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* 1. Respond Briefly

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* 2. Volume of Traffic

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* 3. Rate the condition of the street

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* 4. Are there empty beer or liquor bottles visible in streets, yards, or alleys?

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* 5. Are there cigarette or cigar butts or discarded cigarette packages on the sidewalk or in gutters?

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* 6. Is there garbage, litter, broken glass, or dog poop in the street or on the sidewalks?

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* 7. How were you regarded by the people in the block face? (circle all that apply)

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