Town of Hope Community Loneliness Survey

The Town of Hope is seeking grant funds through the Office of Community and Rural Affairs (OCRA) for the Building Socially Connected Communities program (BSCC) to address loneliness issues in the community. It is visible that there are sections of the towns sidewalks that prevent residents from attending downtown activities. Resident input will help to determine the project area in need.

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* 1. Do you ever feel lonely or socially disconnected in your community?

Yes

If yes (please specify)

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* 2. What transportation do you use to access the downtown area?

Vehicle

Walking via sidewalks

Bicycle

No access to transportation

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* 3. How would you rate the sidewalk conditions?

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* 4. Do you participate in town activities to improve your mental health?

Yes

If no (please specify what is preventing you from doing so)

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* 5. Would you support the towns efforts to apply for grant funding to improve sidewalks to connect residents to the downtown area?

Yes

If yes (please specify)

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* 6. Address

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code