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* 1. Contact Information

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* 2. What is your age?

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* 3. What is your ethnicity? (Please select all that apply.)

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* 4. What is your gender?

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* 5. What is your approximate average household income?

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

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* 8. Please rank the top 5 most important things to you relative to your community.

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* 9. Rank the top 5 strengths of your community.

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* 10. Rank the top 5 areas of improvement for your community.

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* 11. How would you rate this community's availability of housing that is affordable and safe?

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* 12. How would you rate the affordability and safety of your home?

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* 13. If you could live anywhere else in the City, would you live in this community?

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* 14. How would you rate the availability of good school options for kids in this community?

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* 15. How would you rate schools in this community on adequately preparing kids for jobs and/or college?

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* 16. How would you rate this community on career training opportunities?

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* 17. Do you feel safe living in this community?

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* 18. Are you concerned with crime in this community?

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* 19. Is this community supportive of entrepreneurship?

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* 20. Do you know where to go to find help in starting a business?

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* 21. Do you patronize businesses in this community?

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* 22. Is the design of this community safe for seniors and people with disabilities?

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* 23. Is the design of this community safe for children?

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* 24. Are there sufficient entertainment and recreation options in this community?

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* 25. Are you concerned about gentrification?

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* 26. Do you need a car to access most services in your community?

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* 27. Does the public transportation system work for people in this community?

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* 28. Is it difficult to access healthy food options in this community?

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* 29. Are their sufficient health care options in this community, including dental and eye care?

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