Exit Village of Fort Simpson Community Plan Survey Household Information Question Title * 1. Are you: Male Female Prefer not to say Question Title * 2. Please indicate your age range: 19 years and younger 20-35 years 36-50 years 51-64 years 65+ years Question Title * 3. Were you born in the Village of Fort Simpson? Yes No Question Title * 4. How many years have you lived in Fort Simpson? Less than 2 years 3 to 5 years 5 to 10 years 11+ years Question Title * 5. Do you plan to live in Fort Simpson in 5 years from now? Yes No Question Title * 6. Does your household rent or own? Rent Own Other (please specify) Question Title * 7. What type of home do you live in? Single detached house Duplex / Semi-detached / Townhouse Apartment Mobile Home / Trailer Other (please specify) Question Title * 8. Are you a: Full-time resident Part-time resident Contract worker Other (please specify) Page1 / 8 12% of survey complete. Next