SECTION 1: ABOUT YOU

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1. What is your connection to Southside Bethlehem? (Select all that apply)

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2. How long have you lived on the Southside?

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3. What is your age group?

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4. What is your race/ethnicity? (Select all that apply)

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5. What is your household income range?

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6. Which best describes your household?

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7. Please check off appropriate ranges for all individuals in your household

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8. What is your current employment status?

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9. What language(s) are spoken in your household? (Select all that apply)

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10. What do you call the Southside neighborhood or area where you live (eg. Five Points, Indian Hill, South Terrace, etc.)?

SECTION 2: HOUSING

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11. What is your current housing situation?

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12. How long have you lived in your current home?

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13. Do you feel your housing is affordable?

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14. In the past year, have you had difficulty paying for housing?

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15. Have you experienced any of the following in your housing? (Select all that apply)

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16. Are you concerned about being priced out of the Southside?

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17. Have you considered moving?

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18. If yes, why? (Select all that apply)

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19. In the next year, do you plan to:

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20. Which housing resources or programs would you or someone in your household be interested in? (Select all that apply)

SECTION 3: PUBLIC SPACE & FOOD ACCESS

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21. How often do you use parks or outdoor spaces on the Southside?

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22. Which spaces do you use? (Select all that apply)

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23. How would you rate the following on your street?

  Poor Fair Good Very Good Excellent
Cleanliness
Lighting
Sidewalk condition
Tree coverage/shade
Pedestrian safety
Relationship with my neighbors
Overall quality of life

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24. How safe do you feel in your neighborhood?

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25. What makes you feel safe or would make you feel safer in your neighborhood?

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26. What improvements would you most like to see? (Select up to 3)

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27. Do you have easy access to fresh and healthy food?

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28. Where do you usually get food for your household? (Select all that apply)

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29. How do you usually get groceries?

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30. Would you be interested in using a community garden?

SECTION 4: COMMUNITY & ENGAGEMENT

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31. How do you usually hear about community events, resources, or neighborhood information? (Select all that apply)

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32. What do you usually do when you have a question, concern, or issue related to your neighborhood or the city? (Select all that apply)

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33. What would make you more likely to get involved in a neighborhood group, community meeting, or block watch? (Select all that apply)

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34. What types of community events would you like to see more of?

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35. Have you or someone in your household participated in programs or received services from any of the following organizations? (Select all that apply)

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36. Please rank the following issues from MOST important (#1) to LEAST important (#9) for investment in the Southside community.

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37. Have you participated in any of the following during the past year? (Select all that apply)

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38. What do you like most about your neighborhood?

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39. What are three things you would like to see change in your neighborhood in the next 5 years?

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40. What challenges do you face in your neighborhood?

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41. What else would you like us to know about your neighborhood?

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