Town Center Realities      

Please provide the following information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

    Of those ages listed above, check those who voted in the last City Election.    

    Do you own or rent  your residence?      Rent Own

    What should be the average cost of Owner-occupied housing?

    What should be the cost of rental housing per single occupancy unit?

    What should be the cost of rental housing per double-occupancy unit?

    How long have you lived in this community?     Years

    What are the borders of what you consider to be your community? Streets Rail Lines Subdivision  

   PHYSICAL DEVELOPMENT

    The best assets of your community, are they getting stronger or are they in danger of being lost?                                        Getting Stronger        Being Lost

    What are your biggest concerns for your community?

    What would you like to avoid in the next five (5) years?

    Do you think parking decks are needed? Yes No

    Who should build it? Private developer Non-profit community development corporation City Other

    SOCIOECONOMIC

    Who do you want living in your community? (i.e., Young business people, single families, retirees)?

    Who do you want to come and shop in your community?  (i.e., business people, all types of people)?

  Community Preference. Put in order of importance to you in you community (1 most important, 2 next...) 

 GROCERY FOODS: (1-7)     Grocery (i.e., Publix, Kroger, locally-owned)    Specialty Grocery?                   Bakery              Coffee Shop (i.e., Starbucks, locally-owned)           Liquor/Wine Store                          Caterer               Convenience Store (i.e., 7-11, locally-owned)

  CONVENIENCE SERVICES: (1-8)      Dry Cleaner/Laundromat (i.e., Fashion care)  Fuel Station              Self-serve Laundromat      Office Supply (i.e., Office Depot, Kinko’s)                                                    Auto Repair (i.e., Jiffy Lube, Midas Muffler, locally-owned)          Auto Sales (i.e., Sutherlin)                             Auto Parts (i.e., Auto Zone)             Pharmacy/Drug Store

 RESTAURANTS:  (1-9)     Ice Cream Store (i.e., sit down soda shop)    Delicatessen                             Table Cloth Restaurants (i.e., Steak & Ale)    Ethnic Restaurants (i.e., Chinese, Mexican)    Diner    Fast Food (i.e., McDonalds, Wendy's)    Tea Room    Vegetarian/ Health Food                        Franchise Restaurants (i.e., Chilies, Applebee's) 

 ENTERTAINMENT/RECREATION: (1-18)  Club/ Live Music/ Dancing    Sports Bar                             Adult Entertainment (i.e., nude dancing)    Multi-Screen Movie Theater     Live Theater    Amphitheater    Town Green for Festival     Art Gallery         Main Street for Shopping            Main Street for Closing (Block parties, Parades)   Neighborhood “Sandlot Fields”                       Neighborhood Tot Lots         Undisturbed Natural Environments    Competition Athletic Fields/ Courts    Tennis Courts    GYM   Pool    Health/ Fitness Club                

 WORKPLACES:     (1-5)           Offices – Condominiums            Offices – Corporate     Manufacturing        Small Studios            Warehouse/Distribution

 CHURCHES  (1-4)         Protestant          Catholic          Synagogue    Non-Denominational

 GOODS (1-7)          Hardware (i.e., Ace Hardware, locally owned)          Antiques                                                General “Big Box” Store (i.e., Wal-mart, Target)           Pet Store (PetsMart, locally owned)                            Toy Store (Toys-R-Us, locally owned)            Second-Hand Resale Store (i.e., Salvation Army)                          Building Supply (i.e., Home Depot, Lowe’s)

 CLOTHING SPECIALTY   (1-7)          Saks Fifth Avenue        Talbot’s         Ann Taylor                    The Limited        The Gap        Old Navy        Consignment

 EDUCATION (1-14)        Day Care        Elementary – Public        Elementary – Private            Elementary – Charter        Middle School – Public        Middle School – Private                                    Middle School – Charter        High School – Public        High School – Private                                        High School - Charter        Vocational School        Continuing Education (i.e., Community college)            College        Post Grad

 HOUSING - OWNED: (1-6)     Single Family Detached 1 acre        Single Family Detached Quarter acre    Single Family Detached Eighth acre        Cluster Housing        Town Homes – Two-Three Story        Multi-Family Condominiums

 HOUSING - RENTAL: (1-4)       Carriage Houses        House Conversions                                    Apartments (i.e., Garden 2-3 Story)                Apartments (w/ Interior hallways)

 HOUSING - SENIOR:  (1-3)      Independent Living        Nursing Home        Alzheimer

 MEDICAL:   (1-3)        Clinic        Doctors’ Offices        Hospital

 TRANSPORTATION:  (1-11)      More Roads        Wider Roads        Surface Parking                On-Street Parking        Traffic Calming (i.e., medians)        Parking Decks        Bus Service        Sidewalks, Walking, Jogging Paths        Biking Paths        Golf Cart Paths        Railroad Access

Neighborhood Participation:  (check any that apply to your involvement (s))          Recycling Program                   Community Volunteer        Political campaigner        School volunteer          Environmental activist    Car-pool participant