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Community Survey
1.
Please tell us the zip code of your current physical address/residence.
2.
What neighborhood do you live in?
3.
How long have you lived there?
all my life
less than 5 years
more than 5 years
5-10 years
more than 10 years
4.
What was your primary reason for moving to your neighborhood? (Choose up to 3)
Born here
To be near family
Close to work or for a new job
Cost of housing
Transportation options
Family friendly
Education/School for children
Community connection (church, schools, clubs/associations, etc.)
Neighborhood type (gated community, walkable neighborhood, etc.)
Other (please specify)
5.
In what zip code is your job located? If you are not currently working, please say none.
6.
Which of the following do you consider to be important to your happiness and well-being? (Choose up to 3)
Quality healthcare
Open space, parks and recreational facilities
Affordable housing
Clean streets
Variety of entertainment options
Good schools
Affordable reliable transportation
Well-paying jobs
Sense of community
Quality shopping
Low crime rate
7.
How much do you agree or disagree with the following statement:
“My community is a safe place to visit”
Strongly agree
Somewhat agree
Neither agree or disagree
Somewhat agree
Strongly disagree
8.
How much do you agree or disagree with the following statement:
“My community is a great place to live”
Strongly agree
Somewhat agree
Neither agree or disagree
Somewhat disagree
Strongly disagree
9.
Please select the words that most accurately describe your community today. (Choose up to 3)
Safe
Vibrant and active
Affordable
Diverse
Thriving
Growing
Stable
Boring
Dangerous
Expensive
Poor
Blighted
In decline
Other (please specify)
10.
How has your neighborhood changed over the last 5 years?
Improved significantly
Improved somewhat
About the same
Declined somewhat
Declined significantly
11.
Do you think your neighborhood is getting better or worse?
Better
Worse
12.
Does your community offer sufficient affordable housing choices that meet you and/or your family’s needs?
Yes
No
13.
Does your community offer access to good public transportation?
Yes
No
14.
Does your neighborhood have clearly marked crosswalks and bike lanes?
Yes
No
15.
What do you consider to be the most critical issue facing your community today, and why?
16.
What do you consider to be your community’s greatest asset?
17.
What is your age?
Under 20 years old
20-24 years old
25-29 years old
30-49 years old
50-64 years old
65 or older
18.
What is your gender?
Male
Female
19.
What race/ethic group do you most closely identify with?
White
Black/African American
Hispanic/Latino
Asian
American Indian
Two or more races
Other (please specify)
20.
What is your highest level of educational attainment?
Less than high school
Some high school
GED/High School Diploma
High School Certificate of Completion
Some college or vocational school
Associate's degree or technical certificate
Bachelor's degree
Graduate degree
21.
Which of the following best describes the industry you work in?
Healthcare
Construction
Manufacturing
Retail
Transportation/Warehousing
Finance/Insurance
Real Estate
Professional/Technical Services
Education
Arts, Entertainment and Recreation
Acommodation, Hospitality, Food Service
Public Administration
Other (please specify)
22.
What is your combined annual household income?
Less than $15,000
$15,000 - $24,999
$25,000 - $39,999
$40,000 - $64,999
$65,000 - $99,999
Greater than $100,000
23.
Do you rent or own the home that you live in?
I rent my home
I own my home
I live with friends or family
Other (please specify)
24.
How many children under the age of 18 live in your home?
0
1
2
3
4+
25.
What is your relationship status?
Single, never married
Single, divorced
Married
Not married, living with a partner
