High heating and utility costs are a problem in this community because: (check all that apply)

Question Title

* 4. Transportation is a problem because: (check all that apply)

Question Title

* 5. Please choose 3 of the following areas that are most important to you right now.

Question Title

* 6. In your view of the following, which are most important to having a good community? (choose 3)

Question Title

* 7. Which of the following are missing from your neighborhood? (check all that apply)

Question Title

* 8. What is your usual work or school schedule?

Question Title

* 9. Do you use childcare outside of your home while you work or attend school?

Question Title

* 10. If you use childcare, do you utilize family members or a licensed childcare center?

Question Title

* 11. If you do not use licensed childcare, please tell us why.  Mark all that apply:

Question Title

* 12. Do you feel there is an issue with substance abuse in your neighborhood?

Question Title

* 13. Racial/Ethnic Category: (check all that apply)

Question Title

* 14. Sex:

Question Title

* 15. Age Group:

Question Title

* 16. Marital Status:

Question Title

* 17. Education ~ last grade completed:

Question Title

* 18. Source of Income (Note: If you have more than one source of income, check all that apply):

Question Title

* 19. Which do you have at home (check all that apply):

Question Title

* 20. Do you have access to the internet at home?

Question Title

* 21. Do you own a home or rent?

Question Title

* 22. How many times have you moved in the past year?

0 of 22 answered
 

T