Block Party Survey and Evaluation

A printable version of this survay which you can take to your block party can be found here.

Thank you for taking the time to fill out this short survey. Your input is greatly appreciated. Your answers to these questions will be made completely confidential and anonymous so please be as open and honest as possible. (Please check the best possible answer)

  1. Gender:
    2. Male  Female

  2. Approximately how long have you been living at your current resident?
    3.  


  3. Does your family own or rent the home you are living in now?




  4. Do you have children under 17?
    5. Yes  No

For the following statements, please use a scale from 1 to 5. Choose the most appropriate response.
(1 –Strongly Disagree; 2 –Disagree; 3 –Undecided; 4 –Agree; 5 –Strongly Agree)

   1       2      3      4       5
A. I can trust my neighbors.          
B. I am comfortable asking my neighbor for help.          
C. I am likely to invite my neighbors into my home.          
D. I am likely to call the police if I suspect any illegal activity.          
  1. Approximately how many neighbors do you think you met at the block party?


  2. What 3 things did you like best about this block party?



  3. What 3 things would you change for next time?



  4. How would you like the neighborhood connections made at this block party to be maintained throughout the year?  



  5. Do you know someone that would be interested in hosting a block party on their block? Please write their name and contact information below.  



  6. Are you willing to help with the planning of future neighborhood events?
    7. Yes   No  

If yes, please leave your name and contact information.

Name (optional):

Phone Number:

Email: