english impact monterey county survey · monterey county, 60 garden ct # 350, monterey, ca 93940....

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey

Impact Monterey County is a collaborative community planning effort. Working with you, your local nonprofits, businesses, and public agencies are trying to identify the most effective ways to improve our county. We all want Monterey County to be the best possible place to live; by taking this survey, you will be able to tell us what that looks like to you. Thank you for agreeing to participate! Things to Keep in Mind: • The survey should take you 1520 minutes to complete. • There are no right answers, nor are there any wrong answers. All you have to do is draw from your own experiences, views and perspectives. • Your responses will remain anonymous. The survey will NOT collect any information that could identify you. Your responses cannot be linked with your name or email address. Results from this survey will only be presented in aggregate form. • Your completed survey will help ensure we have input from a broad range of people in our community. The few questions about demographics are to help ensure all communities are represented. • If there’s a question you don’t want to answer, just skip it and go on to the other questions. • The survey submission deadline is October 31, 2014 at 5:00 p.m. If you have any questions or need assistance with the survey, please contact Zuleima Arevalo at [email protected]. For more information about Impact Monterey County, please go to www.impactmontereycounty.org.

Instructions for Paper Survey Participants: Please complete the paper survey by circling or checkingoff your selected choices and/or writing your answers in the comment boxes provided. Once you complete the survey, please give it to an Engagement Team member (if they are assisting you) or insert the survey into the selfaddressed/stamped envelope provided and mail to: United Way of Monterey County, 60 Garden Ct # 350, Monterey, CA 93940. If at any time you have questions or need assistance entering the information, please contact Zuleima Arevalo at [email protected] and she will be happy to assist you.

1. Please tell us the zip code in which you live. (This question is required.)

Welcome to the Impact Monterey County Community Survey

Survey Instructions

Please tell us a little bit about yourself.

*

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey2. What is your age?

3. Please tell us what you like most about your community.

4. Are you currently employed?

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Employment Information

Employment Status

017 Years

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1824 Years

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2529 Years

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3039 Years

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4049 Years

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5059 Years

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6069 Years

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70 79 Years

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8089 Years

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90+ Years

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Choose not to answer

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Yes

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No

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey5. Please tell us about your current employment status.

6. Please tell us about your benefits status.

Fulltime Parttime Does not apply

Permanent employee nmlkj nmlkj nmlkj

Temporary or seasonal employee

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Selfemployed (work for myself)

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Semiretired and working nmlkj nmlkj nmlkj

Other type of paid employment (please specify)

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Unemployment Status

Employed with full benefits (including health, dental, vacation, sick leave, pension, etc.)

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Employed with some benefits (please specify)

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Employed without any benefits

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Other (please specify)

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Comments:

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey7. Please select which of the following reasons best describe why you are not currently working. (Please check all that apply.)

Education Information

Disability that limits my employment options

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Not able to find work because of my age

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Lack of education or job skills

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Laid off from my job

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Recent illness and/or hospitalization

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Retired, do not work for pay

gfedc

Student

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Temporarily not working, seeking employment

gfedc

Voluntarily not working

gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey8. Please check the option that best describes your highest level of schooling.

No schooling completed

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Elementary school (Grades 1 5)

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Middle school (Grades 6 8)

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High school (Grades 9 12) No Diploma

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High school diploma or GED

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Trade school / certificate

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Some college credit No Diploma

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Associate’s degree (for example: AA, AS)

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Bachelor’s degree (for example: BA, BS)

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Master’s degree (for example: MA, MS, MSW)

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Professional degree (for example: doctor, dentist, lawyer)

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Doctorate degree (for example: PhD, EdD)

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey9. If given the opportunity, what is the highest level of education you would like to achieve in your lifetime?

10. Are you currently enrolled in a school, college or other educational program?

If currently enrolled in a school, college or other educational program:

I have already achieved the highest degree/level of education desired

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Elementary school (Grades 15)

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Middle school (Grades 68)

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High school (Grades 9 12) No Diploma

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Some college credit No Diploma

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Don't know

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Yes

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No

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Other

Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey11. Please tell us what type of degree are you currently pursuing.

12. Please indicate if any of the following is an obstacle to your education:Yes, this is an obstacle No, this is not an obstacle Choose not to answer

Cost of education nmlkj nmlkj nmlkj

Family obligations nmlkj nmlkj nmlkj

Immigration status nmlkj nmlkj nmlkj

Transportation nmlkj nmlkj nmlkj

Work obligations nmlkj nmlkj nmlkj

Other nmlkj nmlkj nmlkj


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Trade school/Certificate

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Other training program

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Does Not Apply

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If Other (please specify)

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Other

Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey13. Please tell us which of the following motivates you to pursue your current educational goals. (Please check all that apply.)

14. Please tell us what could be done to improve educational opportunities in your community.

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If not currently enrolled in a school, college or other educational program...

Better/more job opportunities

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Career advancement

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Change in career

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Higher income/more money

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More independence

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Lifelong learning

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Personal satisfaction

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Make a difference in the world

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Other

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey15. Please tell us why you are not currently enrolled in a school, college, or other educational program. (Please check all that apply.)

16. Please tell us what could be done to improve educational opportunities in your community.

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Military Information

I have already achieved the highest degree/level of education desired

gfedc

Cost of education

gfedc

Criminal record

gfedc

Do not feel well prepared for the next level of education

gfedc

Family obligations

gfedc

Immigration status

gfedc

No local options available in my area of interest

gfedc

Not interested in pursuing more education at this time

gfedc

Transportation

gfedc

Work obligations

gfedc


gfedc

Other

gfedc

If Other (please specify)

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey17. Please tell us if you have military experience.

18. Please indicate your current military status.

19. Please tell us what factors would motivate you to stay in Monterey County after you complete your military service.

Military status

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Parent or guardian

Yes

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No

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Active duty military

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Inactive statusretired

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Inactive statusreserve

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Inactive statusdischarged

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Does not apply

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Other

Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey20. Are you a parent or guardian (for example: grandparents) with primary responsibility for a child of any age?

21. Are you a parent or guardian of children 3 years and under?

22. Do any of your children attend a daycare center?

Children 3 years and under

Daycare Information

Daycare Information

Yes

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No

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Yes

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No

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Yes

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No

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey23. What factors are most important to you in selecting daycare? (Please check all that apply.)

24. Please tell us how your community could best support families with young children.

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Child not attending daycare center

Cost of daycare

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Safe pickup/drop off system

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Friendly environment

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Helps children improve academically

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Hours of operation

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Kindergarten preparedness

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Location of daycare

gfedc

Parent/teacher conferences

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Staff experience and training

gfedc

Transportation services

gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey25. Who provides childcare for your child(ren)? (Please check all that apply.)

26. What are the main reasons your child is not attending daycare? (Please check all that apply.)

Self

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Family member (paid)

gfedc

Family member (unpaid)

gfedc

Nonfamily member or friend (paid)

gfedc

Nonfamily member or friend (unpaid)

gfedc

Child Care/Day Care Center (paid)

gfedc

Family Child Care Home (paid)

gfedc


gfedc


gfedc

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Cost of daycare in my area is too high

gfedc

Lack of daycare options in my area

gfedc

Low quality daycare in my area

gfedc

Lack of transportation

gfedc

Child is too young

gfedc

Parent/guardian at home with child(ren)

gfedc


gfedc


gfedc

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey27. Would you like your child(ren) to attend daycare?

28. If you would like your child(ren) to attend daycare, what factors are most important to you in selecting daycare? (Please check all that apply.)

Yes

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No

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Cost of daycare

gfedc

Safe pickup/drop off system

gfedc


gfedc


gfedc

Hours of operation

gfedc


gfedc

Location of daycare

gfedc


gfedc


gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey29. Please tell us how your community could best support families with young children.

30. Are you a parent or guardian of children 5 years and under?

31. Do any of your children attend preschool?

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Children 5 years and under

Parent or guardian of child 5 years and under

Children not attending preschool

Yes

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No

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Yes

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No

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey32. What are the main reasons your child(ren) are not attending preschool? (Please check all that apply.)

33. Would you like your child(ren) to attend a preschool?

Cost of preschools in my area is too high

gfedc

Lack of preschools in my area

gfedc

Low quality preschools in my area

gfedc

Lack of transportation

gfedc

Child is too young

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Parent/guardian at home with child(ren)

gfedc


gfedc


gfedc

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Yes

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No

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey34. If you would like your child(ren) to attend preschool, what factors are most important to you in selecting a preschool? (Please check all that apply.)


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Children attend preschool

Cost of preschool

gfedc

Hours of operation

gfedc

Location of preschool

gfedc


gfedc


gfedc


gfedc


gfedc

Safe pickup/Drop off system

gfedc


gfedc


gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey36. What factors are most important to you in selecting a preschool? (Please check all that apply.)


To shorten the length of time for you to complete this survey, you are being asked to respond to the following questions for only one child (either your oldest or only child).

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Grade of oldest or only child in school

Cost of preschool

gfedc

Hours of operation

gfedc

Location of preschool

gfedc


gfedc


gfedc


gfedc


gfedc

Safe pickup/Drop off system

gfedc


gfedc


gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey38. Please tell us in what grade is your oldest (or only) schoolaged child.

Parent or guardian of child ages 618

Kindergarten

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1st grade

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2nd grade

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3rd grade

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4th grade

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5th grade

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6th grade

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7th grade

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8th grade

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9th grade

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10th grade

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11th grade

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12th grade

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None of these options

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Other

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey39. What type of school did your oldest (or only) child attend last year?

40. Please tell us what you like most about your oldest (or only) child's school.

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Private School

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Public School

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Charter School

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Home school

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Don't Know

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey41. Please tell us which of the following you agree or disagree with regarding your oldest (or only) child's school.

42. Please tell us what improvements you would like to see at your oldest (or only) child's school.

Agree Disagree Don't Know

I feel welcome in my child's school nmlkj nmlkj nmlkj

My child has one or more teachers who are positive role models

nmlkj nmlkj nmlkj

My child enjoys being at school nmlkj nmlkj nmlkj

Teachers encourage my child's creativity nmlkj nmlkj nmlkj

School is preparing my child well for the future nmlkj nmlkj nmlkj

Teachers care about my child's feelings nmlkj nmlkj nmlkj

Teachers make learning exciting nmlkj nmlkj nmlkj

Teachers help my child to improve academically nmlkj nmlkj nmlkj

My child feels safe at school nmlkj nmlkj nmlkj

Other nmlkj nmlkj nmlkj

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey43. When thinking about the future of your oldest (or only) child, please tell us what is the highest level of education you would like her/him to achieve?

44. Please tell us what could be done to improve educational opportunities in Monterey County.

Question for all respondents

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Income Information

Elementary school (Grades 1 – 5)

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Middle school (Grades 6 – 8)

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High school (Grades 9 12) Diploma

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Trade school/Certificate

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nmlkj


nmlkj


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Don't know

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey45. What is your current household income?

46. How many people live in your household?

Less than $25,000

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$25,00034,999

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$35,00049,999

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$50,00074,999

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$75,00099,999

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$100,000149,999

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$150,000 +

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Don't know

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1 (Self)

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2

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3

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4

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5

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6

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7

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8+

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey47. In the past year, how often were you able to pay for the following:

Always Almost alwaysOccasionally/ Sometimes

Almost never NeverDoes not Apply

Caring for aging parents and relatives nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Childcare/daycare nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Children’s education (e.g. tuition, books, school suplies. etc.)

nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Clothing nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Consumer/credit card debt (minimum monthly payment) nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Food nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Health Insurance (monthly premiums) nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Healthcare expenses (e.g. prescriptions/medicine, supplies, equipment, etc.)


Housing maintenance and other additional housing costs nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Monthly rent (If home owner please check “does not apply”)


Mortgage (if renter please check “does not apply) nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Recreational and leisure activities nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Student loans for yourself (tuition and other educational expenses)


Auto expenses (e.g. insurance, loan payments, maintanence, gas)


Other transportation (e.g. bus, taxi, carpool) nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Utilities nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj

Other nmlkj nmlkj nmlkj nmlkj nmlkj nmlkj


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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey48. How satisfied are you with your current financial situation?

49. Please tell us what could help you to become more financially secure in the future.

The following section asks you to share your thoughts about health issues in your community.

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Community Health Issues

Very Satisfied

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Satisfied

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Unsatisfied

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Very Unsatisfied

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Don’t Know

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey50. Please tell us what you think are the most significant health problems facing your community. (Please check all that apply.)

51. Please tell us what could be done in your community to help teens delay pregnancy.

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Alcohol abuse (esp.underage drinking)

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Anxiety disorders

gfedc

Bullying among children and teens

gfedc

Cancer

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Chronic illness

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Child abuse

gfedc

Elder abuse

gfedc

Dental/oral health problems

gfedc

Depression

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Diabetes

gfedc

Domestic abuse/violence

gfedc

Drug abuse: Marijuana

gfedc

Drug abuse: Prescription drugs

gfedc

Drug Abuse: Other illegal "street" drugs

gfedc

Heart disease

gfedc

HIV/AIDS

gfedc

Homicide

gfedc

Lack of nutritious food

gfedc

Lack of exercise

gfedc

Lack of safe drinking water

gfedc

Overweight/Obesity

gfedc

Lack of needed medical care

gfedc

Lack of needed dental care

gfedc

Lack of needed mental health care

gfedc

Lack of affordable prescription medicines

gfedc

Pollution (please specify types below)

gfedc

Post Traumatic Stress Disorder (PTSD)

gfedc

Sexual abuse or rape

gfedc

Sexually transmitted diseases (for example: chlamydia,

gonorrhea, hepatitis C)

gfedc

Smoking (tobacco use, especially by youth)

gfedc

Street (or gang) violence

gfedc

Stroke

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Suicide

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Teen pregnancy/births

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey52. Please tell us what helps (or would help) you to exercise regularly. (Please check all that apply.)

53. Please tell us what could be done in your community to address childhood obesity.

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A safe neighborhood

gfedc

Time spent with family or friends

gfedc

Sports field nearby my home

gfedc

Exercise classes nearby my home

gfedc

Team sports nearby my home

gfedc

Access to nature (for example: parks, beaches)

gfedc

To stay healthy as I age

gfedc

Enough free time

gfedc

BIke lanes, walking paths, streets with less traffic

gfedc

Cost of exercise classes or fitness center fees

gfedc

My physical appearance

gfedc

Staying healthy

gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey54. Please tell us what could be done in your community to improve access to healthy foods.

55. How do you usually get health information? (Please check all that apply.)

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Advice from nurse at doctor's office

gfedc

Contact family or friends for advice

gfedc

Community organization

gfedc

Health hotline (phone)

gfedc

Internet search

gfedc

Medical doctor/physician

gfedc

Nurse practitioner

gfedc

Nonphysician health professional (for example: acupuncturist, chiropractor)

gfedc

Radio

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Social media (egs.Facebook, Web MD, You Tube, etc.)

gfedc

Television

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey56. Please tell us what could be done to improve health in your community (related to any health issue that you care about).

57. Please indicate if you currently have health insurance and which type of insurance. (Please check all that apply.)

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Health Care Insurance and Services

I do not have health insurance. (I am uninsured.)

gfedc

I am insured through an individually purchased health insurance plan

gfedc

I am insured through my employer

gfedc

I am insured through Covered California (Health Benefits Exchange)

gfedc

I am insured through Medicare

gfedc

I am insured through MediCal (Medicaid)

gfedc

I am insured through the Military

gfedc

I am insured, but don't know what type of insurance

gfedc


gfedc

Other

gfedc


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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey58. If you are currently uninsured, please indicate the reason(s) for not having insurance. (Please check all that apply.)

The person in family who had health insurance lost job or changed employers

gfedc

The person in family who had health insurance is no longer part of the family because of divorce, separation, or death

gfedc

Family member's employer does not offer coverage or not eligible for employer's coverage

gfedc

Lost eligibility for Medicaid

gfedc

Cost of health insurance is too high

gfedc

Don't need insurance

gfedc

Don't know how to get insurance

gfedc

Traded health insurance for another benefit or higher pay

gfedc

Can't get health insurance because of my immigration status

gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey59. If you currently have health insurance, please indicate if you are satisfied with the following:

Very Satisfied Satisfied Unsatisfied Very Unsatisfied Does not apply

Adequate coverage for my health needs

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Adequate coverage for my family's health needs


Amount of copays or deductibles


Cost of monthly or annual insurance premiums


The selection of doctors and clinics that accept my insurance.


Types of services covered by my insurance


Other gfedc gfedc gfedc gfedc gfedc


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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey60. Which of the following would increase your satisfaction with your doctor or clinic? (Please check all that apply.)

Expand the days the doctor’s office or clinic is open to include weekends

gfedc

Expand the hours the doctor’s office or clinic is open to include evenings (later than 6:00PM)

gfedc

Reduce the amount of time I need to wait once I arrive for an appointment at the doctor's office or clinic

gfedc

Healthcare providers who speak my language

gfedc

Translation/interpretation services in my language

gfedc

Better health insurance coverage

gfedc

Doctor’s office or clinic’s willingness to accept different types of health insurance

gfedc

Accommodations for people with disabilities (for example: physical, vision or hearing impairments)

gfedc

Childcare/daycare

gfedc

Telehealth options (talk to a doctor over the internet)

gfedc

Transportation

gfedc

I am currrently satisfied with my doctor or clinic

gfedc

I do not have my own doctor or clinic

gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey61. Where do you go for general (nonemergency) healthcare services? (Please check all that apply.)

62. Please tell us what do you think should be done to improve access to healthcare services (for example: doctors, clinics, and hospitals) in your community.

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Community Safety

A private doctor, medical group or clinic in Monterey County

gfedc

A private doctor, medical group or clinic in Santa Cruz County (including Watsonville)

gfedc

A private doctor, medical group or clinic in San Benito County

gfedc

A private doctor, medical group or clinic in San Luis Obispo County

gfedc

A private doctor, medical group or clinic in another county (please specify which county below)

gfedc

An emergency room in Monterey County

gfedc

An emergency room in Santa Cruz County (including Watsonville)

gfedc

An emergency room in another county (please specify which county below)

gfedc


gfedc

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey63. In the past 12 months, have you or any member of your family (living in Monterey County) been threatened or harmed physically by someone in your community?

64. Please tell us what could be done to make your community a safer place to live.

65. In the past 12 months, have you or any member of your family (living in Monterey County) been treated unfairly by someone in your community based on any of the following? (Please check all that apply.)

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Social Issues

Yes No Don't Know Choose not to answer

Age nmlkj nmlkj nmlkj nmlkj

Class/Income status nmlkj nmlkj nmlkj nmlkj

Disability nmlkj nmlkj nmlkj nmlkj

Gender nmlkj nmlkj nmlkj nmlkj

Language nmlkj nmlkj nmlkj nmlkj

Race/ethnicity nmlkj nmlkj nmlkj nmlkj

Religion nmlkj nmlkj nmlkj nmlkj

Sexual orientation nmlkj nmlkj nmlkj nmlkj

Other nmlkj nmlkj nmlkj nmlkj

Yes

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No

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Don't Know

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey66. Please tell us what could be done in your community to ensure fair treatment for all community members.

67. Please tell us what you are currently doing or plan to do to maintain independence as you age. (Please check all that apply.)

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Independent Living

Engage in activities to stay socially connected in my community

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Take a course or study to keep my mind active

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Downsize to a smaller and more affordable home

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Find information about how to stay independent as I get older

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Make changes to my house to allow me to remain in my home as long as possible

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Pay into a pension or retirement plan

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Save money to use as I get older

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Work past retirement age (65+ years)

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Maintain my health

gfedc

Don't Know

gfedc

I have not started planning for my retirement

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gfedc


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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey68. Please tell us which, if any, of the following are important retirement aspirations for you? (Please select all that apply.)

69. Please tell us how your community could help people remain independent and age well in Monterey County.

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Disability Information

Travelling

gfedc

Spending more time with friends and family

gfedc

Pursuing new hobbies

gfedc

Volunteering in my community

gfedc

Living abroad (outside the U.S.)

gfedc

Continue working in the same field

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Studying/learning for pleasure and personal enrichment

gfedc

Starting a new business

gfedc

None of the above

gfedc

Don't know

gfedc


gfedc

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Other

English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey70. Do you or someone close to you in Monterey County have a disability that interferes with a major life function?

71. Please tell us if you or someone close to you has a disability that interferes with one or more major life functions and if you provide care for them. (Please check all that apply.)

72. Please tell us what major life functions are affected by their disability. (Please check all that apply.)

Disability Issues

This person has a disability I provide care for this person Does not apply

Self gfedc gfedc gfedc

My spouse or partner gfedc gfedc gfedc

My child gfedc gfedc gfedc

My parent or grandparent gfedc gfedc gfedc

Other family member gfedc gfedc gfedc

Other nonfamily member gfedc gfedc gfedc

Ability to manage activities of daily living

Ability to obtain/maintain

housing

Ability to drive or take the bus

Ability to engage in social relationships

Ability to attend school or work

Self gfedc gfedc gfedc gfedc gfedc

My spouse or partner gfedc gfedc gfedc gfedc gfedc

My child gfedc gfedc gfedc gfedc gfedc

My parent or grandparent gfedc gfedc gfedc gfedc gfedc

Other family member gfedc gfedc gfedc gfedc gfedc

Other nonfamily member gfedc gfedc gfedc gfedc gfedc

Yes

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No

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Comments

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey73. Please tell us the living arrangement for those you have identified as having a disability. (Please check all that apply.)

74. Please tell us how your community could best support family caregivers.

75. Please tell us what are the most serious concerns facing your community.

Lives in my home

Lives alone in their own home

Lives with a spouse or partner

Lives in a caregivers home

Lives in a licensed care

facility

Lives in an unlicensed care

facilityOther

Self gfedc gfedc gfedc gfedc gfedc gfedc gfedc

My spouse or partner gfedc gfedc gfedc gfedc gfedc gfedc gfedc

My child gfedc gfedc gfedc gfedc gfedc gfedc gfedc

My parent or grandparent gfedc gfedc gfedc gfedc gfedc gfedc gfedc

Other family member gfedc gfedc gfedc gfedc gfedc gfedc gfedc

Other nonfamily member gfedc gfedc gfedc gfedc gfedc gfedc gfedc

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Neighborhood and Community

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Other

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey76. Please tell us what could be done to make your community a better place to live.

77. Please tell us how you share your opinions with your elected officials (e.g., City Council members or County Board of Supervisors). (Please check all that apply.)

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Attend an official City or County meeting

gfedc

Attend cultural community meetings

gfedc

Attend community meetings dealing with specific issues

gfedc

Attend official public hearings

gfedc

Attend regularly scheduled neighborhood meetings

gfedc

Contact the media (for example: radio, television, newspapers, etc.)

gfedc

Contact elected officials

gfedc

Get together with my neighbors

gfedc

Go to an official City or County government website

gfedc

Organize or join a group in your neighborhood

gfedc

Organize or participate in protests

gfedc

Participate in online blogs or email groups

gfedc

Send letters to the editor

gfedc

Serve on a City or County Board or Commission

gfedc

Write a letter to neighbors

gfedc

None of the above

gfedc


gfedc


gfedc

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey78. Please tell us what could be done to improve communication between your community and local elected officials.

The following information will help us to better identify important issues for different community groups across Monterey County. We very much appreciate your taking a couple of minutes to complete a few final questions about yourself. Thank you.

79. Please tell us what gender you identify with.

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Demographic Information

Female

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Male

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Transgender

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nmlkj


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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey80. Please tell us what race you primarily identify with. (Please choose only one)

White

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Black or African American

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American Indian or Alaskan Native

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Asian Indian

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Chinese

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Filipino

nmlkj

Japanese

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Korean

nmlkj

Vietnamese

nmlkj

Other Asian (for example: Hmong, Laotian, Thai, Pakistani, Cambodian, etc.)

nmlkj

Native Hawaiian

nmlkj

Guamanian or Chamorro

nmlkj

Samoan

nmlkj

Other Pacific Islander (for example: Fijian, Tongan, etc.)

nmlkj

More than one race (please specify)

nmlkj

Don’t know

nmlkj


nmlkj

Other race (please specify)

nmlkj

If you answered "Other" or "More than one race" (please specify)

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey81. Please tell us if you consider yourself to be of Hispanic, Latino or Spanish origin.

82. Please tell us how long have you lived in Monterey County.

THANK YOU FOR COMPLETING THE IMPACT MONTEREY COUNTY COMMUNITY

No, not of Hispanic, Latino or Spanish origin

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Yes, Mexican, Mexican American, Chicano

nmlkj

Yes, Mexican Indigenous (for example: Nahuatl, Yucatec/Maya, Zapotec, Mixtec, etc.)

nmlkj

Yes, Central American (for example: Salvadoran)

nmlkj

Yes, South American (for example: Peruvian)

nmlkj

Yes, Puerto Rican

nmlkj

Yes, Cuban

nmlkj

Yes, other (please specify below)

nmlkj


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Less than 1 year

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12 years

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35 years

nmlkj

69 years

nmlkj

1020 years

nmlkj

More than 20 years

nmlkj

I do not live in Monterey County

nmlkj


nmlkj

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English Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County SurveyEnglish Impact Monterey County Survey

We very much appreciate that you have taken the time to complete the Impact

Monterey County Community Assessment Survey. Thank you for adding your

voice to the conversation! We look forward to working together to identify our

collective community aspirations and explore ideas for improving life in

Monterey County.

Please consider asking people you know to take this survey too, so that we can

collect as much community input as possible. All you have to do is forward the

link in your email to your family, friends and neighbors or share it on FACEBOOK

and TWITTER.

To stay involved and to learn more about what happens next with Impact

Monterey County, please visit our website @ www.impactmontereycounty.org.

SURVEY!

english impact monterey county survey · monterey county, 60 garden ct # 350, monterey, ca 93940....

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