Individual Questionairre:

 

 

Name of Community:

 

Age:

 

Months or Years Lived in Current Community:

 

Months or Years Lived in Other Similar Communities:

 

How does this community compare with the last place you lived?

 

What are your Duties and Responsibilities?

 

What Do You Consider Your Skills and Expertise?

 

What does your diet primarily consist of?

 

How would you label your current relationship status?

 

Rate the following statements on a scale of 1-5.

1 being Completely disagree and 5 being Completely Agree:

 

Our community works well together.

 

I would like to move to a different eco-community.

 

I see our community growing and thriving.

 

I Feel Safe in my Community.

 

I Feel Loved in My Community.

 

I Feel Emotionally and Mentally Healthy in My Community.

 

I Feel Prepared for Medical Emergencies.

 

I Feel Prepared for Natural Disasters in my Community.

 

I Feel Like this is a Safe and Healthy Place For Children.

 

I Plan to Live Here for the Rest of My Life.

 

I would like to move to a different eco-community.

 

I would like to move to a different eco-community.

 

I would like to go back to a More Mainstream life.

 

Answer The Following:

 

What are Some things that are needing improvement and what would it take to resolve them? 

 

How would you describe your spirituality?

 

Do you participate in any art  music  or drama activities? If so what kind?

 

What is your Favorite part of living here?

 

What are Some things you have learned in this community through trial and error?

 

Is There Anything Else You Would Like to Share?

Lighting Up a Path

For Conscious Living

 

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THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL - FREE 1-800-435-7352 WITHIN THE STATE OF FLORIDA.

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