Survey of Neighborhood Safety

Attachment E - Approach 2B Mail Screener

The Survey of
Chicagoland Neighborhoods

Department of Justice
O ffi ce

of

J us ti ce P ro g r a ms

Bureau of Justice Statistics

Title 42, Section 3732, United States Code, authorizes the Bureau of Justice Statistics, Department of Justice, to collect
information using this survey and requires us to keep all information about you and your household strictly confidential. Under
the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection
displays a valid OMB number. The valid OMB control number for this information collection is 7418-85F2. Comments
regarding any other aspect of this data collection may be sent to, to DOJ Clearance Officer, Bureau of Justice Statistics, 810
Seventh Street, NW Washington, DC 20531 or by calling toll-free 1-800-937-8285

U.S. Department of Justice
Survey of Neighborhood Safety
INSTRUCTIONS
â Please use a black or blue pen to complete this form.
â Mark

to indicate your answer.

â If you want to change your answer, darken the box

and mark the correct answer.

START HERE

The following questions ask about your neighborhood.
By neighborhood, we mean the general area around
your house or the building you live in, where you might
do things such as shopping, going to the park, or
visiting with neighbors.
1. O
 n the whole, is this neighborhood a good place
to live?

Yes

No

2. H
 ow much of a problem is litter, broken glass or
trash on the sidewalks and streets?

Never a problem

Almost never a problem

Sometimes a problem

Almost always a problem

Always a problem

3. H
 ow much of a problem is crime in your
neighborhood?

Never a problem

Almost never a problem

Sometimes a problem

Almost always a problem

Always a problem

Please indicate whether you strongly agree, agree,
neither agree nor disagree, disagree, or strongly
disagree with each of the following statements.
4. People around here are willing to help their
neighbors.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Don’t know

5. This is a close-knit neighborhood.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Don’t know

6. People in this neighborhood can be trusted.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Don’t know

57483

7. P
 eople in this neighborhood generally get along
with each other.

Strongly Agree

10. When people in your neighborhood call 911,
does help arrive quickly?

Yes

Agree

No

Neither Agree nor Disagree

Don’t Know

Disagree

Strongly Disagree

Don’t know

8. P
 eople in this neighborhood share the same
values.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Don’t know

11. How long have you lived at this address?

1 year or less

1 to 5 years

5 or more years

Telephone Number
12. What is the best phone number to use to
contact you? (This phone number will only be
used for the purpose of this research study.)

-

-

9. T
 he police are doing a good job in dealing with
problems that really concern people in this
neighborhood.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

Don’t know

Thank you for completing this survey. Please return your form in the postage paid
envelope provided or mail to:

Mail
to:

Name
Address
City, State Zip

57483