OurFerguson2040 is a 20-year plan that uses the voice of the people of Ferguson to create a city where everyone can live, work, and play in. 

Completing this survey is voluntary and your answers will be kept anonymous. There are no right or wrong answers. 

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* 1. You identify as: 

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* 2. Age:

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* 3. Race/Ethnicity

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* 4. How do you USUALLY get around in Ferguson? (Pick 1)

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* 5. What are the top THREE activities you would like to see more of? 

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* 6. What has prevented you from taking part in out-of-school recreational activities, job training, or advanced educational opportunities? (Pick 1)

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* 7. Rank how body image/self-image has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 8. Rank how bullying or violence have affected your life from a scale of 1 to 5: 
(this never affects me) (this sometimes affects me) (neutral-neither affected or unaffected) (this often affects me)  (this affects me daily)

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* 9. Rank how crime in my neighborhood affects your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) (this often affects me) (this affects me daily)

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* 10. Rank how drugs and/or alcohol has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 11. Rank how feeling successful affects your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 12. Rank how feeling unwelcome by the community when I am by myself or with my friends affects your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 13. Rank how fitting in has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 14. Rank how grades have affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 15. Rank how having a place to belong and feel safe has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 16. Rank how having enough food has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 17. Rank how receiving help with completing my GED/HiSET has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 18. Rank how receiving help with finishing school has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 19. Rank how life after high school has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 20. Rank how money/having a job has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 21. Rank how having nothing to do has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 22. Rank how peer pressure (to do things that I don't want to do) has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 23. Rank how the relationship with family/friends has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 24. Rank how safe and secure home has affected your life from a scale of 1 to 5:
1 (this never affects me) 2 (this sometimes affects me) 3 (neutral-neither affected or unaffected) 4 (this often affects me) 5 (this affects me daily)

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* 25. When I have a problem, I know to go for help

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* 26. I have a caring adult in my life that guides and supports my decisions

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* 27. In my free time, I MOSTLY hang out at

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* 28. What do you LIKE about the City of Ferguson? 

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* 29. What do you DISLIKE about the City of Ferguson? 

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* 30. What else do you think is needed for Ferguson to be a city where you would like to live, work and play in the future? 

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* 31. Email:

0 of 31 answered
 

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