Bronzeville Survey

The community survey you are about to complete will provide important information for a variety of institutions serving the Douglas and Grand Boulvard community areas--Bronzeville. Please read carefully all items and chose the best response that accurately expresses your views and information. Please complete all questions that apply to you. If you have any questions please contact the Hoop Institute or the Black Metropolis Project at 773-325-2489.

Your Name:

ENVIRONMENT

How would you rank the following physical characteristics of your neighborhood?


1. Condition of abandoned buildings

Excellent
Very good
Good
Not good
Is in need of repair

2. Condition of Vacant lots

Excellent
Very good
Good
Not good
Is in need of repair

3. Conditions of streets and sidewalks

Excellent
Very good
Good
Not good
Is in need of repair

4. Condition of home and buildings

Excellent
Very good
Good
Not good
Is in need of repair

5. Presence of Debris and Graffiti

Excellent
Very good
Good
Not good
Is in need of repair

How would rank the physical characteristics of your residence?


6. Condition of construction/foundation

Excellent
Very good
Good
Not good
Is in need of repair

7. Condition of lighting fixtures

Excellent
Very good
Good
Not good
Is in need of repair

8. Condition of plumbing

Excellent
Very good
Good
Not good
Is in need of repair

9. Condition of stairs and elevators

Excellent
Very good
Good
Not good
Is in need of repair

10. Condition of waste disposal

Excellent
Very good
Good
Not good
Is in need of repair

How would you rank thee physical characteristics of the public spaces in your neighborhood?


11. Museums

Excellent
Very good
Good
Not good
Is in need of repair

12. Parks

Excellent
Very good
Good
Not good
Is in need of repair

13. Beaches

Excellent
Very good
Good
Not good
Is in need of repair

14. Libraries

Excellent
Very good
Good
Not good
Is in need of repair

15. Health Clubs

Excellent
Very good
Good
Not good
Is in need of repair

16. Community Centers

Excellent
Very good
Good
Not good
Is in need of repair

SAFETY & CRIME


17. I feel safe in my community.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

What are some of the behaviors that challenge your sense of safety in your community?

Check all that apply:


18. Gangs



19. Drugs



20. Law enforcement officers



21. Abandoned Buildings



22. Please list any other behaviors:



23. Has anyone been recently arrested for a crime on your block or in your area?

Yes
No
Not Sure

24. There is a significant degree of police presence in my community.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

25. The police in my community are here to "serve and protect".

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

26. Community policing is good for my neighborhood.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

POLITICS/COMMUNITY


27. Are you a registered voter?

Yes
No
Thinking about it

28. Who is your local alderperson?


Leave blank if you do not know.

29. My elected officials represent my political views.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

30. The mayor is concerned about my neighborhood.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

31. Are you a member of a local community organization?

Yes
No
Not Sure

If yes, which ones?


RECREATION/CULTURE


32. How often do you attend parks in your neighborhood?

Everyday
Once a week
Once a month
Seasonal
Never

33. Most of my recreation takes place during the day.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

34. Most of my recreation takes place at night.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

What types of recreational/cultural activities do you use in your community?

Check all that apply:


35. Museums



36. Parks



37. Libraries



38. Health clubs



39. Community centers



40. Nightclubs



41. What other types of recreational centers or services would you like to see available in your community?



42. Do you think that the former Palm Tavern on 47th Street should have been restored as an historic landmark?

Yes
No
Do not know
Need more information

Please complete the following information concerning your background.


43. Please select one:

Male
Female

44. Race

Caucasian (non-Hispanic)
African-American
Asian/Pacific Island
Native American
Hispanic
Biracial (please specify)
Other (please specify)

If you selected biracial or other above, please specify.



45. What is your age?


Economics/Employment


46. What is your employment status?

Full-time
Part-time
Seasonal employment
Self-employed
Off the books

47. What is your current occupation?

Blue collar
White collar
Administrative
Managerial
Executive officer
Trade/Skills
Teacher/Professor
Student
Currently unemployed

48. What is your annual income?

Less than $10,000
$10,000-$19,999
$20,000-$39,999
$40,000-$59,999
$60,000-$99,999
$100,000 or more

49. Do you have a checking account?

Yes
No
Thinking about it

50. Do you have a saving account?

Yes
No
Thinking about it

51. Do you invest in the stock market?

Yes
No
Thinking about it

52. Do you have a retirement/ pension plan?

Yes
No
Thinking about it

HOUSING


53. Do you recall when members of your family migrated to Chicago?

Yes
No
Do not recall

If yes, what state did they migrate from?



54. Did your family first settle in Grand Boulevard/Douglas area?

Yes
No
Do not know
No, but they moved there later

How long have you lived in Chicago?


55. Years:



56. Months:



57. What is your housing status? Check all that apply.

Rent apartment in four-flat or below
Rent apartment in multi-family dwelling
Own single family home
Own condominium

58. Owning your own home is the "American Dream".

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

59. The new single family and row house construction going on in the Douglas/Grand Boulevard area is a positive change.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

60. The demolition of the State Way Garden/ Robert Taylor Homes is a positive change.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

61. On the scale below how would you rank the value of your home?

Less than $40,000
$40,000 - 59,999
$60,000 - 79,999
$80,000 - 99,999
$100,000 - 199,999
$200,000 +
Not applicable, I'm not a home owner.

EDUCATION

What High School(s) did you attend in the Douglas/Grand Boulevard area?

Check all that apply.


62. Wendell Phillips



63. DuSable



64. Dunbar Vocational



65. DeLaSalle



66. Hales Franciscan



67. King



68. Other



69. None of these



70. Highest degree attained?

Less than 12th grade
H.S. diploma
College degree
Some college
Postgraduate

71. School reform has had a positive effect on the quality of education in Douglas/Grand Boulevard.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

72. My parent/guardian encouraged me to stay in school.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

73. The quality of the environment in which a school is located is important to educational achievement.

Extremely important
Very important
Uncertain
Somewhat important
Not important
Who was involved in your educational attainment? Check all that apply:

74. Teachers



75. Principal



76. School staff



77. Parents



78. Community organizations



79. Relatives



80. I received most of my educational training through school.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

81. My educational attainment was a pivotal factor in gaining employment.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

82. The educational quality in your community is changing in a positive way.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

83. When you attended high school there were a lot of problems with discipline.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

HEALTH


84. How often do you visit a doctor?

Once a month
Once a year
Once every six months
Only in emergencies

85. What type of medical insurance do you have?

HMO
Medicaid/Medicare
PPO
None
Other

If you selected other please specify:



86. How far is it to the nearest medical facility?

Less than a mile
Less than five miles
Less than ten miles
More than ten miles

87. What major medical facilities do you use in the Douglas and Grand Boulevard areas?

Michael Reese
Mercy
Provident/Cook County
University of Chicago
Other
None

If you selected other, please specify:



88. Do you think travel time effects your access to medical services?

Yes
No
Maybe
Unsure

89. What are some common health ailments that you or your family has had?

Cold/Flu
Heart Disease
Chronic illness (Diabetes, Asthma)
Minor illness
Substance Abuse (drug or alcohol abuse or dependency)

90. What type of health facility do you frequently visit?

Emergency Room
Health Clinic
Family Physician
Medical Specialist
Alternative Medicine

91. How likely are you to initiate the need to see a doctor for health related problems?

Very likely
Somewhat likely
Not likely
Do not know

92. The incidence of AIDS is increasing in the African- American community.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

93. In your opinion what is the quality of food products purchased in the local grocery store?

Extremely good
Very good
Fair
Poor
Very poor
Do not know

94. I usually eat a balanced diet.

Strongly agree
Agree
Uncertain
Disagree
Strongly disagree

95. Does anyone in your household require assistance with daily activities of dressing, eating or bathing?

Yes
No

If you answered yes to the previous question, who provides assistance for this person? Using the list below please identify sources of assistance. Please check all that apply.


96. Family



97. Neighbors



98. Friends



99. Other Paid caregiver



100. A worker from a community agency



Which agency



101. In the past year, has this person ever needed assistance with dressing, bathing or eating but had no one to help?

Yes
No
Not Applicable, I answered no to question 95

102. In the past year, did this person or someone else in your household spend any time in a nursing home?

Yes
No
Not Applicable, I answered no to question 95

If yes, please identify the name of the nursing home.



103. Who chose that particular nursing home?

Family members
Neighbors
Friends
Hospital social worker
A worker from a community agency
Not Applicable, I answered no to question 95

Which agency?



104. Why was the above agency chosen?

To remain in the neighborhood
They had an opening
It was convenient for my family members
I know someone who lives there
They accept Medicaid
Not Applicable, I answered no to question 95
Other

Other reason:



 

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