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In which state do you currently live in?
 
 
 
Is this the same state you were raised in?
 
Yes
 
No
 
 
 
How would describe the area in which you live?
 
Rural
 
Large City
 
Small City
 
Suburb
 
 
 
How would you rate the occurrence of crime in your area?
 
Very Low
 
Low
 
Medium
 
High
 
Very High
 
 
 
Do you feel safe walking alone in your neighborhood?
 
Yes
 
No
 
 
 
What would do you carry with you for self defense when you are away from home?
 
Pepper Spray
 
Gun
 
Knife
 
Nothing, even though I am slightly worried when I am by myself
 
Nothing, I feel safe so I don't feel the need to
 
 
 
What most closely represents the unemployment rate in your area?
 
Below 3%
 
Between 3% and 5%
 
Between 6% and 8%
 
Above 9%
 
 
 
How often do you interact with your neighbors?
Example: Waving, assisting with small favors, cook outs, etc.
 
About weekly
 
Every few months
 
Maybe once a year
 
Never
 
 
 
Do you consider yourself to have a close relationship with your family?
Example: Kids, Siblings, Parents, Grandparents
 
Yes
 
Yes, Only with some
 
No
 
 
 
How common are community activities in your area?
Example: Farmers Markets, Street Fairs, etc
 
Very Common, Every month or so
 
Semi-Common, They occur a few times a year
 
Uncommon, They occur rarely if ever
 
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