Caton Farm - Bruce Road Corridor Study Fairmont Community Impact Questionnaire
The following questionnaire is part of the public outreach process to the Fairmont community to help the Will County Division of Transportation better understand community needs and concerns. Your input will help identify the most important topics to be addressed in the Fairmont Community. If you prefer to answer questions via phone, please contact Christina Kupkowski, at (815) 727-8476 or ckupkowski@willcountyillinois.com. Thank you for taking the time to complete this questionnaire and aid in the project outreach process.

Community input is an important part of understanding community concerns and creating a
plan to address issues in your community. Please provide answers to the following questions to help aid in this process. Though we strongly urge you to share your contact information so we may better understand your specific concerns and needs, if you wish to remain anonymous, you may submit this form with the contact information blank.

Sign in to Google to save your progress. Learn more
What is your first name?
What is your last name?
What is your street address?
What is your telephone number?
What is your email address?
2. What is your preferred method of communication should we need to get in contact with you? (Select One)
Clear selection
3. What is the most convenient time for the project team to reach you? (Select All that Apply)
4. How did you hear about this project? (Select All that Apply)
5. Are there other community leaders, organizations, or groups in your community that we can speak with to obtain additional insights on project concerns and to help get the word out about the project?
6. a) How long have you lived in your community?
Clear selection
6. b) Is there any history to how long you have lived in the community that you would like to share? (i.e. community assets, community history, personal history)
7. Do other members of your family live in the community but not in your household?
Clear selection
8. Would you say the quality of life in your community is:
Clear selection
9. If your community is changing, how has it changed or how is it changing?
10. Are you aware of any other past or present actions or improvements that are impacting your community either for the better or worse? (Please describe)
11. Please Rate the following statements about living in your community today.
Strongly Agree
Agree
Disagree
Strongly Disagree
No Opinion/Don't Know
I feel a strong sense of community with my neighbors
I like living in my community and plan to stay
My community is clean and attractive
I feel safe in my community
My community has a distinct identity and history
Clear selection
12. What are the things that are most important to you about living in your community? (Select All that Apply)
13. What are the important community facilities and amenities in your community today? (Select All that Apply)
14. What are the important cultural features or identifiers within your community?
15. What are names of the community features or identifiers within your community?
16. What are the important architectural or historic features in your community?
17. What are the natural features and/or environmental resources in your community?
18. Do you experience any flooding on your property?
Clear selection
19. How many people live in your household, including yourself?
Clear selection
20. How many people in your household are: (Please indicate a number for each)
0
1
2
3
4
5
More than 5
Under Age 18
Between 18 and 64 Years of Age
Over 65 Years of Age
Clear selection
21. How do people in your household get to work? (Select All Regularly Used)
22. For those under 16 years of age in the household, how do they get to school or other destinations?(Select All Regularly Used)
23. For those over 65 years of age in the household, how do they get around?
Impacts From the Caton Farm - Bruce Road Project

The following questions relate directly to the Caton Farm - Bruce Road Corridor project. Below is an image of the proposed corridor along Oak Avenue.
Below is an image of the proposed corridor along Oak Avenue.
Below is an existing aerial looking south at the Des Plaines River Valley and IL Route 171
24. Thinking about what your community will be like AFTER the construction is completed, how concerned are you about the following impacts to the community? (Please rate the following impact areas from 1 to 5. Ranking a “1”means it is the highest concern you have)
Highest Concern 1
High Concern 2
Medium Concern 3
Low Concern 4
Lowest Concern 5
Relocation of myself or my neighbors
Other neighborhood residents may move
Loss of sense of community
Harder to walk/bike around neighborhood
Local Traffic Access (getting in and out of Neighborhood)
Traffic Noise increases
Visual Impacts
Increased air pollution
Property value changes
Safety of children in the neighborhood
Others (please list and rank below in question 24a)
Clear selection
24a. Other factors AFTER the construction is complete and your level of concern for each with your rating listed after each response (rating between 1 and 5)
24b. Other concern #2
24c. Other concern #3
25. Thinking about what your community will be like DURING construction, how concerned are you about the following impacts to the community? (Please rate the following impact areas from 1 to 5. Ranking a “1” means it is the highest concern you have)
Highest Concern 1
High Concern 2
Medium Concern 3
Low Concern 4
Lowest Concern 5
Access to/from community
Personal safety
Construction noise/vibration
Hours of construction work
Community disruption
Increased traffic/congestion
Air quality (dust and debris)
Construction workers/vehicles in neighborhood
Construction traffic
Others (please list and rank below in question 25a):
Clear selection
25a. Other impact DURING the construction and your level of concern for each with your rating listed after each response (rating between 1 and 5)
25b. Other concern #2
25c. Other concern #3
26. What do you see as the benefits of the Caton Farm - Bruce Road Corridor project to your community? (Select All that Apply)
27. Do you have any further comments to share at this time? (Please Explain)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms