Greater Bluefield
                                   Junior Chamber of Commerce (Jaycees)
                                                    Community Survey
 
 

Dear Community Leader:
 
Each year, the Junior Chamber of Commerce devotes a great deal of time in running programs that make our community a better place to live.  As a leader in the community, we look to you to help us identify those areas that can benefit from activities of the Junior Chamber. Please rank the following areas in the community for importance on a five -point scale (five = highest need, one = lowest need).
 
CHILDREN
 
How would you rate your need for schools?
1 2 3 4 5
How would you rate your need for substance abuse education?
1 2 3 4 5
How would you rate your need for recreational activities?
1 2 3 4 5
How would you rate your need for shelters and daycare?
1 2 3 4 5
How would you rate your need for safety?
1 2 3 4 5
SENIOR CITIZENS
 
How would you rate your need for healthcare?
1 2 3 4 5
How would you rate your need for activities?
1 2 3 4 5
How would you rate your need for shelters and daycare?
1 2 3 4 5
How would you rate your need for access to social services?
1 2 3 4 5
HOMELESS
 
How would you rate your need for healthcare?
1 2 3 4 5
How would you rate your need for access to social services?
1 2 3 4 5
How would you rate your need for shelters?
1 2 3 4 5
How would you rate your need for food ?
1 2 3 4 5
COMMUNITY ACTIVITIES
 
How would you rate your need for festivals and recreational activities?
1 2 3 4 5
How would you rate your need for public forums?
1 2 3 4 5
How would you rate your need for education programs?
1 2 3 4 5
In your opinion, what are the five most important things that need to be done to make this a better community?
 
1.   
2.   
3.   
4.   
5.   
 
Please list programs or project ideas that the Junior Chamber could implement in the community:
 
Please list young adults (21-39) that you are aware of who could benefit from involvement in the Junior Chamber:
 
First Name
Last Name
Work Phone
Home Phone
 
First Name
Last Name
Work Phone
Home Phone
 
First Name
Last Name
Work Phone
Home Phone
 
First Name
Last Name
Work Phone
Home Phone
 

Copyright © 2001 Greater Bluefield Jaycees.  All rights reserved.
Revised: September 23, 2001