Fall 2010
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.
Did you live in McLean County before moving into this subdivision?
Yes
No
If yes, where did you live?
E. How many people live in
your household? ________
Pets? __________
F.
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 |
|
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Water
(well/city) |
|
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Electric
Power |
|
|
|
|
Cable
TV/satellite |
|
|
|
|
High-speed
Internet |
|
|
|
|
Telephone
(land line)
|
|
|
|
|
Cell
phone |
|
|
|
|
Sewer
(septic/city) |
|
|
|
|
Garbage
collection |
|
|
|
|
Yard waste
collection |
|
|
|
|
Recycling
(curb/drop) |
|
|
|
|
Street
resurfacing
|
|
|
|
|
Street
lighting |
|
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Snow
removal |
|
|
|
3.
Safety (If you are curious,
ask them to explain.)
A. How safe is your
subdivision as a place to live?
1 2
3 4
5 (safest)
B. Do you have a neighborhood
watch program?
Yes
No N/A
C. Is speeding a problem in
your subdivision?
Yes
No N/A
D. Are you satisfied with
subdivision’s storm siren coverage?
Yes
No N/A
E.
Are you satisfied with emergency services?
Yes
No N/A
F. Were there any incidents
regarding safety within your
subdivision in the last year? If
yes, please explain?
Yes
No N/A
4.
Transportation
A.
On average, in
minutes, how long does it take you to get to these places?
What means (vehicle, foot, bike, bus) do you use in each case?
Minutes
Means
Comments
Hospital
________
________
________________________
Grocery
Store
________
________
________________________
Work
________
________
________________________
School
________
________
________________________
(Skip if
no K-12 children.)
B.
How many motor vehicles do you ordinarily keep at this
residence?
C.
How accessible is public bus transportation to you here?
(If 5, skip to 5A.)
Low 1
2
3
4
5
High
D. If the bus were more
accessible, would you use it?
Yes
No
5.
Pre-K (Skip to 6A if no Pre-K
children in 1F.)
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 to 6D
if no school age children in 1F.)
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 PUBLIC
SCHOOLS?
7.
Higher Education
A. Has anyone currently
living here attended school beyond Grade 12?
Yes
No
(If
no, skip to 8.)
B. What degrees and
certificates have those living here earned?
You
Spouse/Partner
Others
C. From what institutions
have they earned them?
8.
Home Improvements
A. Have you made any outdoor
upgrades to your home (roof, deck, landscaping, etc.)?
Yes
No
B. Have you made any indoor
upgrades to your home (heating/cooling, paint, etc.)?
Yes
No
C. Have you remodeled or
built an addition to your home since you have lived here?
Yes
No
D.
Have you made any energy efficiency upgrades to your
property?
Yes
No
9.
Neighborhood Activities
A. Is there any private
recreational property in this subdivision? (If no, skip to 9B.)
Yes
No
Do not know (If yes,
ask if they use it?)
B.
Are there organized neighborhood activities in your subdivision?
(e.g., barbecue, block party)
(If no, or do not know, skip to 9D.)
Yes
No
Do not know
C.
Do you attend any of these activities?
Yes No
D.
Do you regularly interact with your neighbors?
Yes
No (If
no, skip to 9F.)
E.
If yes, do you consider this interaction positive?
Yes
No
F.
Do you have a homeowners’ association?
(If no, skip to 10A.)
Yes
No
Do not know
G.
If yes, how do you rate the effectiveness of the homeowners’ association?
Low
1
2
3
4
5
High
10. General
Issues
A.
Is parking a problem near your home?
Yes
No
B.
Is noise a problem for you?
Yes
No
C.
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, 1 through 5, with 5 being highest?
Low
1
2
3
4
5
High (Ask for
explanation.)
14. Do you
have any other comments about the quality of life in your subdivision?
(Probe for senior issues if anyone here is 65 or older.)
Thank you for participating.
Have a nice day.
EXTRA PAGE FOR OVERFLOW NOTES
Contact me via email at mdsuble@ilstu.edu
Return to Previous Questionnaire List.
Learn more about me at my homepage.
Created October 2010. Last revision occurred 21 October 2011.