Section 1:  Family/Neighborhood Data

* 1. Data

* 3. Current housing:

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

* 5. How many people live in your household?

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

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

* 9. How old are you?

* 10. Primary Language Spoken at Home:

* 11. How would you rate your spoken English?

* 12. How would you rate your written English?

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

* 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?

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

* 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)?

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

* 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

* 19. How far did you go in school?

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

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

* 22. Are you currently employed? 

* 23. If yes,

* 24. If NO:

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

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

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

* 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.

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

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

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

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

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

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

* 35. How do you get to work:

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

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

Section 3:  Youth Programming

* 38. Please provide the following:

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

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

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

Section 5:  Follow up

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

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

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

* 45. Do you use social media?

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

* 47. Are you a Summerfield resident?

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