WHEDco, a community development organization in the South Bronx, is surveying people who either live/work/or go to school in the Jerome Avenue area on their needs and interests. We will use this information to design programs to meet those needs and advocate around the community’s pressing concerns. Your responses will be confidential. 

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* 1. I live in zip code:

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* 2. I work or go to school in zip code:

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* 3. How familiar are you with WHEDco? Check one.

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* 4. How do you find out about events and resources in the neighborhood? Fill in all that apply

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* 5. Tell us how you feel about your neighborhood. Check one per question.

  Strongly Agree Agree Neutral Disagree Strongly Disagree
My neighborhood is affordable
My neighborhood is clean and well-maintained
My neighborhood is well-lit
I can get healthy foods
I have access to high-quality health services
I know about community events and resources
I have access to places to exercise in my neighborhood

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* 6. Check the top three things that you would most like to see in your neighborhood. Rank only the top 3 things you want most.

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* 7. What kinds of activities and amenities would you like to see added to your neighborhood park/public space?

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* 8. In general, how would you rate your own health?

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* 9. Typically, how many pieces of fruits or servings of vegetables do you eat a day?

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* 10. During the past week, did you participate in any physical activity or exercise?

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* 11. On a typical day, how many blocks do you walk?

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* 12. Are you the primary caretaker of a child/children (18 and under)?

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