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The City of Ramsey 2014 Citizen Survey <br />Our last questions are about you and your household. Again, all of your responses to this survey are <br />completely anonymous and will be reported in group form only. <br />D 1. How often, if at all, do you do each of the following, considering all of the times you could? <br />Never Rarely Sometimes Usually rlhsays <br />Recycle at home 1 2 3 4 5 <br />Purchase goods or services from a business located in Ramsey 1 2 3 4 5 <br />Vote in local elections 1 2 3 4 5 <br />D2. Would you say that in general your health is: <br />0 Excellent 0 Very good 0 Good <br />0 Fair 0 Poor <br />D3. What impact, if any, do you think the economy will have on your family income in the next 6 months? Do you <br />think the impact will be: <br />O Very positive 0 Somewhat positive <br />D4. What is your employment status? <br />O Working full time for pay <br />O Working part time for pay <br />O Unemployed, looking for paid work <br />O Unemployed, not looking for paid work <br />O Fully retired <br />D5. Do you work inside the boundaries of Ramsey? <br />O Yes, outside the home <br />O Yes, from home <br />O No <br />D6. How many years have you lived in Ramsey? <br />O Less than 2 years <br />O 2-5 years <br />O 6-10 years <br />O 11-20 years <br />O More than 20 years <br />0 Neutral <br />D7. Which best describes the building you live in? <br />O One family house detached from any other houses <br />O Building with two or more homes (duplex, townhome, <br />apartment or condominium) <br />O Mobile home <br />O Other <br />D8. Is this house, apartment or mobile home... <br />O Rented <br />O Owned <br />D9.About how much is your monthly housing cost for <br />the place you live (including rent, mortgage <br />payment, property tax, property insurance and <br />homeowners' association (HOA) fees)? <br />O Less than $300 per month <br />O $300 to $599 per month <br />O $600 to $999 per month <br />O $1,000 to $1,499 per month <br />O $1,500 to $2,499 per month <br />O $2,500 or more per month <br />D 10. Do any children 17 or under live in your <br />household? <br />ONo OYes <br />D 11. Are you or any other members of your household <br />aged 65 or older? <br />O No O Yes <br />0 Somewhat negative 0 Very negative <br />D12. How much do you anticipate your household's <br />total income before taxes will be for the current <br />year? (Please include in your total income money <br />from all sources for all persons living in your <br />household.) <br />O Less than $25,000 <br />O $25,000 to $49,999 <br />O $50,000 to $99,999 <br />O $100,000 to $149,999 <br />O $150,000 or more <br />Please respond to both questions D13 and D14: <br />D13. Are you Spanish, Hispanic or Latino? <br />O No, not Spanish, Hispanic or Latino <br />O Yes, I consider myself to be Spanish, Hispanic <br />or Latino <br />D14. What is your race? (Mark one or more races <br />to indicate what race you consider yourself <br />to be.) <br />0 American Indian or Alaskan Native <br />O Asian, Asian Indian or Pacific Islander <br />O Black or African American <br />O White <br />O Other <br />D15. In which category is your age? <br />0 55-64 years <br />O 65-74 years <br />O 75 years or older <br />O 18-24 years <br />O 25-34 years <br />O 35-44 years <br />O 45-54 years <br />D16. What is your sex? <br />O Female 0 Male <br />D17. Do you consider a cell phone or land line your <br />primary telephone number? <br />O Cell 0 Land line 0 Both <br />Thank you for completing this survey. Please <br />return the completed survey in the postage -paid <br />envelope to: National Research Center, Inc., <br />PO Box 549, Belle Mead, NJ 08502 <br />Page 5 of 5 <br />