Fillable Great Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback (Cascade County)

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Great Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback (Cascade County)

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Great Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback Survey
Thissurveyseekstomeasureourcommunity'sviews,thoughts,ideasandconcernsaboutoneofthepriorityhealth
issuesidentifiedinthe2011CommunityHealthImprovementPlanforGreatFallsandCascadeCounty.
DecreasingObesityRates
Pleasefeelfreetoforwardthelinktothissurveytoasmanypeopleaspossible.
Thesurveyshouldonlytakebetween5and10minutestocomplete.Youarefreetoskipanyquestionthatyouwould
prefernottoanswer.ThedatacollectedfromthissurveywillbeusedtocompleteaCommunityActionPlanforthe
ActionCommunitiesforHealth,Innovation,andEnVironmentalChangE(ACHIEVE)movementinCascadeCounty.
Thankyouforyourtimeandsharingyourthoughts.
Sincerely,
TheACHIEVECHARTTeamandGetFitGreatFalls
1. Which category below includes your age?
2. Which of the following categories best describes your employment status?
Description of Survey
Tell us a bit about you
Work Site
17oryounger
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18
20
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21
29
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30
39
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40
49
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50
59
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60orolder
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Employed,working1
39hoursperweek
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Employed,working40ormorehoursperweek
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Notemployed,lookingforwork
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Notemployed,NOTlookingforwork
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Retired
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Disabled,notabletowork
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Great Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback Survey
IfyouremployerhasNOTaskedyoutotakethissurveypleasefeelfreetoskipthisquestion.Yourindividualresponses
willnotbeshared!
Onlythecombinedresultswillbesharedwithemployers.
3. Who is your employer?
4. Does your place of work have a workplace wellness program or some other program
that encourages you to live a healthy lifestyle?
5. Do you have access to a fitness center, gymnasium or physical activity classes at your
place of work?
6. Does your place of work provide bicycle parking for patrons and employees?
Physical Activity at Work
BenefisHealthSystem
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CascadeCounty
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CityofGreatFalls
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GreatFallsPublicSchools
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Other(pleasespecify)
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Yes
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No
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NotApplicable
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Other(pleasespecify)
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Yes
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No
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Other(pleasespecify)
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Yes
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No
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Other(pleasespecify)
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7. How often do you see signs that encourage you to use stairs instead of an
elevator/escalator?
8. How often does your place of work encourage non
motorized commutes to your
facility?
9. How often do you ride a bicycle or walk to work?
WearecollectinginformationfromresidentsofallofCascadeCounty.Thismeansthatsomeofyouansweringthese
questionsliveinruralareasandthesmallercitiesandtowns.WhenyourespondtotheNeighborhoodandCommunity
questionsthinkabouttheareasurroundingwhereyouliveandthepeopleyouconsiderbeingmembersofyour
community.Pleaseskipanyquestionthatyoufeelyoucannotanswer.
Neighborhood and Community
Extremelyoften
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Veryoften
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Moderatelyoften
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Slightlyoften
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Notatalloften
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Extremelyoften
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Veryoften
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Moderatelyoften
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Slightlyoften
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Notatalloften
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Other(pleasespecify)
Almosteveryday
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Frequently
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Occasionaly
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Rarely
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Never
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Other(pleasespecify)
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10. How strong is the sense of community in your neighborhood?
11. How proud are you to live in your neighborhood?
12. What do you like most about your neighborhood?
13. What do you like least about your neighborhood?
14. What changes would most improve the physical activity level of people who live in
your neighborhood?
5
5
6
6
5
5
6
6
5
5
6
6
Neighborhood Questions
Extremelystrong
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Verystrong
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Moderatelystrong
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Slightlystrong
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Notatallstrong
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Extremelyproud
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Veryproud
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Moderatelyproud
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Slightlyproud
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Notatallproud
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15. Which of the following did you participate in over the past year? (Please check all that
apply)
16. Do you have access to a fitness center, gymnasium or physical activity classes in your
neighborhood?
17. How often do you attend events in your neighborhood?
18. If you do not attend events in your neighborhood, why not?
19. What types of events would you attend if they were held in this neighborhood?
5
5
6
6
5
5
6
6
WinterTrailsDay
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SummerTrailsDay
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IceBreaker
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SpringFlingHoopThing
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WalkingorbikingontheRiversEdgeTrail
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Other(pleasespecify)
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Yes
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No
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Other(pleasespecify)
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Extremelyoften
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Veryoften
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Moderatelyoften
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Slightlyoften
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Never
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20. How often do you visit the parks in your neighborhood?
21. How safe do you feel in your neighborhood to walk during the day?
22. How safe do you feel in your neighborhood to walk after dark?
23. How safe do you feel your neighborhood is for young children, 12 or younger, to walk
during the day?
Extremelyoften
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Veryoften
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Moderatelyoften
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Slightlyoften
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Never
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Ifnever,why?
Extremelysafe
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Verysafe
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Moderatelysafe
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Slightlysafe
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Notatallsafe
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Extremelysafe
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Verysafe
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Moderatelysafe
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Slightlysafe
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Notatallsafe
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Extremelysafe
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Verysafe
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Moderatelysafe
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Slightlysafe
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Notatallsafe
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24. How safe do you feel your neighborhood is for young children, 12 or younger, to walk
after dark?
25. How safe do you feel in your neighborhood to ride a bicycle?
26. How safe do you feel your neighborhood is for young children, 12 or younger, to ride a
bicycle?
27. How important is exercise to you?
Extremelysafe
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Verysafe
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Moderatelysafe
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Slightlysafe
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Notatallsafe
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Extremelysafe
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Verysafe
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Moderatelysafe
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Slightlysafe
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Notatallsafe
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Extremelysafe
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Verysafe
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Moderatelysafe
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Slightlysafe
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Notatallsafe
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Extremelyimportant
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Veryimportant
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Moderatelyimportant
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Slightlyimportant
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Notatallimportant
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28. During the past month, other than your regular job, did you participate in any physical
activities or exercises such as running, calisthenics, golf, gardening, or walking for
exercise?
29. In a typical week, how many times do you exercise?
30. What do you most often do for exercise?
31. Your Sex:
Tell us about yourself
Yes
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No
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Don'tknow/Notsure
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Bicycling
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Liftweights
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Walk
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Run
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Hike
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Swim
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Dance
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Aerobics
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Pilates
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Playateamsport
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Other(pleasespecify)
Male
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Female
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Other(pleasespecify)
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32. How many people, including yourself, live in your household?
33. What is your zipcode?
Map of City of Great Falls Neighborhood Councils
34. If you live in the City of Great Falls, what neighborhood council do you live in?
35. Are you now married, widowed, divorced, separated, or never married?
ZIP:
One
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Two
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Three
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Four
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Five
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Six
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Sevenormore
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NotApplicable
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NC#1
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NC#2
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NC#3
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NC#4
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NC#5
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NC#6
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NC#7
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NC#8
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NC#9
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Other(pleasespecify)
Married
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Widowed
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Divorced
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Separated
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Nevermarried(Single)
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Other(pleasespecify)
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36. Are you White, Black or African
American, American Indian or Alaskan Native, Asian,
Native Hawaiian or other Pacific islander, or some other race?
37. Which category below includes your yearly household income?
Wewanttomakesurethatyouknowyourresponseswillnotbereviewedonanindividualbasis.
Ifyouprovideyouremailaddressitwillonlybeusedtosendyoutheadditionalinformationyouindicateyouare
interestedinreceiving.
38. If you would like to receive an electronic copy of the results of this survey please enter
your email address.
39. Would you like us to send you additional information occasionally? (No more than
once per month)
ThankyouverymuchforyourtimeandprovidingtheCHARTTeamwithyourinsightsandinput!
IfyouhaveanyquestionspleasefeelfreetocontactAliciaM.Thompsonat791
9260or
Let us know if you would like more information!
Email Address:
Thank you!!!
White
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BlackorAfrican
American
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AmericanIndianorAlaskanNative
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Asian
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NativeHawaiianorotherPacificIslander
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Frommultipleraces
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Lessthan$11,170
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Morethan$11,170butlessthan$15,130
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Morethan$15,130butlessthan$19,090
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Morethan$19,090butlessthan$23,050
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Morethan$23,050butlessthan$46,100
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Morethan$46,100butlessthan$69,150
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Morethan$69,150peryear
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Yes
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No
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athompson@cascadecountymt.gov.
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Great Falls Neighborhood Feedback SurveyGreat Falls Neighborhood Feedback (Cascade County)

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Completed 25 January 2021

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