Continental Research
        
        
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          4500 Colley Avenue
        
        
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          Norfolk, VA 23508
        
        
          A - 1
        
        
          Appendix A
        
        
          2014 Questionnaire Form
        
        
          Hello, I’m             with Continental Research.  We’re doing a survey tonight for the City of Chesapeake
        
        
          to ask residents how they feel about City services.
        
        
          Screeners:
        
        
          S1)  Are you at least 18 years of age?
        
        
          (If no, ask to speak to an adult in the household)
        
        
          S2)  Is this a home or a business?
        
        
          (If exclusively a business, politely TERM interview)
        
        
          S3)  [Tactfully screen out City empl... Do you happen to be a City of Chesapeake employee?]
        
        
          1) How many years have you lived in Chesapeake?                yrs.
        
        
          (If 0, TERM interview)
        
        
          2) When you describe Chesapeake to someone who has never been here, do you say:
        
        
          (Read Choices)
        
        
          1- Mostly good things,     2- Some good and some bad things, or     3- Mostly bad things?
        
        
          3) What is your home Zip Code?                         2 3 3
        
        
          (Check quotas)
        
        
          4) Considering what’s important to you personally, what is the single MOST important problem
        
        
          or greatest need facing the City of Chesapeake today?
        
        
          (Probe)
        
        
          ________________________________________________________________________
        
        
          ________________________________________________________________________
        
        
          ________________________________________________________________________
        
        
          Think for a moment about living in Chesapeake. Overall, are you Very Satisfied, Satisfied,
        
        
          Dissatisfied, or Very Dissatisfied with (Q5 to Q18)?
        
        
          (ROTATE ITEMS WITHIN GRID)
        
        
          VS     S     D     VD
        
        
          [INDICATE if D/K
        
        
          ]
        
        
          5)
        
        
          4 3 2 1 The overall appearance of the City
        
        
          6)
        
        
          4 3 2 1 The number of activities and things to do in Chesapeake
        
        
          7)
        
        
          4 3 2 1 The City’s parks
        
        
          (If 2 or 1, will ask Q30 follow-up.)
        
        
          8)
        
        
          4 3 2 1 The City’s community centers
        
        
          (If 2 or 1, will ask Q31 follow-up.)
        
        
          9)
        
        
          4 3 2 1 The Chesapeake public library system
        
        
          10)
        
        
          4 3 2 1 The quality of the drinking water
        
        
          11)
        
        
          4 3 2 1 The Police Department
        
        
          12)
        
        
          4 3 2 1 The Fire Department
        
        
          13)
        
        
          4 3 2 1 The maintenance of City roads and bridges