Form 6700-010 Far Eastside Survey

OMB Control Number 2030-0051
Expiration Date MM/DD/YYYY

Welcome and Introduction
Hello Far Eastside Neighborhood!

IRB: #14887 Greening Urban Neighborhoods from the Ground Up: Overcoming Barriers
to Tree Planting with Community-based Interventions.

Keep Indianapolis Beautiful and Indiana University have partnered with the Community
Alliance of the Far Eastside, community stakeholders, and residents to understand your
environmental experiences within the Far Eastside.

We are looking for residents to share their opinions about trees in their neighborhood
and around their homes. Your answers will be used to help create an environmental
action plan for your neighborhood that will support your environmental and beautification
goals. Please view the survey below and answer all questions to the best of your ability.

This is a pre-survey that will be followed up in about six months with a post-survey to
see if any of your opinions have changed since we have begun our project in your
neighborhood. Each survey should take less than 10 minutes to complete.

Part of our project will also include the installation of air quality and temperature sensors
in your neighborhood. We will place four sensors of each type in places offered by
volunteers living in your neighborhood. Two sensors of each type will be in areas with
lots of trees, and two will be placed in areas with very few trees. The sensors will
automatically upload data on air temperature and amount of air pollution. This data will
be publicly accessible on the PurpleAir website and on the Indiana University Green City
Mapper, but will not be connected with anyone’s names or identities.

Participation is completely voluntary. The information you provide will be accessed by
research staff and securely stored. We will not share your data with anybody not working
on our project. Your responses will not be connected to you in any reports or
publications.

If you have any questions about this study, please contact Iasia Cheers at Keep
Indianapolis Beautiful at [email protected] or 317-605-1240. Thank you!

For questions about your rights as a research participant, to discuss problems,
complaints, or concerns about a research study, or to obtain information or to offer input,
please contact the IU Human Research Protection Program office at 800-696-2949 or at
[email protected]
This collection of information is approved by OMB under the Paperwork Reduction Act,
44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). Responses to this collection of
information are voluntary. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid
OMB control number. The public reporting and recordkeeping burden for this collection
of information is estimated to 10 minutes per response. Send comments on the
Agency’s need for this information, the accuracy of the provided burden estimates and
any suggested methods for minimizing respondent burden to the Regulatory Support
Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania

Ave., NW, Washington, D.C. 20460. Include the OMB control number in any
correspondence. Do not send the completed form to this address.

Initials and Birthday
To help us keep track of responses throughout this project without connecting your
responses to you, we'd like to ask you a couple of questions:
What are the initials of your mother's first and maiden name?

When is your birthday?

Benefits
The next two sets of questions are asking your opinion about:
Trees being planted in your neighborhood
Trees being planted near your home

Please tell us how much you agree or disagree with the following statements, choosing
one answer for your opinion about having trees planted in your neighborhood, and one
answer for your opinion about having trees planted near your home.

Trees should be planted in my neighborhood or near my home because:
In my neighborhood
Strongly
agree

Somewhat
agree

Somewhat
disagree

Near my home
Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Trees
create
shade

Trees
reduce
building
energy
costs

Trees help
people feel
calmer

Trees help
reduce
flooding

I like the
birds and
animals
that trees
attract

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Trees are
beautiful

I like the
seasonal
differences
in trees
(flowers,
leaves)

Trees cool
the air

In my neighborhood
Strongly
agree

Somewhat
agree

Somewhat
disagree

Near my home
Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Trees help
reduce air
pollution

Trees help
improve
water
quality

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Concerns
Trees should not be planted in my neighborhood or near my home because:
In my neighborhood
Strongly
agree

Somewhat
agree

Somewhat
disagree

Near my home
Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Trees drip
sap on
parked
cars

Trees drop
leaves and
seeds

Trees
damage
sidewalks

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Trees
damage
sewer
pipes

Trees are
dangerous
(falling
branches,
falling on
power
lines)

Trees
make it
hard to
see crime
happening

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Strongly
agree

Somewhat
agree

Somewhat
disagree

Strongly
disagree

Neighborhood and Experience
The following questions are asking about your experience and your neighborhood.

Please rate how much you agree or disagree with the following statement:
I think my neighborhood could use more trees.
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree

Have you done any of the following activities?

Yes

No

Don't know

Planted a tree

Worked with neighbors to
improve safety of the
neighborhood

Worked with neighbors to
improve the neighborhood
appearance (planting
flowers, picking up trash)

Attended a meeting about
neighborhood improvement

Yes

No

Don't know

Does your neighborhood have a block group or a neighborhood association dealing with
local issues?
Yes
No
Don't know

Are there organizations (environmental or other organizations) that work in your
neighborhood?
Yes
If you answered yes, please enter their name(s) if you know them:

No
I don't know

Do you know about tree planting programs offered by the following groups?

Keep Indianapolis
Beautiful

National Arbor Day
Foundation

City of Indianapolis Urban
Forestry

Indiana Forest Alliance

Yes

No

I don't know

Do you now, or did you in the past, do any volunteer work?
Yes
If you answered yes, please enter their name(s):
No

Are you interested in learning more about planting and taking care of trees in your
neighborhood?
Yes
No
I don't know

How much impact do you think someone like you can have in your neighborhood?
A lot
A little
None

Photos

The next three pages show photographs of neighborhood streets.
Each page has two photos.
Please look at each page and select the photo you like more.

Which photo do you like more?

Which photo do you like more?

Which photo do you like more?

Neighborhood Concerns
What are some environmental problems your neighborhood needs help with? We've
provided a few examples, but you can use the 'Other' option to add your own.
Please use the text boxes to provide a cross street or other location, if appropriate.
Streets or storm drains flooding
Streets or storm drains filled with trash
Trash in parks or playgrounds
Trash at bus stops

Other

What other kinds of problems are impacting your neighborhood, or what do you think the
neighborhood needs?

Demographics
The following questions ask about demographics for you and your family. As a reminder,
your answers are confidential and will not be connected to you. 

What is your gender?
Female
Male
Nonbinary
Prefer not to answer

What year were you born?

What is your employment status?
Not working
Working
In school
Prefer not to say

What is your current living situation?
I rent my home
I own my home
I am currently homeless
Prefer not to say
Other (please describe)

What is your highest level of education?
Less than a high school diploma
High school diploma or GED
Some college
Two-year college degree (Associate's Degree)
Four-year college degree (Bachelor's Degree)
Graduate degree
Prefer not to say

What is your race/ethnicity? Please check all that apply.
Asian
Black or African American
Hispanic
Middle Eastern or North African

Native American
Native Hawiian or Pacific Islander
White
Prefer not to say
Other (Please provide answer)

How many people, including yourself, are in your household?

How many people under the age of 18 are in your household?

What was your income last year?
Less than $30,000
Between $30,000 and $70,000
More than $70,000
Prefer not to say

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