Community Members and Business Owners
Community School Survey
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Are you a resident of the Moriarty-Edgewood School district? If you are not a resident you do not need to take this survey. If you are a resident, please complete the full survey.
What is your age?
What is your Ethnicity? Are you Hispanic, Latino/a or Spanish Origin? (One or more can be selected)
Mexican/ Mexican American/ Chicano
No, not of Hispanic, Latino/a, or Spanish Origin.
Yes, other Hispanic, Latino/a, or Spanish Origin.
What is your Race? (One or more can be selected)
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
Other/ Not Listed
Highest Level of Education
No schooling Completed
Nursery School to 8th Grade
Some High School/ No Diploma
High School Graduate
Some College Credit/ No degree
Trade/Technical/ vocational training
Masters Degree or Higher
Single/ Never Married
Married or Domestic Partnership
Divorced or Seperated
Out of work and looking for work
Out of work and not looking for work
Unable to Work
Do you have children that attend school within the Moriarty-Edgewood School district?
If you answered yes to the above question what school does your child attend and what do you like about the school?
If you have children in school, what would make your child/children's school better?
We know that some students and families have challenges that might get in the way of their success at school or work. Can you help identify some of the challenges your family may need help with?
Housing/ Bill Payments
Access to healthcare
If you answered "Other" on the question above, please write down examples.
Do you, or other adults, want adult education programs available?
What are some of the most positive things about your neighborhood?
What could make your neighborhood better?
Are there some community activities you would like to see at the school building?
If given the opportunity to volunteer, would you do so in order to make your community better?
If you answered yes to the question above, what volunteer work would you like to be made available?
Do you own a business in the community? If so, what is it?
If you answered yes to the above question, as a business owner, how could your business strengthen the community?
Every community school should have teams of school and community stakeholders dedicated to solving problems that are identified in the needs and asset assessment, as well as problems identified by stakeholders subsequent to the assessment. The solutions identified by the stakeholder problem-solving teams change the way things are done in and outside of school hours and, at times, involve partnerships with outside organizations and individuals. If you would like to be part of the community school stakeholder committee please email me at
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This form was created inside of Moriarty-Edgewood School District.