Social Capital Survey

Thank you for completing the Give 5 social capital survey. The Social Capital Form gives us an idea of the perspectives of our participants over time and will be completed again following the last program day.

Name*

First Last

Email*

Some considerations to measure larger scope social capital

(Range from 1-5)

Have you visited a neighbor in the past week?*

In the past six months, have you done a favor for a neighbor?*

If a stranger moves to your street, would they be accepted by your neighbors?*

Do enjoy living among people of different lifestyles?*

Have you attended a local event in the past six months (e.g. church activity, school event, community concert?)*

In the past week, how many phone conversations have you had with friends?*

How many people did you talk to yesterday?*

On the weekends, do you have lunch or dinner with other people outside of your household?*

Do you go outside Springfield/Greene County to visit your family?*

Are you on a management or organizing committee for any local group or organization?*

Do you currently volunteer to help a local group?*

Some say that by helping others, you help yourself in the long run. Do you agree?*

I’m able to see things from the point of view of those within our community who are in need.*

I often have tender, concerned feelings for people less fortunate than me.*

Do you ever pick up someone else’s trash in a public space?*

Do you feel safe walking down your street at after dark?*

Do you agree that people can be trusted?*

Can you get help from friends or family when you need it?*

Social Capital Survey

Social Capital Survey (Pre)

Some considerations to measure larger scope social capital

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