Hello, my name is
. I am a student at Rutgers University in Camden. We are doing
a survey about living in South Jersey. Be sure to print your name
on each questionnaire.
1. First of all, how long have
you lived in South Jersey?
Code 1 for a year or less, 2 for two years, 3 for 3 years, etc
up to 9 for nine or more years
2.3.4.5.6. What is your zip code?
.
7. How long have you lived at
your current address? Code 1 to 9 or more
8. Do you live in:
a. an
apartment
b. a
town house, row house or duplex
c. a
single family home
d. a
retirement community
e. another
kind of housing? (explain)
9. Do you think you are likely
to move in the next two years?
a. yes
b. maybe, don't know c. no
10. If you do move, what kind
of housing would you be most likely to move to:
a. an
apartment
b. a
town house, row house or duplex
c. a
single family home
d. a
retirement community
e. another
kind of housing? (explain)
11. Would you be more likely to move:
a. within
South Jersey and about the same distance from Philadelphia
b. within
South Jersey but further from Philadelphia
c. within
South Jersey but closer to Philadelphia
d. out
of South Jersey
12. If you had to choose would you prefer a community
where:
a. most people live in cities,
towns and villages, surrounded by farms and forests
b. or one where most people
live in houses on large lots spread throughout the farms and forests
13. If you had to choose would you prefer a community
where:
a. there were excellent highways
but little public transportation
b. or one where was excellent
public transportation but congested highways
14. If you had to choose would you prefer a community
where:
a. the houses are far apart
making it difficult to walk to schools or shopping
b. or one where the houses are
close together making it easier to walk to schools or shopping
15. If you had to choose would you prefer a community
where:
a. there is a small town atmosphere
and it seems like everybody knows everybody
b. or one where there are more
people and more things to do
Now just a few questions for our statistical analysis:
16. Are you a. under 30 b. 30 to 49
c. 50 to 64 or d. 65 or older
17. How many people live in your household:
code 1 to 9 or more
18. How many motor vehicles do you have in your household
(including cars, motorcycles, trucks, SUV's, etc.) code
0 to 9 or more, leave blank for no answer
19. Is your household's income: a. under
$20,000 b. Under $40,000 c. Under $75,000 or d.
over $75,000?
20. How much schooling have you completed:
a. high school or less
b. some college
c. college graduate
21. Respondent was: a. female b.
male
22. Could you give me your first name, so that my teaching
assistant can verify this interview? Name:
.
23. Telephone Number called:
.