Omaha Public Library
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Community Engagement SurveyOPL has received a grant to create a community engagement model for public libraries. This survey is designed to learn how involved Omaha residents are in community life.

We’d appreciate 10 minutes of your time to complete the survey. All responses will be kept confidential.
How many years have you lived in the Omaha area?
  
Yes No
Are you registered to vote?
Did you vote in the 2012 presidential election?
Do you participate in your neighborhood association?
Do you participate in a faith-based organization?
Have you visited a city park in the past 12 months
Have you visited a library in the past 12 months?
Have you visited a community/recreation center in the past 12 months?
Have you participated in a neighborhood event in the past 12 months?
Have you participated in a community event in the past 12 months?
Have you volunteered time to a community organization in the past 12 months?
Have you contributed money to a community organization in the past 12 months?
Do you currently serve as a volunteer anywhere (i.e., church, community service organization, senior citizens center, hospital, etc.)
Have you collaborated or partnered with someone in your community to solve a problem?
What problem did your group try to solve?
Yes No
Do you spend time with people who speak a different language than yourself?
How much time do you spend with people who speak a different language than yourself?
Yes No
Do you spend time with people who belong to a different ethnic group or culture than yourself?
How much time do you spend with people who belong to a different ethnic group or culture than yourself?
Please tell us how connected you feel to these community organizations in Omaha. Please rate them on a scale where 1 is Not Connected, 2 is Slightly Connected, 3 is Moderately Connected, 4 is Very Connected and 5 is Extremely Connected.
How connected do you feel to your local...
How connected do you feel to your local... Not Connected Slightly Connected Moderately Connected Very Connected Extremely Connected
The Omaha community in general
Your neighborhood
Businesses
Arts community
Education community
Government
Health and wellness community
Volunteer and charity community
Following are some descriptions of the Omaha area. Do you Strongly Disagree (1), Disagree (2), Neither Agree nor Disagree (3), Agree (4), Strongly Agree (5) with these descriptions?
Strong Disagree Disagree Neither Agree nor Disagree Agree Strong Agree
Thriving
Safe
Stable
Vulnerable
In Crisis
Following are some descriptions of the neighborhood or area of Omaha in which you live. Do you Strongly Disagree (1), Disagree (2), Neither Agree nor Disagree (3), Agree (4), Strongly Agree (5) with these descriptions?
Strong Disagree Disagree Neither Agree nor Disagree Agree Strong Agree
Thriving
Safe
Stable
Vulnerable
In Crisis
What is your hope for Omaha?
What issues or obstacles stand in the way of realizing this hope?
What can Omaha do to realize this hope?
Please select the bracket that best reflects your age:
Yes No
Are you of Hispanic or Latino background?
Which of the following best describes your primary race?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian and Other Pacific Islander
White or Caucasian
Two or more races/ Multi-cultural
Some other race (Specify)    
Do you own or rent your current residence?
Own or buying
Rent
Other (Specify)    
What is your marital status?
What is the highest level of education you have completed?
What was your total household income last year from all sources in the following categories?
Reference
© 2014 Counting Opinions (SQUIRE) Ltd.