Appendix C

Assume, for the purpose of this questionnaire, that services and costs will be distributed equitably throughout the city, and that no one neighborhood will be inconvenienced. Please answer each question.

TYPE OF SERVICE	HOW MANY TIMES IN THE PAST YEAR DID YOU USE THIS SERVICE?		IF IN PERSON, HOW LONG DID IT TAKE YOU TO GET TO THE SERVICE LOCATION?	TO REACH THE SERVICE LOCATION, DID YOU TAKE THE BUS, CAR, OR WALKED?			SHOULD THE SERVICE LOCATION BE:
	by phone/ mail	in person	IN MINUTES	bus	car	walked	closer	the same	farther away	NO OPINION
Police Substation	.	.	.	.	.	.	.	.	.	.
Grocery Store	.	.	.	.	.	.	.	.	.	.
Traffic Courts	.	.	.	.	.	.	.	.	.	.
Fire Station	.	.	.	.	.	.	.	.	.	.
Public School	.	.	.	.	.	.	.	.	.	.
Public Library	.	.	.	.	.	.	.	.	.	.
Day Care Center	.	.	.	.	.	.	.	.	.	.
Municipal Health Clinic	.	.	.	.	.	.	.	.	.	.
Parks	.	.	.	.	.	.	.	.	.	.
Department Store	.	.	.	.	.	.	.	.	.	.
Bank	.	.	.	.	.	.	.	.	.	.
Post Office	.	.	.	.	.	.	.	.	.	.
Airport	.	.	.	.	.	.	.	.	.	.
Voter Registration Office	.	.	.	.	.	.	.	.	.	.
Public Housing Information	.	.	.	.	.	.	.	.	.	.
Building Permit Office	.	.	.	.	.	.	.	.	.	.
Health Permit Office	.	.	.	.	.	.	.	.	.	.
Hospital	.	.	.	.	.	.	.	.	.	.
Place to pay:
- Phone bill	.	.	.	.	.	.	.	.	.	.
- Utility bill	.	.	.	.	.	.	.	.	.	.
- Water bill	.	.	.	.	.	.	.	.	.	.
- City taxes	.	.	.	.	.	.	.	.	.	.
Place to initiate hook-ups for:
- Phone	.	.	.	.	.	.	.	.	.	.
- Electrcity/ Gas	.	.	.	.	.	.	.	.	.	.
- Water	.	.	.	.	.	.	.	.	.	.
Place to dump brush	.	.	.	.	.	.	.	.	.	.
Place to complain about:
- Neighbors	.	.	.	.	.	.	.	.	.	.
- Garbage Pick-up	.	.	.	.	.	.	.	.	.	.
- Utility Rates	.	.	.	.	.	.	.	.	.	.
- Landlord/ Tenants practices	.	.	.	.	.	.	.	.	.	.
- Zoning violations	.	.	.	.	.	.	.	.	.	.
Place to get streets and drainage help	.	.	.	.	.	.	.	.	.	.
Animal Control	.	.	.	.	.	.	.	.	.	.
Place to get information on services for elderly	.	.	.	.	.	.	.	.	.	.
Place to get job information	.	.	.	.	.	.	.	.	.	.
Other city service that you believe is important	.	.	.	.	.	.	.	.	.	.