Fall 2008
Hello. My name
is ____________________. I am a
student at
1. Background
A. How long have you lived at this residence?
B. Why did you choose to live in this subdivision?
C. Do you own or rent your home? Own Rent
D. How long do you plan to live in this subdivision?
E. Where did you live before you moved to this subdivision?
F. Why did you move away from your last residence?
G. How many people live in your household? ________
H. What are the ages of those living in your household?
2. Services: Out of the following services, which do you have? How satisfied are you with the
services you have?
|
|
N/A |
Satisfied yes or no |
Comments |
|
Natural gas/propane |
|
|
|
|
Water (well/city) |
|
|
|
|
Electric power |
|
|
|
|
Cable TV/satellite |
|
|
|
|
High-speed Internet |
|
|
|
|
Telephone (land line) |
|
|
|
|
Cell phone |
|
|
Service provider? |
|
Sewer (septic/city) |
|
|
|
|
Garbage collection |
|
|
|
|
Yard waste collection |
|
|
|
|
Recycling (curb/drop) |
|
|
|
|
Street resurfacing |
|
|
|
|
Street lighting |
|
|
|
|
Convenient school bus |
|
|
|
3. Safety (If you are curious, ask them to explain.)
A. Do you consider your subdivision a safe place to live? Yes No
B. Are you satisfied with police services for your subdivision? Yes No
C. Are you satisfied with fire protection services for your subdivision? Yes No
D. Are you satisfied with 911 coverage for your subdivision? Yes No
E. Are you satisfied with siren coverage of your subdivision? Yes No
F. Do you have a neighborhood watch program? Yes No
G. Were there any incidents regarding safety within your
subdivision in the last year? If yes, how many? Yes No
4. Transportation
A. Does anyone living here drive a vehicle?
Yes No
B. On average, in minutes, by vehicle, how long does it take you to get to these places?
Comments
Hospital ________
Grocery Store ________
Library ________
Work ________
School ________
(Skip if no K-12 children)
Drug Store ________
Gas Station ________
C. How many vehicles do you ordinarily keep at this residence?
D. How accessible is public bus transportation to you here? (If 5, skip to 5A)
Low 1 2 3 4 5 High
E. If the bus were more accessible, would you use it? Yes No
5. Pre-K (skip to 6A if no Pre-K children in 1H)
A. Do any of your children living here attend a Pre-K program? Yes No
If no, skip to 6A.
B. What type of facility/program do they attend?
6. K-12 Education (skip 6A, 6B, and 6C if no school age children in 1H).
A. Do any of the children here attend K-12 school? Yes No
(If no, skip to 6D)
B. What school or schools do children attend?
C. How do the children living here get to school?
D. What are your opinions regarding the local schools?
7. Higher Education
A. Has anyone currently living here attended school beyond Grade 12? Yes No
B. What degrees and certificates have those living here earned?
C. From what institutions have they earned them?
8. Home Improvements
A. Have you made any outdoor upgrades to your home (pool, deck, landscaping, etc.)?
Yes No
B. Have you remodeled or built an addition to your home since you have lived here?
Yes No
C. Have you made any environmentally friendly upgrades to your property?
Yes No
9. Neighborhood Activities
A. Is there any common recreational property in this subdivision?
Yes No Do not know
B. Are there organized neighborhood activities in your subdivision?
(e.g., barbecue, block party) (If no, or do not know, skip to 8E)
Yes No Do not know
C. Do you attend any of these activities? Yes No (If yes, skip to 9E)
D. If not, why do you choose not to attend?
E. Do you regularly interact with your neighbors? Yes No (If no, skip to 9G)
F. If yes, do you consider this interaction positive? Yes No
G. Do you have a homeowner’s association? (If no, skip to 10A)
Yes No Do not know
H. If yes, how do you rate the effectiveness of the homeowners’ association?
Low 1 2 3 4 5 High
10. General Issues
A. Are you satisfied with public park facilities in your community?
Yes No
B. Is traffic a problem in this area? Yes No
C. Is parking a problem? Yes No
D. Is noise a problem for you? Yes No
E. Is outside air pollution a problem here? Yes No
11. Do you feel the same about the subdivision now as when you first moved in? Yes No
Comments:
12. If you could change anything about this subdivision, what would it be?
13. Overall, how do you rate living in this subdivision?
Low 1 2 3 4 5 High
14. Do you have any other comments about the quality of life in your subdivision?
Thank you for participating. Have a nice day.
Contact me via email at mdsuble@ilstu.edu
Return to Previous Questionnaire List.
Learn more about me at my homepage.
Created October 2008. Last revision occurred 16 October 2009.