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

2. Condition of Vacant lots

3. Conditions of streets and sidewalks

4. Condition of home and buildings

5. Presence of Debris and Graffiti

How would rank the physical characteristics of your residence?

6. Condition of construction/foundation

7. Condition of lighting fixtures

8. Condition of plumbing

9. Condition of stairs and elevators

10. Condition of waste disposal

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

11. Museums

12. Parks

13. Beaches

14. Libraries

15. Health Clubs

16. Community Centers

SAFETY & CRIME

17. I feel safe in my community.

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.

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

26. Community policing is good for my neighborhood.

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.

30. The mayor is concerned about my neighborhood.

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?

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

34. Most of my recreation takes place at night.

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

If you selected biracial or other above, please specify.

45. What is your age?

Economics/Employment

46. What is your employment status?

47. What is your current occupation?

48. What is your annual income?

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".

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

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

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

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?

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

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

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

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.

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

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

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

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?

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?

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?

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

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.

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

94. I usually eat a balanced diet.

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?

Which agency?

104. Why was the above agency chosen?

Other reason:

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