Working Cities Community Survey 2017-2018

Section 1: Family/Neighborhood Data

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* 1. Data

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Gender:

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* 3. Current housing:

Rent

Own

Live with someone rent-free

Homeless

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* 4. How long have you lived in East Hartford?

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* 5. How many people live in your household?

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* 6. Do you have a driver's license?

Yes

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* 7. Do you have other family (parents, siblings) that lives in East Hartford?

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* 8. Race:

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* 9. How old are you?

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* 10. Primary Language Spoken at Home:

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* 11. How would you rate your spoken English?

Fluent

Almost Fluent

Basic

None

N/A

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* 12. How would you rate your written English?

Fluent

Almost Fluent

Basic

None

N/A

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* 13. How would you rate your reading in English?

Fluent

Almost Fluent

Basic

None

N/A

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* 14. Connection to the neighborhood. Do you know your neighbors (help each other out, do things together, work on any community issues)?
If no, why not?

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* 15. Explain what types of things you think brings neighbors together?

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* 16. If you could choose one way to physically improve your neighborhood, what would it be (for example: install speed bump, closer bus stop, trash containers, a new playground)?

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* 17. Do you participate in any community groups? If yes, What?

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* 18. Would you be willing to participate in a group like a Neighborhood Association? (neighbors coming together to discuss and develop solutions around issues of neighborhood improvement)

Section 2: Education and Employment

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* 19. How far did you go in school?

Some High School

GED

High School Diploma

Some College

Associate's Degree

Bachelor's Degree

Advanced Degree

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* 20. Do you have any other credentials/certificates/training skills?"

Yes

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* 21. If yes, what field(s) are those credentials/certificates/training/skills in (for example: customer service, packing, warehouse, cooking, cosmetology)?

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* 22. Are you currently employed?

Yes

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* 23. If yes,

Company Name & Location:

Job Title:

How long have you worked there?

Full OR Part time:

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* 24. If NO:

When was the last time you worked?

Company Name and Location:

Job Title:

How long did you work there?

Full OR Part time:

Why are you not working now?

Are you currently looking for work (taken any steps toward employment in the last 4 weeks)?

Where do you go for/how do you look for work (On-line, Career Fair, Public Library), Other:______________?

Have you ever attended a job fair or visited a community resource like the American Jobs Center in Hartford (a full service job search and career support center)?
If yes - When and Where?

If no, why not?

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* 25. If you had a choice, what kind of career would you want?

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* 26. What are some of the factors keeping you from the job you want?

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* 27. Could you dedicate several months to a training program in a career path below? If no, why not?

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* 28. These are some career paths and industries that have local training programs and actual employment opportunities - would you be interested in any of these? If yes, please check all that apply.

Healthcare: Jobs where workers provide and coordinate patient care, operate equipment, conduct tests related to medical procedures, and provide advice and emotional support to patients and their family members.

Manufacturing: Jobs where workers use technology, machinery, processes and practices to make things out of different materials and ensure their quality (for example: food, airplanes, and medical devices).

Transportation: Jobs where a variety of routine and complex transportation work takes place with passengers and/or goods and services.

Early childhood care or education: Jobs where a person helps others to acquire knowledge, competencies and values, or acts in a supportive role when education courses are being facilitated.

Hospitality: Jobs where people work in restaurants, hotels, or any entertainment area consisting of jobs in facility maintenance and direct operations (servers, housekeepers, porters, kitchen workers, bartenders, management, marketing, and human resources).

None of the above

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* 29. Would you be interested in an adult education class for improved English skills?

Yes

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* 30. Would you be interested in an adult education class for improved Literacy skills?

Yes

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* 31. Would you be interested in career assessment services to evaluate job skills, readiness and opportunities?

Yes

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* 32. Do or would you require childcare in order to work?

Yes

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* 33. Have you ever had trouble getting to work on time? If yes, why?

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* 34. If you require childcare to work, what are your childcare options?

Family

Hired Babysitter

Private Daycare

If other, please specify

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* 35. How do you get to work:

Walk

Bus

Car

Ride with family/friend

Dial-a-Ride

Hire Taxi/Uber

Other

If transportation is an issue, what is your biggest problem with trying to find transportation to work?

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* 36. Does your family have enough to make ends meet or are you struggling to pay bills?

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* 37. Do you think your neighbors have enough to make ends meet, or are they struggling to pay bills?

Section 3: Youth Programming

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* 38. Please provide the following:

Age of Child/Children in your home.

Age of Child/Children in your home

Daycare:

School:

Grade:

Afterschool:

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* 39. Is getting to school on time an issue for your kids or family? If so, why?

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* 40. Do they attend any community based programs for youth? Which program?

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* 41. What type of resource or program would you like to see in this community that is currently not offered?

Section 5: Follow up

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* 42. Are you interested in what happens with Working Cities, can we follow up with you?

Yes

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* 43. How do you prefer to be contacted?
Please Choose all that apply

Flyers

through School contacts

Mail

Phone

Text

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* 44. Do you have internet access at home or on your phone?

Yes

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* 45. Do you use social media?

Yes

What social media platforms do you use?

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* 46. Would you be willing to attend a community meeting for more info and get involved?

Yes

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* 47. Are you a Summerfield resident?

Yes

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* 1. Data

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* 2. Gender:

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* 3. Current housing:

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* 4. How long have you lived in East Hartford?

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* 5. How many people live in your household?

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* 6. Do you have a driver's license?

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* 7. Do you have other family (parents, siblings) that lives in East Hartford?

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* 8. Race:

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* 9. How old are you?

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* 10. Primary Language Spoken at Home:

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* 11. How would you rate your spoken English?

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* 12. How would you rate your written English?

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* 13. How would you rate your reading in English?

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* 14. Connection to the neighborhood. Do you know your neighbors (help each other out, do things together, work on any community issues)? If no, why not?

Question Title

* 15. Explain what types of things you think brings neighbors together?

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* 16. If you could choose one way to physically improve your neighborhood, what would it be (for example: install speed bump, closer bus stop, trash containers, a new playground)?

Question Title

* 17. Do you participate in any community groups? If yes, What?

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* 18. Would you be willing to participate in a group like a Neighborhood Association? (neighbors coming together to discuss and develop solutions around issues of neighborhood improvement)

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* 19. How far did you go in school?

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* 20. Do you have any other credentials/certificates/training skills?"

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* 21. If yes, what field(s) are those credentials/certificates/training/skills in (for example: customer service, packing, warehouse, cooking, cosmetology)?

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* 22. Are you currently employed?

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* 23. If yes,

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* 24. If NO:

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* 25. If you had a choice, what kind of career would you want?

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* 26. What are some of the factors keeping you from the job you want?

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* 27. Could you dedicate several months to a training program in a career path below? If no, why not?

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* 28. These are some career paths and industries that have local training programs and actual employment opportunities - would you be interested in any of these? If yes, please check all that apply.

Question Title

* 29. Would you be interested in an adult education class for improved English skills?

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* 30. Would you be interested in an adult education class for improved Literacy skills?

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* 31. Would you be interested in career assessment services to evaluate job skills, readiness and opportunities?

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* 32. Do or would you require childcare in order to work?

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* 33. Have you ever had trouble getting to work on time? If yes, why?

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* 34. If you require childcare to work, what are your childcare options?

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* 35. How do you get to work:

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* 36. Does your family have enough to make ends meet or are you struggling to pay bills?

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* 37. Do you think your neighbors have enough to make ends meet, or are they struggling to pay bills?

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* 38. Please provide the following:

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* 39. Is getting to school on time an issue for your kids or family? If so, why?

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* 40. Do they attend any community based programs for youth? Which program?

* 14. Connection to the neighborhood. Do you know your neighbors (help each other out, do things together, work on any community issues)?
If no, why not?

* 43. How do you prefer to be contacted?
Please Choose all that apply