The National Community Survey™ • © 2001-2021 National Research Center, Inc.
The XYZ of ABC 2021 Community Survey
Please complete this survey if you are the adult (age 18 or older) in the household who most recently had a birthday (the year of birth does not matter). Your responses are anonymous and will be reported in group form only.
1. Please rate each of the following aspects of quality of life in ABC.
Excellent Good Fair Poor Don’t know
ABC as a place to live .............................................................................................................. 1 2 3 4 5 Your neighborhood as a place to live .............................................................................. 1 2 3 4 5 ABC as a place to raise children ......................................................................................... 1 2 3 4 5 ABC as a place to work ........................................................................................................... 1 2 3 4 5 ABC as a place to visit ............................................................................................................. 1 2 3 4 5 ABC as a place to retire .......................................................................................................... 1 2 3 4 5 The overall quality of life in ABC ....................................................................................... 1 2 3 4 5 Sense of community ................................................................................................................ 1 2 3 4 5
2. Please rate each of the following characteristics as they relate to ABC as a whole.
Excellent Good Fair Poor Don’t know
Overall economic health of ABC ........................................................................................ 1 2 3 4 5 Overall quality of the transportation system (auto, bicycle, foot, bus) in ABC ....................................................................................................................................... 1 2 3 4 5 Overall design or layout of ABC’s residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) ................................................. 1 2 3 4 5 Overall quality of the utility infrastructure in ABC
(water, sewer, storm water, electric, gas) ................................................................ 1 2 3 4 5 Overall feeling of safety in ABC .......................................................................................... 1 2 3 4 5 Overall quality of natural environment in ABC ........................................................... 1 2 3 4 5 Overall quality of parks and recreation opportunities ............................................ 1 2 3 4 5 Overall health and wellness opportunities in ABC .................................................... 1 2 3 4 5 Overall opportunities for education, culture, and the arts..................................... 1 2 3 4 5 Residents’ connection and engagement with their community .......................... 1 2 3 4 5
3. Please indicate how likely or unlikely you are to do each of the following.
Very Somewhat Somewhat Very Don’t
likely likely unlikely unlikely know
Recommend living in ABC to someone who asks .................................1 2 3 4 5 Remain in ABC for the next five years .......................................................1 2 3 4 5
4. Please rate how safe or unsafe you feel:
Very Somewhat Neither safe Somewhat Very Don’t
safe safe nor unsafe unsafe unsafe know
In your neighborhood during the day ...................................... 1 2 3 4 5 6 In ABC’s downtown/commercial area
during the day ............................................................................... 1 2 3 4 5 6 From property crime ....................................................................... 1 2 3 4 5 6 From violent crime ........................................................................... 1 2 3 4 5 6 From fire, flood, or other natural disaster ............................. 1 2 3 4 5 6
5. Please rate the job you feel the ABC community does at each of the following.
Excellent Good Fair Poor Don’t know
Making all residents feel welcome ................................................................................... 1 2 3 4 5 Attracting people from diverse backgrounds .............................................................. 1 2 3 4 5 Valuing/respecting residents from diverse backgrounds ...................................... 1 2 3 4 5 Taking care of vulnerable residents (elderly, disabled, homeless, etc.) ........... 1 2 3 4 5
6. Please rate each of the following in the ABC community.
Excellent Good Fair Poor Don’t know
Overall quality of business and service establishments in ABC........................... 1 2 3 4 5 Variety of business and service establishments in ABC .......................................... 1 2 3 4 5 Vibrancy of downtown/commercial area ..................................................................... 1 2 3 4 5 Employment opportunities ................................................................................................. 1 2 3 4 5 Shopping opportunities ........................................................................................................ 1 2 3 4 5 Cost of living in ABC ................................................................................................................ 1 2 3 4 5 Overall image or reputation of ABC ................................................................................. 1 2 3 4 5
The National Community Survey™ • © 2001-2021 National Research Center, Inc.
7. Please also rate each of the following in the ABC community.
Excellent Good Fair Poor Don’t know
Traffic flow on major streets ............................................................................................... 1 2 3 4 5 Ease of public parking ............................................................................................................ 1 2 3 4 5 Ease of travel by car in ABC ................................................................................................. 1 2 3 4 5 Ease of travel by public transportation in ABC ........................................................... 1 2 3 4 5 Ease of travel by bicycle in ABC ......................................................................................... 1 2 3 4 5 Ease of walking in ABC .......................................................................................................... 1 2 3 4 5 Well-planned residential growth ...................................................................................... 1 2 3 4 5 Well-planned commercial growth .................................................................................... 1 2 3 4 5 Well-designed neighborhoods ........................................................................................... 1 2 3 4 5 Preservation of the historical or cultural character of the community ............ 1 2 3 4 5 Public places where people want to spend time ........................................................ 1 2 3 4 5 Variety of housing options ................................................................................................... 1 2 3 4 5 Availability of affordable quality housing ..................................................................... 1 2 3 4 5 Overall quality of new development in ABC ................................................................. 1 2 3 4 5 Overall appearance of ABC .................................................................................................. 1 2 3 4 5 Cleanliness of ABC ................................................................................................................... 1 2 3 4 5 Water resources (beaches, lakes, ponds, riverways, etc.) ..................................... 1 2 3 4 5 Air quality .................................................................................................................................... 1 2 3 4 5 Availability of paths and walking trails .......................................................................... 1 2 3 4 5 Fitness opportunities (including exercise classes and paths or trails, etc.) ... 1 2 3 4 5 Recreational opportunities .................................................................................................. 1 2 3 4 5 Availability of affordable quality food ............................................................................ 1 2 3 4 5 Availability of affordable quality health care ............................................................... 1 2 3 4 5 Availability of preventive health services ..................................................................... 1 2 3 4 5 Availability of affordable quality mental health care ............................................... 1 2 3 4 5 Opportunities to attend cultural/arts/music activities .......................................... 1 2 3 4 5 Community support for the arts ........................................................................................ 1 2 3 4 5 Availability of affordable quality childcare/preschool ............................................ 1 2 3 4 5 K-12 education .......................................................................................................................... 1 2 3 4 5 Adult educational opportunities ....................................................................................... 1 2 3 4 5 Sense of civic/community pride ........................................................................................ 1 2 3 4 5 Neighborliness of residents in ABC .................................................................................. 1 2 3 4 5 Opportunities to participate in social events and activities .................................. 1 2 3 4 5 Opportunities to attend special events and festivals ............................................... 1 2 3 4 5 Opportunities to volunteer .................................................................................................. 1 2 3 4 5 Opportunities to participate in community matters ................................................ 1 2 3 4 5 Openness and acceptance of the community toward people
of diverse backgrounds ..................................................................................................... 1 2 3 4 5
8. Please indicate whether or not you have done each of the following in the last 12 months.
No Yes
Contacted the XYZ of ABC (in-person, phone, email, or web) for help or information ....................................... 1 2 Contacted ABC elected officials (in-person, phone, email, or web) to express your opinion .......................... 1 2 Attended a local public meeting (of local elected officials like City Council or County Commissioners, advisory boards, town halls, HOA, neighborhood watch, etc.) ............................................ 1 2 Watched (online or on television) a local public meeting ............................................................................................... 1 2 Volunteered your time to some group/activity in ABC .................................................................................................... 1 2 Campaigned or advocated for a local issue, cause, or candidate .................................................................................. 1 2 Voted in your most recent local election ................................................................................................................................ 1 2 Used bus, rail, subway, or other public transportation instead of driving ............................................................... 1 2 Carpooled with other adults or children instead of driving alone .............................................................................. 1 2 Walked or biked instead of driving ........................................................................................................................................... 1 2
The National Community Survey™ • © 2001-2021 National Research Center, Inc.
The XYZ of ABC 2021 Community Survey
9. Please rate the quality of each of the following services in ABC.
Excellent Good Fair Poor Don’t know
Public information services ............................................................................................. 1 2 3 4 5 Economic development ..................................................................................................... 1 2 3 4 5 Traffic enforcement ............................................................................................................ 1 2 3 4 5 Traffic signal timing ............................................................................................................ 1 2 3 4 5 Street repair ........................................................................................................................... 1 2 3 4 5 Street cleaning ....................................................................................................................... 1 2 3 4 5 Street lighting ........................................................................................................................ 1 2 3 4 5 Snow removal ........................................................................................................................ 1 2 3 4 5 Sidewalk maintenance ....................................................................................................... 1 2 3 4 5 Bus or transit services ....................................................................................................... 1 2 3 4 5 Land use, planning, and zoning ...................................................................................... 1 2 3 4 5 Code enforcement (weeds, abandoned buildings, etc.) ...................................... 1 2 3 4 5 Affordable high-speed internet access ....................................................................... 1 2 3 4 5 Garbage collection ............................................................................................................... 1 2 3 4 5 Drinking water ...................................................................................................................... 1 2 3 4 5 Sewer services ....................................................................................................................... 1 2 3 4 5 Storm water management (storm drainage, dams, levees, etc.) .................... 1 2 3 4 5 Power (electric and/or gas) utility ............................................................................... 1 2 3 4 5 Utility billing .......................................................................................................................... 1 2 3 4 5 Police/Sheriff services ....................................................................................................... 1 2 3 4 5 Crime prevention ................................................................................................................. 1 2 3 4 5 Animal control ....................................................................................................................... 1 2 3 4 5 Ambulance or emergency medical services ............................................................. 1 2 3 4 5 Fire services ........................................................................................................................... 1 2 3 4 5 Fire prevention and education ....................................................................................... 1 2 3 4 5 Emergency preparedness (services that prepare the community for natural disasters or other emergency situations) ..................................... 1 2 3 4 5 Preservation of natural areas (open space, farmlands, and greenbelts) ..... 1 2 3 4 5 ABC open space ..................................................................................................................... 1 2 3 4 5 Recycling .................................................................................................................................. 1 2 3 4 5 Yard waste pick-up.............................................................................................................. 1 2 3 4 5 XYZ parks ................................................................................................................................. 1 2 3 4 5 Recreation programs or classes .................................................................................... 1 2 3 4 5 Recreation centers or facilities ...................................................................................... 1 2 3 4 5 Health services ...................................................................................................................... 1 2 3 4 5 Public library services ....................................................................................................... 1 2 3 4 5 Overall customer service by ABC employees
(police, receptionists, planners, etc.) ..................................................................... 1 2 3 4 5
10. Please rate the following categories of ABC government performance.
Excellent Good Fair Poor Don’t know
The value of services for the taxes paid to ABC ...................................................... 1 2 3 4 5 The overall direction that ABC is taking .................................................................... 1 2 3 4 5 The job ABC government does at welcoming resident
involvement ....................................................................................................................... 1 2 3 4 5 Overall confidence in ABC government ...................................................................... 1 2 3 4 5 Generally acting in the best interest of the community ...................................... 1 2 3 4 5 Being honest ........................................................................................................................... 1 2 3 4 5 Being open and transparent to the public ................................................................. 1 2 3 4 5 Informing residents about issues facing the community ................................... 1 2 3 4 5 Treating all residents fairly ............................................................................................. 1 2 3 4 5 Treating residents with respect .................................................................................... 1 2 3 4 5
The National Community Survey™ • © 2001-2021 National Research Center, Inc.
11. Overall, how would you rate the quality of the services provided by each of the following? Excellent Good Fair Poor Don’t know
The XYZ of ABC ..................................................................................................................... 1 2 3 4 5 The Federal Government .................................................................................................. 1 2 3 4 5
12. Please rate how important, if at all, you think it is for the ABC community to focus on each of the following in the coming two years.
Very Somewhat Not at all
Essential important important important
Overall economic health of ABC ...........................................................................................1 2 3 4 Overall quality of the transportation system (auto, bicycle, foot, bus) in ABC ..........................................................................................................................................1 2 3 4 Overall design or layout of ABC’s residential and commercial areas (e.g., homes, buildings, streets, parks, etc.) .....................................................1 2 3 4 Overall quality of the utility infrastructure in ABC
(water, sewer, storm water, electric, gas) ....................................................................1 2 3 4 Overall feeling of safety in ABC .............................................................................................1 2 3 4 Overall quality of natural environment in ABC ..............................................................1 2 3 4 Overall quality of parks and recreation opportunities ...............................................1 2 3 4 Overall health and wellness opportunities in ABC .......................................................1 2 3 4 Overall opportunities for education, culture, and the arts........................................1 2 3 4 Residents’ connection and engagement with their community .............................1 2 3 4 xx. Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1 Custom Question #1
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Scale point 1 Scale point 2 Scale point 3 Scale point 4 Scale point5 xx. OPTIONAL [See Worksheets for details and price of this option] Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open-Ended Question Open- Ended Question
The National Community Survey™ • © 2001-2021 National Research Center, Inc.
The XYZ of ABC 2021 Community Survey
Our last questions are about you and your household.
Again, all of your responses to this survey are completely anonymous and will be reported in group form only.
D1. In general, how many times do you:
Several Once A few times Every Less often Don’t
times a day a day a week few weeks or never know
Access the internet from your home using
a computer, laptop, or tablet computer ......................1 2 3 4 5 6 Access the internet from your cell phone .......................1 2 3 4 5 6 Visit social media sites such as Facebook,
Twitter, Nextdoor, etc. .......................................................1 2 3 4 5 6 Use or check email ....................................................................1 2 3 4 5 6 Share your opinions online ...................................................1 2 3 4 5 6 Shop online ..................................................................................1 2 3 4 5 6 D2. Please rate your overall health.
Excellent Very good Good Fair Poor
D3. What impact, if any, do you think the economy will have on your family income in the next 6 months? Do you think the impact will be:
Very positive Somewhat positive Neutral Somewhat negative Very negative
D4. How many years have you lived in ABC?
Less than 2 years
2-5 years
6-10 years
11-20 years
More than 20 years
D5. Which best describes the building you live in?
One family house detached from any other houses
Building with two or more homes
(duplex, townhome, apartment, or condominium)
Mobile home
Other
D6. Do you rent or own your home?
Rent
Own
D7. About how much is your monthly housing cost
for the place you live (including rent, mortgage
payment, property tax, property insurance, and
homeowners’ association (HOA) fees)?
Less than $500 $2,000 to $2,499
$500 to $999 $2,500 to $2,999
$1,000 to $1,499 $3,000 to $3,499
$1,500 to $1,999 $3,500 or more
D8. Do any children 17 or under live in your
household?
No Yes
D9. Are you or any other members of your
household aged 65 or older?
No Yes
D10. How much do you anticipate your household’s
total income before taxes will be for the current
year? (Please include in your total income
money from all sources for all persons living in
your household.)
Less than $25,000 $75,000 to $99,999
$25,000 to $49,999 $100,000 to $149,999
$50,000 to $74,999 $150,000 or more
D11. Are you Spanish, Hispanic or Latino?
No, not Spanish, Hispanic, or Latino
Yes, I consider myself to be Spanish, Hispanic, or
Latino
D12. What is your race? (Mark one or more races to
indicate what race you consider yourself to be.)
American Indian or Alaskan Native
Asian, Asian Indian, or Pacific Islander
Black or African American
White
Other
D13. In which category is your age?
18-24 years 55-64 years
25-34 years 65-74 years
35-44 years 75 years or older
45-54 years
D14. What is your gender?
Female
Male
Identify in another way
Thank you! Please return the completed survey in the postage-paid envelope to:
National Research Center, Inc., PO Box 549, Belle Mead, NJ 08502