Canton Pike Neighborhood Association

Canton Pike Neighborhood Association Community Survey

Dec 28, 2006

Canton Pike Neighborhood Association
Community Survey

1. Are you familiar with the Canton Pike Neighborhood Association?
Yes _____ No _____
2. Are you currently a member of the Canton Pike Neighborhood Association?
Yes _____ No _____
3. Would you like to become a member of the Canton Neighborhood Association?
Yes _____ No _____
4. What is the number of people in your household? 1-2_____ 3-5_____ 6-9_____ 10+_____
5. Ages of children in your household? _____ _____ _____ _____ _____ _____ _____ _____
6. Do you own _____ or rent ____ your home?
7. If renting, who is your landlord? _________________________________________________
8. How long have you lived in the Canton Pike Neighborhood? ________________________________
9. What do you like most about the Canton Neighborhood?
____________________________________________________________________________________
10. What suggestions would you make to improve our community? _________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
11. Would you like to see a Neighborhood Watch in the Canton Pike Neighborhood?
Yes _____ No _____
12. Would you like to be a street captain on your street to help pass along information?
Yes _____ No _____
13. Would you volunteer to participate in neighborhood improvement projects?
Yes _____ No _____
14. Do you have a skill or trade that you would be willing to teach to others?
Yes _____ No _____
15. Do you know your neighbors?
None of them _____ A few of them ______ Most of them _____
16. Check any skills/talents you would be willing to teach:
Carpentry_____ Computers_____ Electrical_____
Crafts_____ Sewing_____ Auto repair_____ Music_____ Landscaping_____ Tutoring_____ Plumbing_____ Painting_____ Masonry_____ Cooking_____ Cleaning_____ CPR_____
First Aid_____ Photography_____
Other (list)_____________________________________________
17. Is there a skill or trade you would like to learn? _________________________________________________
18. Which skill or trade? _________________________________________________
19. Ages of adults in household _____ _____ _____ _____ _____ _____
Optional:
Name: ____________________________________
Home phone: _______________________
Address: _________________________________________________
Email: _________________________________________________Cell: ________________________
Please return survey via email to danita5980@bellsouth.net or mail to c/o Danita Thomas, 505 Overton Dr., Clarksville, TN 37042. Please refer to the Calendar of Events and join us at the next monthly Canton Neighborhood Association meeting.
Wally Bryan 270-886-5685 or Linda Grubbs 270-885-5918