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  5. Residential Survey Williston Park
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Exit Survey
 
 
St. John's Lutheran Church in Williston Park invites you to participate in our survey, "Planting Gospel Seeds While Serving Human Needs". In this survey, approximately one hundred residents will be asked to complete a survey that asks questions about critical human needs that might exist right around us and to ask our neighbors how, together, we might be able to address them. Essentially, how can St. John's work within the community to build upon what is already happening in the great Village of Williston Park.  It will take approximately 15 minutes to complete the questionnaire. Your participation in this study is completely voluntary. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and will solely be used for planning purposes.  Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* What is your gender?
 
Female
 
Male
 
Prefer not to answer
 
 
 
* What is your age?
 
Under 30
 
31-40
 
41-50
 
51-60
 
61-70
 
Over 70
 
 
 
In additon to you, how many other persons live in your household??
 
None
 
One
 
Two
 
Three
 
Four
 
More than four
 
 
 
Are there any persons under the age of 25?
 
Yes
 
No
 
Don't care to answer
 
 
 
What are the ages of such persons(Select all that apply)?
 
Under 3 years of age
 
3 - 5 years of age
 
6-10 years of age
 
11-13 years of age
 
14 - 18 years of age
 
Over 18 years of age

 
 
 
How long have you lived in Williston Park?
 
Less than a year
 
Three years or less
 
Five years or less
 
Ten years or less
 
Twenty years or less
 
More than twenty years
 
 
 
In what type of activities do you or the membersof your household participate(Select all that apply)?
 
Boy Scouts/Girl Scouts
 
Sports
 
Arts
 
Music
 
VFW
 
American Legion
 
Local Library Events
 
Other

 
 
 
Name some of the resources and/or programs already in place within the community:
   
 
 
 
What types of activities/programs might interest you? (Select all that apply)?
 
Senior Activities
 
Tutoring
 
Childcare
 
After-school care
 
College/Career Counseling
 
Counseling
 
Veteran Activities
 
Financial Planning
 
Other

 
 
 
What makes Williston Park a great place to live:
   
 
 
 
In your opinion, what are some of the critical needs within this community that are either unmet or underserved?:
   
 
 
 
What type of programs and/or ministries might St. John's initiate to serve the immediate neighborhood?:
   
 
 
 
Please share any other suggestions and/or comments :
   
 
 
 
Would you be willing to collaborate with St. John's and other agencies on addressing community needs?
 
yes
 
no
 
 
If yes, please share your Contact Information
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address :