Help Us Improve

How long have you stayed in the community?

5 years 10 years More than 10 years

How would you rate the quality of life in your community?

Very poor Poor Average Good Very good

In your opinion, which group is most affected by the challenges in your community?

Youth Elderly Women Men

How would you rate the healthcare services in your community?

Very poor Poor Average Good Very Good

What health issues are most prevalent in your community? (Select all that apply)

Diabetes Hypertension Mental health issues Malaria HIV/AIDS Tuberculosis Cholera Other

How satisfied are you with the healthcare services in your community?

Very dissatisfied Dissatisfied Neutral Satisfied Very Satisfied

How safe do you feel in your community?

Very unsafe Unsafe Neutral Safe Very Safe

What security issues are most concerning in your community? (Select all that apply)

Theft Assault Vandalism Drug-related crime Domestic violence Gang violence All of the above

How safe do you feel walking alone in your community at night?

Very safe Somewhat safe Not safe

How would you rate the quality of education in your community?

Exelent Good fair poor

What are the main barriers to education in your community? (Select all that apply)

Lack of schools High costs of education Transportation issues Language barrier Other

How satisfied are you with the educational opportunities available in your community?

Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied

How far is the nearest school from your home?

Less than 1 km 1 km - 5 km More than 5 km

Does the local school have enough learning materials and facilities?

Yes No

Are there vocational training or adult education programs available in your area?

Yes No Not sure

What improvements would you like to see in the education system of your community?

How do you usually dispose of household waste?

Collected by waste management services Dump it in open areas Bury it Other

How often do you see litter or illegal dumping in your community?

Often Sometimes Rarely Never

Have you participated in any tree planting activities in the past year?

Yes No

What is your main source of clean water?

Piped water Well water Rainwater Bottled water

Which type of pollution is most concerning in your community?

Air pollution Water pollution Soil pollution Noise pollution

How often do community clean-up exercises happen in your area?

Often Sometimes Rarely Never

Any other issues please specify

How often do you participate in community clean-up exercises?

Often Sometimes Rarely Never

Are you a member of any community groups or organizations?

Yes No

How often do you attend community meetings or events?

Often Sometimes Rarely Never

What motivates you to participate in community activities?

Desire to make a positive social impact Networking opportunities Personal growth Sense of community belonging Other

What barriers prevent you from participating more in community activities?

Lack of time Lack of information about events Transportation issues Other