Community Survey

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Community Survey

Community Involvement Plan Survey for the redevelopment of 1103 North Nebraska Avenue--Brownfields Redevelopment Site

Do you work near the 1103 North Nebraska Ave. Site?

Yes

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Occupation

Please select all that apply

Service Industry

Retail Sales

Commercial Sales

Factory/Industrial

Construction

Technical

Military

Unemployed

Other:

Do you own a business near the 1103 North Nebraska Ave. Site?

Yes

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If you do own a business in the 1103 North Nebraska Ave. area, for how long have you owned it?

Less than 5 years

5-10 years

More than 10 years

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If you do own a business in the 1103 North Nebraska Ave. area, what is the business type?

Restaurant

Retail

Wholesale

Construction

Technical

Other:

Clear selection

Do you have school-aged children?

Yes

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Would you like to have space for daycare/after-school activities (all grades) included in this 1103 North Nebraska Ave. Site?

Yes

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How long have you lived within a 2-mile radius of the 1103 North Nebraska Ave. Site?

Less than 5 years

5-10 years

11-20 years

Over 20 years

Do not live near the area

Clear selection

Do you rent or own your housing?

Own

Rent

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Do you shop in within the vicinity of the 1103 North Nebraska Ave. Area?

Within 1 mile

Within 2 miles

Within 3 miles

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If you do not shop within the vicinity, why not?

Please select all that apply

Goods or services I want are unavailable in this area

Quality of goods is not what I want

I cannot access goods/services

No transportation to shops

Other:

What type of goods and/or services would you like to see at 1103 North Nebraska Ave.?

Please select all that apply

Grocery

Medical/Walk-In Clinic

Pharmacy

Gym

Super Store

General/Retail Store

Restaurant

Legal Services

Bank/Credit Union

Employment Agency

Laundromat

Child Care

Hardware Store

Playground/Recreational Area

Other:

Age range

Optional

18-25

26-35

36-45

46- 59

60+

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Gender

Optional

Female

Male

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Primary language spoken

Optional

English

Spanish

Creole

French

Other:

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Race

Optional

Black

White

Asian

Pacific Islander

Native American

Other:

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Ethnicity

Optional

Hispanic

Non-Hispanic

Caribbean

Other:

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Please let us know of any comments, questions or concerns you may have

Submit

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