* Required Information
page 1 Thank you for taking the time to complete this survey on sense of community among residents of Albuquerque, New Mexico. This survey is part of my studies as a master's student in family studies at the University of New Mexico. If you choose to participate, you will be asked questions about your community and yourself, including your interaction with others in your community and your knowledge of community resources. Participation in this study is completely voluntary, and you may decline to answer any question, or stop at any time during the questionnaire. There are no expected negative consequences that may result from participation in this study. Your responses will remain completely anonymous. Please contact Lee Ann Ratzlaff at
[email protected], or Dr. Ziarat Hossain at
[email protected] with any questions or concerns relating to this study. If you have questions regarding your legal rights as a research subject, you may call the UNM Human Research Protections Office at 505-272-1129.
page 2 The first set of questions include demographic questions. Please remember that your answers will remain anonymous.
1. What neighborhood do you live in? (Please note, this survey is only open to current residents of Albuquerque, New Mexico. If you do not live in Albuquerque, please do not complete this survey.) ____________________________________________________________________ ____________________________________________________________________
* 2. What is your zip code? ____________________________________________________________________ ____________________________________________________________________
3. What is your age? (Select one option) 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 or older
4. What is your gender? (Select one option) Male Female Other __________
5. What is your current living situation? (check all that apply) live alone with parents with other relatives with roommates with romantic partner with spouse with children under 17
Other (please specify) ______________
with roommates with romantic partner with spouse with children under 17
Other (please specify) ______________
6. What is your highest level of education? (Select one option) less than high school High School/GED Vocational/Technical school Some college, no longer attending Currently enrolled, seeking degree Graduated from college Some graduate school Completed graduate program Other (please specify) __________
page 3 People define their own community in a variety of ways, and some may belong to more than one community. This set of questions are about your feelings toward your community, and your interactions with members of your community. Please answer the following questions about the community you have the strongest connection to, who also reside in the Albuquerque area.
7. What kind of community are you refering to when answering questions in this section? (For example: familial, neighborhood, school-based, religious, sports, book club, etc.) ____________________________________________________________________ ____________________________________________________________________
8. I have a good bond with my community. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
9. If I feel like talking, I can generally find someone in my community to talk to right away. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
10. My community has shared meaning and goals. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
11. There is no one in my community that I can turn to. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
11. There is no one in my community that I can turn to. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
12. Members of my community help each other out. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
13. I feel welcomed and accepted in my community. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
14. Members of my community have shared symbols, language, or culture. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
15. I have no friends in my community who I can depend on. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
16. Members of my community generally want the same things as I do. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
17. Is there a physical location where members of your community regularly gather? Yes No
If yes, please specify ______________
page 4 The final section of this survey will ask questions about your knowledge and skill base, and your personal needs fulfillment.
18. I know how to create and manage a personal budget. (Select one option)
page 4 The final section of this survey will ask questions about your knowledge and skill base, and your personal needs fulfillment.
18. I know how to create and manage a personal budget. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
19. I know how to effectively manage my time. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
20. I know how to plan, shop for, and prepare healthy meals. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
21. I know how to plant, manage, and harvest a vegetable garden. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
22. I know how to perform basic bike, car, or other mechanical maintenance. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
23. I know some kind of trade (carpentry, welding, plumbing, etc.) (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
24. I know some type of craft (sewing, needlework, leather work, etc.) (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
25. I know how to create a resume and apply for positions I am qualified for, or how to network to find employment. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
26. I know how to complete a lease application, or know how to secure living quarters. (Select one option)
Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
26. I know how to complete a lease application, or know how to secure living quarters. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
27. I feel like my basic needs are met on a daily basis. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
28. I know where to go if I need assistance meeting my daily needs. (Select one option) Strongly disagree 1
Strongly agree
Neutral 2
3
4
5
29. Do you know of a place in Albuquerque where people in your community can come together to prepare and share meals, engage in casual social activities, or take classes from other community members? Yes No Don't know
If yes, please specify where and if you utilized services ______________
30. What skills or knowledge do you possess that you could share with your community? ____________________________________________________________________ ____________________________________________________________________
Thank you very much for your participation in this survey. If you have any questions, please contact Lee Ann Ratzlaff at
[email protected] or Ziarat Hossain at
[email protected].
