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How would you rate the quality ofl§ervicell x ? <br />r,-1 <br />( <br />) Excellent <br />2 <br />O <br />Good <br />3 <br />{) <br />Fair <br />4 <br />{) <br />Poor <br />5 <br />Don't know <br />2. What is ' main reason you i (facility or service) ? <br />2 -1 <br />{) <br />Didn't know about <br />2 <br />O <br />Tea hard to get to <br />3 <br />{) <br />Too busy with other things <br />4 <br />{) <br />Age /Health problems <br />5 <br />O Can't use <br />6 <br />O Don't know <br />3. In the past 12 months has anyone damaged your home, car or other property? <br />3 -1 {) Yes <br />Z () No <br />3 {) Don't know <br />(If "Yes", ask:) <br />Sat How many times did this occur'? <br />3a -1 <br />{) <br />One <br />2 <br />() <br />Two <br />3 <br />{)'Three <br />or mare <br />4 <br />() <br />Don't know <br />4. Would you say the amount of x in the City is; <br />4-1 <br />About right <br />2 <br />Too little <br />3 <br />Too much <br />4 <br />Not needed <br />5 <br />Don't • <br />enough S. Would you say there is enough x 'in the City? <br />5-1 ( ) Yes, <br />Don't 2 ( ) No, not enougb <br />6. J... the provide to its citizens? <br />T <br />Yes, aware <br />Yr- <br />! Z <br />r <br />if Yes, ask: <br />4_ <br />6a. Have you"used this service in the past 12 months.? <br />6a-1 Yes, have <br />No, have not <br />