Short Creek Community Utility Survey

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* 1. Please answer these questions for you and your immediate family/household (that you include on your tax return), not for renters or others that may live on or in your property. Please encourage renters/others to fill out the survey separately.

Got it!

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* 2. What is your gender?

Female

Male

Prefer not to say

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* 3. What is your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

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* 4. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Trade school or technical certificate

Associate degree

Bachelor degree

Graduate degree

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* 5. Which of the following categories best describes your employment status?

Employed full time, working 32 or more hours per week

Employed part time, working 1-31 hours per week

Not employed, looking for work

Not employed, NOT looking for work

Retired

Disabled, not able to work

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* 6. How much total combined money did all members of your HOUSEHOLD earn last year?

$0 to $9,999

$10,000 to $24,999

$25,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $124,999

$125,000 to $149,999

$150,000 to $174,999

$175,000 to $199,999

$200,000 and up

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* 7. Which town do you live in:

Hildale

Colorado City

Other (please specify)

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* 8. In total, how many years have you lived in this community?

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* 9. Did you or any members of your family (by blood, marriage or adoption) originate in this community?

Yes

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* 10. Are you the head of household? (Answer yes if you provide support for legal dependants.)

Yes

Other (please specify)

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* 11. What is your household size?

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* 12. How many parents live in your household?

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* 13. How many children/dependents (including adult children)

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* 14. How many children under the age of 6?

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* 15. How many other or unrelated household members?

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* 16. Housing: Do you

Own (including buying)

Rent (including UEP occupancy agreement)

Live with relatives or friends

Couch Surf

Live in a shelter or other institution

Homeless

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* 17. Do you feel like housing is affordable and available in this community?

Both available and affordable

Available but not affordable

Affordable but not available

Neither available nor affordable

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* 18. What portion of your household has health insurance (from any source, including private, employment or medicaid)?

All

Most

Some

A few

None

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* 19. What is something about our community that really works?

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* 20. What is something about our community that could be improved?

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* 21. How involved are you in the community (Volunteer, participate in local celebrations, initiatives, etc)

None at all

A little

A moderate amount

A lot

A great deal

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* 22. If you are involved, volunteer, or otherwise engaged in the community outside of your paid job, what are the ways you participate?

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* 23. Are you registered to vote?

Yes

I don't know

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* 24. Did you vote in the last election?

Yes

I don't know

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* 25. Did you complete the 2020 Census questionnaire?

Yes

I don’t know

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* 26. What resources/services exist in the community? Please list all you can think of

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* 27. What resources/services do you have to leave the community to access or receive?

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* 28. Do you have any disabled/special needs individuals in your household?

Yes