Form Center

2. The City of Dubuque receives Community Development Block Grant (CDBG) federal funds each year for housing and community development projects. The Housing and Community Development Department want you to have a voice in how the City invests this money. Please assist us by filling out this survey.
4. In your responses below, which area of the City of Dubuque are you addressing?*

   1. City Wide
   2. West End
   3. North

   1. South
   2. Downtown
   3. Other
6. Please Specify:
8. If you are addressing a specific neighborhood, please mark all that apply.

   1. Downtown Neighborhood
   2. Historic Bluffs Neighborhood
   3. North End Neighborhood
   4. Washington Neighborhood

   1. Valley View Neighborhood
   2. Point Neighborhood
   3. Langworthy District Neighborhood
   4. Broadway Extended Neighborhood

   1. Grandview Neighborhood
   2. Bluff Street Neighborhood
   3. Hilltop/Ivy League
   4. Other
10. Please Specify:
12. Using the Chart Below, what letter best represents your household income before taxes during the past 12 months?
    -- Select One --ABCD
14. 
16. What is your race (select all that apply)

    1. American Indian or Alaska Native
    2. Asian
    3. Black or African American

    1. Native Hawaiian or Other Pacific Islander
    2. White
    3. Other
17. What is your ethnicity?

    1. Hispanic
    2. Non Hispanic
19. What is your age?

    1. Under 18 years
    2. 18-24 years
    3. 25-34 years
    4. 35-44 years

    1. 45-54 years
    2. 55-64 years
    3. Age 65 or older
21. 1. Suitable Living Environment:
    For each of the following categories, please rate every item by checking the appropriate box indicating the level of need you see in our community.
23. Community Facilities
25. Senior Center

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
26. Youth Center

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
27. Child Care Center

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
29. Homeless Facility

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
30. Park and Recreational Facilities

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
31. Health Facilities

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
33. Community Center*

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
34. Neighborhood Facilities

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
35. Parking Facilities

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
37. Other

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
38. Please Specify
40. Infrastructure
42. Accessible Curbs

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
43. Water/Sewer

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
44. Street/Alley

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
46. Street Lighting

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
47. Sidewalk Improvements

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
48. Public Wall/Steps

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
50. Drainage

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
51. Other

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
52. Please Specify
54. Special Needs
56. Disabled Centers/Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
57. Accessibility Improvements

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
58. Domestic Violence Facilities

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
60. Homeless Shelters

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
61. Other

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
62. Please Specify
63. 
    
65. Public Services
67. Youth Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
68. Mentoring Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
69. Health Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
71. Mental Health Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
72. Substance Abuse Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
73. Elderly Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
75. Homeless Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
76. Education

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
77. Recreational Programs

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
79. Child Care Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
80. Transportation

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
81. Neighborhood Services

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
83. Crime Prevention

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
84. Leadership Development

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
85. Other

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
86. Please Specify
88. 2. Decent Housing:
90. Affordable Single Family Housing

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
91. Affordable Rental Housing

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
92. Housing for Disabled

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
94. Homeownership Assistance

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
95. Residential Rehabilitation

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
96. Senior Housing

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
98. Code Enforcement

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
99. Historic Preservation

    1. NO NEED
    2. LOW NEED
    3. MEDIUM NEED
    4. HIGH NEED
100. Lead Paint Removal

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
102. Fair Housing

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
103. Tenant/Landlord Counseling

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
104. Other

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
106. Please Specify
108. 3. Creating Economic Opportunities:
110. Business and Jobs
112. Workforce Training

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
113. Local Business Support

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
114. Summer Youth Employment

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
116. Job Readiness Skills

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
117. Technical Assistance for Business

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
118. Financial Assistance for Business

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
120. Micro-Enterprise Assistance

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
121. Job Creation/Retention/Training

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
122. Attracting New Businesses

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
124. Other

     1. NO NEED
     2. LOW NEED
     3. MEDIUM NEED
     4. HIGH NEED
125. Please Specify
127. 4. Area of Interest
129. What is your primary area of interest?
     -- Select One --HousingInfrastructurePublic FacilitiesPublic ServiceEconomic DevelopmentOther
130. How did you first hear about this survey?
     -- Select One --Community MeetingNews PaperFacebookCommission MemberA friend/neighborEmployerCity WebsiteHousing & Community Development DepartmentOther
132. Please Specify
133. Please Specify
135. 5. Additional Comments?
137. Thank you.
     Thank you for taking a few minutes of your day to complete this survey. The results of the survey will be compiled and presented to the Community Development Advisory Commission and considered during the development of the 5 year Consolidated Plan for the use of CDBG funds.
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