Community Conditions & Investment Survey
Participant Information
First name (Optional)
Last name (Optional)
Email for focus group (Optional)
Address (Optional)
Zip
Neighborhood (Optional)
Age (Check one)
16–25
26–35
36–45
46–55
56–65
66+
County (Drop-down)
Gender (Drop-down)
Sexual Orientation (Optional – Drop-down)
Race / Ethnicity
Black or African American
White
Hispanic or Latino/a/x
Native American or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to say
Bi-Racial/ Multi -Racial
Community Experience Questions
Safety & Infrastructure
I feel safe walking in my community during the day
1 Strongly Disagree
2 Disagree
3 Neutral
4 Agree
5 Strongly Agree
I feel safe walking in my community at night.
1 Strongly Disagree
2 Disagree
3 Neutral
4 Agree
5 Strongly Agree
Sidewalks, roads, and street lighting in my community are well maintained.
1 Strongly Disagree
2 Disagree
3 Neutral
4 Agree
5 Strongly Agree
Public spaces (parks, recreation centers, libraries) in my community are in good condition.
1 Strongly Disagree
2 Disagree
3 Neutral
4 Agree
5 Strongly Agree
Next
Community Development Survey