Name:______
Address:______
Phone:______
Family Size:______
**Thank you for taking the time to participate in this survey.
We are interested in your thoughts about the neighborhood in which you live. **
- Did you know that this neighborhood was once referred to as Holiday Homes?
YES
NO
First, I’d like to know a little bit about your living situation.
- Which of the following best describes your current housing situation?
RENT
OWN
- How long have you lived at your current address? ______
- Do you have any plans on moving? ______
- If you had the choice, would you continue to live in this neighborhood?
YES
NO
Please tell me why you feel this way. ______
For the next two questions, I’d like you to take a look at this list of factors.
(Hand Card A to respondent)
- What are the things that you like best about living in this neighborhood? (Choose up to three of the factors listed.)
My house or apartment
My neighbors
Distance to work
Access to amenities, such as neighborhood centers and stores
Proximity to public transportation
Schools for my children
Access to job opportunities
Safety in the neighborhood
Affordability of housing
Types of housing available
Something else, please specify: ______
- What are the things that you like least about living in this neighborhood? (Choose up to three of the factors listed.)
My house or apartment
My neighbors
Distance to work
Access to amenities, such as neighborhood centers and stores
Proximity to public transportation
Schools for my children
Access to job opportunities
Safety in the neighborhood
Affordability of housing
Types of housing available
Something else, please specify: ______
Now, let’s turn to your thoughts aboutliving in your neighborhood.
- How well do you know your neighbors?
Know most
Know a few on my street
Don’t know any
Just the ones next to me
- Which of the following words best describes the way you feel about your life in your neighborhood? (Choose as many as you’d like)
Happy
Frustrated
Lonely
Peaceful
Safe
Hurried
Anxious
Fulfilled
- I am going to ask you about situations that sometimes occur. Please tell me how likely you think it is that people in thisneighborhoodwould help out in these situations. Would you say it is very likely, likely, somewhat likely, not that likely, or not at all likely that people in thisneighborhood would help out if … ?
Very likely / Likely / Not sure / Not that likely / Not at all likely
a. / You needed a ride somewhere.
b. / A package was delivered when you were not at home and it needed to be accepted.
c. / You needed a favor, such as picking up mail or borrowing a tool.
d. / You needed someone to watch your house when you were away.
Very likely / Likely / Not sure / Not that likely / Not at all likely
e. / An elderly neighbor needed someone to periodically check on him or her.
f. / A neighbor needed someone to watch a pet when he or she is not home.
g. / A neighbor needed someone to take care of a child in an emergency.
Next, I’d like to know how you learn about how you get involved in local activities.
- I am going to read a list of different ways in which people sometimes become involved in their communities. Please tell me whether or not you have participated in these activities in thisneighborhood during the past 12 months. During the past 12 months, did you …?
Yes / No
a. / Participate in a community event or social activity sponsored by a local organization
b. / Attend a public meeting, write to a public official, or talk with a public official
c. / Volunteer your time to support a nonprofit or community organization
d. / Become involved in community affairs, civic activities, or political issues
e. / Vote in a local or national election
Next, I’d like to hear what concerns, if any, you have about your neighborhood.
- I am going to ask you about things that people sometimes consider issues in communities. Please tell me whether or not you think each is a problem in this neighborhood. Do you think [read statement] is a problem in this neighborhood?
Yes / No
a. / Poorly maintained streets and sidewalks
b. / Litter, trash, or debris
c. / Abandoned or vacant houses and/or apartments
d. / Abandoned or vacant non-residential buildings
e. / Graffiti
Yes / No
f. / Poorly maintained public spaces, such as parks and playgrounds
g. / Traffic or speeding vehicles
h. / Inadequate street lighting
i. / Drug activity
j. / Dumping
k. / Vandalism and/or break-ins
m. / Stray cats and/or dogs
n. / Other issue: ______
- I am going to read a list of services that are offered in communities. Please tell me whether or not you are satisfied with each of them. Would you say you are satisfied or not satisfied with the [read each statement] in this neighborhood?
Satisfied / Not satisfied
a. / Police response
b. / Emergency services, such as fire department and ambulances
c. / Public utilities, such as water, electric, and gas
d. / Public transportation
e. / Sanitation services, such as trash pickup and recycling
f. / Street repair, cleaning, and plowing
g. / Parks, playgrounds, and recreation centers
h. / Public library facilities
i. / Traffic control
Finally, let’s turn to your thoughts about safety in yourneighborhood.
- I’m going to ask you about certain places in yourneighborhood. Please tell me how safe you feel in each of these places. Would you say you feel very safe, safe, somewhat safe, not that safe, or not at all safe?
Very safe / Safe / Not sure / Not that safe / Not at all safe
a. / In your home at night
b. / Outside your home at night (on the porch or stoop, or in the yard or alley)
c. / Walking in the neighborhood during the day time
d. / Walking in the neighborhood at night
e. / In parks, playgrounds, and other outdoor recreational areas
- Now I’d like to know how safe you believe the following residents are in this neighborhood. Would you say they are very safe, safe, somewhat safe, not that safe, or not at all safe?
Very safe / Safe / Not sure / Not that safe / Not at all safe
a. / Senior citizens who live in the area
b. / Children who are playing outside
c. / Children and youth in schools
d. / Neighborhood residents going about their daily lives
Do you have any ideas or suggestions that might improve or benefit you or your neighborhood?
______
Do you have any other comments or concerns about living in thisneighborhood?
______
That finishes the survey. Thank you for talking with me today!
1