The South East Area Coalition Needs Assessment

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* 1. What is your gender identity?

Male

Female

Genderqueer/Non-binary

Transgender

Prefer not to say

Other (please specify)

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* 2. What is your age?

Under 20

21-30

31-40

41-50

51-60

61-70

71 or older

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* 3. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

Another race or ethnicity, please describe below

Self-describe below:

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* 4. What is your highest level of education

Less than high school

Some high school

High school degree (or GED/equivalent)

Some college (no degree)

Associates degree

Bachelor's degree

Graduate or professional degree

Other (please specify)

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* 5. My total family income last year was:

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* 6. Which of the following categories best describes your employment status?

Employed, working full-time

Employed, working part-time

Self-employed, working full-time

Self-employed, working part-time

Unemployed

Homemaker

Retired

Disabled, not able to work

Armed Forces

Student

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* 7. What neighborhood do you live in?

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* 8. How long have you lived in your neighborhood?

Less than 1 year

1-4 years

5-10 years

11-15 years

16-20 years

21-24 years

25-35 years

36-49 years

50 years or more

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* 9. Select the option that best describes your relationship with your neighbor?

I know many of my neighbors well

I know a few of my neighbors well

I am acquainted some of the people in my neighborhood

I don't really know anyone in my neighborhood

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* 10. Do you rent or own your house?

Rent

Own

Other (please specify)

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* 11. If you rent, how would you describe your relationship with your landlord

Very good

Good

Neutral

Bad

Hostile

Non-existent- I have an absentee landlord

I own my home

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* 12. How many people live in your home?

1 person

2-4 person

5 or more persons

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* 13. Your neighborhood...

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Don't Know
Has adequate lighting on public streets	Has adequate lighting on public streets Strongly Disagree	Has adequate lighting on public streets Disagree	Has adequate lighting on public streets Neutral	Has adequate lighting on public streets Agree	Has adequate lighting on public streets Strongly Agree	Has adequate lighting on public streets Don't Know
Is clear of litter and debris	Is clear of litter and debris Strongly Disagree	Is clear of litter and debris Disagree	Is clear of litter and debris Neutral	Is clear of litter and debris Agree	Is clear of litter and debris Strongly Agree	Is clear of litter and debris Don't Know
Has plenty of public spaces and parks	Has plenty of public spaces and parks Strongly Disagree	Has plenty of public spaces and parks Disagree	Has plenty of public spaces and parks Neutral	Has plenty of public spaces and parks Agree	Has plenty of public spaces and parks Strongly Agree	Has plenty of public spaces and parks Don't Know
Has adequate bike lanes	Has adequate bike lanes Strongly Disagree	Has adequate bike lanes Disagree	Has adequate bike lanes Neutral	Has adequate bike lanes Agree	Has adequate bike lanes Strongly Agree	Has adequate bike lanes Don't Know
Has easy access to public transit	Has easy access to public transit Strongly Disagree	Has easy access to public transit Disagree	Has easy access to public transit Neutral	Has easy access to public transit Agree	Has easy access to public transit Strongly Agree	Has easy access to public transit Don't Know
Has well-maintained roads for travel	Has well-maintained roads for travel Strongly Disagree	Has well-maintained roads for travel Disagree	Has well-maintained roads for travel Neutral	Has well-maintained roads for travel Agree	Has well-maintained roads for travel Strongly Agree	Has well-maintained roads for travel Don't Know
Has access to community gardens	Has access to community gardens Strongly Disagree	Has access to community gardens Disagree	Has access to community gardens Neutral	Has access to community gardens Agree	Has access to community gardens Strongly Agree	Has access to community gardens Don't Know
Has a voice in city matters and decisions	Has a voice in city matters and decisions Strongly Disagree	Has a voice in city matters and decisions Disagree	Has a voice in city matters and decisions Neutral	Has a voice in city matters and decisions Agree	Has a voice in city matters and decisions Strongly Agree	Has a voice in city matters and decisions Don't Know

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* 14. Housing in your neighborhood

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Don't know
Is in good condition	Is in good condition Strongly Disagree	Is in good condition Disagree	Is in good condition Neutral	Is in good condition Agree	Is in good condition Strongly Agree	Is in good condition Don't know
Is racially diverse	Is racially diverse Strongly Disagree	Is racially diverse Disagree	Is racially diverse Neutral	Is racially diverse Agree	Is racially diverse Strongly Agree	Is racially diverse Don't know
Is affordable to a variety of incomes and age ranges	Is affordable to a variety of incomes and age ranges Strongly Disagree	Is affordable to a variety of incomes and age ranges Disagree	Is affordable to a variety of incomes and age ranges Neutral	Is affordable to a variety of incomes and age ranges Agree	Is affordable to a variety of incomes and age ranges Strongly Agree	Is affordable to a variety of incomes and age ranges Don't know

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* 15. Safety in your neighborhood

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Don't Know
You feel safe walking in your neighborhood during the day	You feel safe walking in your neighborhood during the day Strongly Disagree	You feel safe walking in your neighborhood during the day Disagree	You feel safe walking in your neighborhood during the day Neutral	You feel safe walking in your neighborhood during the day Agree	You feel safe walking in your neighborhood during the day Strongly Agree	You feel safe walking in your neighborhood during the day Don't Know
You feel safe walking in your neighborhood at night	You feel safe walking in your neighborhood at night Strongly Disagree	You feel safe walking in your neighborhood at night Disagree	You feel safe walking in your neighborhood at night Neutral	You feel safe walking in your neighborhood at night Agree	You feel safe walking in your neighborhood at night Strongly Agree	You feel safe walking in your neighborhood at night Don't Know
You feel your neighborhood is a safe and healthy place for children	You feel your neighborhood is a safe and healthy place for children Strongly Disagree	You feel your neighborhood is a safe and healthy place for children Disagree	You feel your neighborhood is a safe and healthy place for children Neutral	You feel your neighborhood is a safe and healthy place for children Agree	You feel your neighborhood is a safe and healthy place for children Strongly Agree	You feel your neighborhood is a safe and healthy place for children Don't Know

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* 16. Economic status of your neighborhood

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Don't Know
Adequate places to buy healthy food at fair prices	Adequate places to buy healthy food at fair prices Strongly Disagree	Adequate places to buy healthy food at fair prices Disagree	Adequate places to buy healthy food at fair prices Neutral	Adequate places to buy healthy food at fair prices Agree	Adequate places to buy healthy food at fair prices Strongly Agree	Adequate places to buy healthy food at fair prices Don't Know
Opportunities to establish new locally-owned businesses	Opportunities to establish new locally-owned businesses Strongly Disagree	Opportunities to establish new locally-owned businesses Disagree	Opportunities to establish new locally-owned businesses Neutral	Opportunities to establish new locally-owned businesses Agree	Opportunities to establish new locally-owned businesses Strongly Agree	Opportunities to establish new locally-owned businesses Don't Know
Has a variety of eateries (more than fast food)	Has a variety of eateries (more than fast food) Strongly Disagree	Has a variety of eateries (more than fast food) Disagree	Has a variety of eateries (more than fast food) Neutral	Has a variety of eateries (more than fast food) Agree	Has a variety of eateries (more than fast food) Strongly Agree	Has a variety of eateries (more than fast food) Don't Know
Has a variety of retail stores	Has a variety of retail stores Strongly Disagree	Has a variety of retail stores Disagree	Has a variety of retail stores Neutral	Has a variety of retail stores Agree	Has a variety of retail stores Strongly Agree	Has a variety of retail stores Don't Know
Has too many empty storefronts	Has too many empty storefronts Strongly Disagree	Has too many empty storefronts Disagree	Has too many empty storefronts Neutral	Has too many empty storefronts Agree	Has too many empty storefronts Strongly Agree	Has too many empty storefronts Don't Know
You can run the majority of your errands in your neighborhood	You can run the majority of your errands in your neighborhood Strongly Disagree	You can run the majority of your errands in your neighborhood Disagree	You can run the majority of your errands in your neighborhood Neutral	You can run the majority of your errands in your neighborhood Agree	You can run the majority of your errands in your neighborhood Strongly Agree	You can run the majority of your errands in your neighborhood Don't Know
You can afford the majority of your purchases in your neighbhorhood	You can afford the majority of your purchases in your neighbhorhood Strongly Disagree	You can afford the majority of your purchases in your neighbhorhood Disagree	You can afford the majority of your purchases in your neighbhorhood Neutral	You can afford the majority of your purchases in your neighbhorhood Agree	You can afford the majority of your purchases in your neighbhorhood Strongly Agree	You can afford the majority of your purchases in your neighbhorhood Don't Know

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* 17. Education in your neighborhood

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Don't Know
There is adequate access to K-12 public schools	There is adequate access to K-12 public schools Strongly Disagree	There is adequate access to K-12 public schools Disagree	There is adequate access to K-12 public schools Neutral	There is adequate access to K-12 public schools Agree	There is adequate access to K-12 public schools Strongly Agree	There is adequate access to K-12 public schools Don't Know
You believe in the competency of the public school system to educate and safeguard your child(ren)	You believe in the competency of the public school system to educate and safeguard your child(ren) Strongly Disagree	You believe in the competency of the public school system to educate and safeguard your child(ren) Disagree	You believe in the competency of the public school system to educate and safeguard your child(ren) Neutral	You believe in the competency of the public school system to educate and safeguard your child(ren) Agree	You believe in the competency of the public school system to educate and safeguard your child(ren) Strongly Agree	You believe in the competency of the public school system to educate and safeguard your child(ren) Don't Know
There is access to private/charter schools	There is access to private/charter schools Strongly Disagree	There is access to private/charter schools Disagree	There is access to private/charter schools Neutral	There is access to private/charter schools Agree	There is access to private/charter schools Strongly Agree	There is access to private/charter schools Don't Know
There is access to post-secondary education	There is access to post-secondary education Strongly Disagree	There is access to post-secondary education Disagree	There is access to post-secondary education Neutral	There is access to post-secondary education Agree	There is access to post-secondary education Strongly Agree	There is access to post-secondary education Don't Know
There is access to vocational training and education	There is access to vocational training and education Strongly Disagree	There is access to vocational training and education Disagree	There is access to vocational training and education Neutral	There is access to vocational training and education Agree	There is access to vocational training and education Strongly Agree	There is access to vocational training and education Don't Know
There is access to job training	There is access to job training Strongly Disagree	There is access to job training Disagree	There is access to job training Neutral	There is access to job training Agree	There is access to job training Strongly Agree	There is access to job training Don't Know
There is adequate childcare that is affordable to a variety of incomes	There is adequate childcare that is affordable to a variety of incomes Strongly Disagree	There is adequate childcare that is affordable to a variety of incomes Disagree	There is adequate childcare that is affordable to a variety of incomes Neutral	There is adequate childcare that is affordable to a variety of incomes Agree	There is adequate childcare that is affordable to a variety of incomes Strongly Agree	There is adequate childcare that is affordable to a variety of incomes Don't Know
There are adequate and affordable afterschool programs	There are adequate and affordable afterschool programs Strongly Disagree	There are adequate and affordable afterschool programs Disagree	There are adequate and affordable afterschool programs Neutral	There are adequate and affordable afterschool programs Agree	There are adequate and affordable afterschool programs Strongly Agree	There are adequate and affordable afterschool programs Don't Know

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* 18. Community engagement in your neighborhood

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Don't Know
Your neighborhood supports one another	Your neighborhood supports one another Strongly Disagree	Your neighborhood supports one another Disagree	Your neighborhood supports one another Neutral	Your neighborhood supports one another Agree	Your neighborhood supports one another Strongly Agree	Your neighborhood supports one another Don't Know
Your neighborhood works with local businesses to improve quality of life in the area	Your neighborhood works with local businesses to improve quality of life in the area Strongly Disagree	Your neighborhood works with local businesses to improve quality of life in the area Disagree	Your neighborhood works with local businesses to improve quality of life in the area Neutral	Your neighborhood works with local businesses to improve quality of life in the area Agree	Your neighborhood works with local businesses to improve quality of life in the area Strongly Agree	Your neighborhood works with local businesses to improve quality of life in the area Don't Know
Your neighborhood works with local non-profits to improve quality of life in the area	Your neighborhood works with local non-profits to improve quality of life in the area Strongly Disagree	Your neighborhood works with local non-profits to improve quality of life in the area Disagree	Your neighborhood works with local non-profits to improve quality of life in the area Neutral	Your neighborhood works with local non-profits to improve quality of life in the area Agree	Your neighborhood works with local non-profits to improve quality of life in the area Strongly Agree	Your neighborhood works with local non-profits to improve quality of life in the area Don't Know
Your neighborhood is actively working to create a brighter tomorrow for future generations	Your neighborhood is actively working to create a brighter tomorrow for future generations Strongly Disagree	Your neighborhood is actively working to create a brighter tomorrow for future generations Disagree	Your neighborhood is actively working to create a brighter tomorrow for future generations Neutral	Your neighborhood is actively working to create a brighter tomorrow for future generations Agree	Your neighborhood is actively working to create a brighter tomorrow for future generations Strongly Agree	Your neighborhood is actively working to create a brighter tomorrow for future generations Don't Know
Your neighborhood is active with the neighborhood association and/or block clubs	Your neighborhood is active with the neighborhood association and/or block clubs Strongly Disagree	Your neighborhood is active with the neighborhood association and/or block clubs Disagree	Your neighborhood is active with the neighborhood association and/or block clubs Neutral	Your neighborhood is active with the neighborhood association and/or block clubs Agree	Your neighborhood is active with the neighborhood association and/or block clubs Strongly Agree	Your neighborhood is active with the neighborhood association and/or block clubs Don't Know
You are aware of opportunities and events in your neighborhood	You are aware of opportunities and events in your neighborhood Strongly Disagree	You are aware of opportunities and events in your neighborhood Disagree	You are aware of opportunities and events in your neighborhood Neutral	You are aware of opportunities and events in your neighborhood Agree	You are aware of opportunities and events in your neighborhood Strongly Agree	You are aware of opportunities and events in your neighborhood Don't Know
You are aware of news and developments in your neighborhood	You are aware of news and developments in your neighborhood Strongly Disagree	You are aware of news and developments in your neighborhood Disagree	You are aware of news and developments in your neighborhood Neutral	You are aware of news and developments in your neighborhood Agree	You are aware of news and developments in your neighborhood Strongly Agree	You are aware of news and developments in your neighborhood Don't Know

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* 19. In your own words:

Describe what you love about your neighborhood

Describe the challenges you feel your neighborhood faces

What is your biggest concern about your neighborhood?

What makes your neighborhood unique?

What do you think would be a major benefit to your neighborhood?

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* 20. Are you willing to volunteer and get involved in the betterment of our neighborhoods?

Yes, I'm ready!

Not at this time

The South East Area Coalition Needs Assessment

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* 1. What is your gender identity?

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* 2. What is your age?

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* 3. What is your race or ethnicity?

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* 4. What is your highest level of education

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* 5. My total family income last year was:

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* 6. Which of the following categories best describes your employment status?

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* 7. What neighborhood do you live in?

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* 8. How long have you lived in your neighborhood?

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* 9. Select the option that best describes your relationship with your neighbor?

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* 10. Do you rent or own your house?

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* 11. If you rent, how would you describe your relationship with your landlord

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* 12. How many people live in your home?

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* 13. Your neighborhood...

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* 14. Housing in your neighborhood

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* 15. Safety in your neighborhood

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* 16. Economic status of your neighborhood

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* 17. Education in your neighborhood

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* 18. Community engagement in your neighborhood

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* 19. In your own words:

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* 20. Are you willing to volunteer and get involved in the betterment of our neighborhoods?

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* 21. What programs do you feel would be beneficial in your neighborhood?

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* 22. If there is anything else you would like to tell us about your community/neighborhood, please do so here: