Professional Documents
Culture Documents
If you have taken this survey at another venue or church, it is still helpful
for you to take this one.
Please indicate where you have done the survey before:
______________________________
The purpose of this survey is to gain an understanding of how people in Dubuque
orient around religion and view the religious beliefs and perspectives of others. By
'orient' around religion, we mean how a person associates or does not associate
with a religious identity, institution, or way of thinking. In the survey, we use the
term 'philosophical' to refer to a coherent outlook on the world and life which may
or may not be associated with religious teachings.
If you would prefer to take this survey online, you may do so at this URL:
https://www.research.net/s/DBQ-RP1
Minors, ages 13-17, are encouraged to take this survey, but must submit with it a signed
parental consent form.
Return this form and the signed consent form(s) to any member of the Research
Team at church next weekend; or mail it to John Eby, Loras College, 1450 Alta Vista,
Dubuque, IA, 52001; or contact the Research Team at DbqInterfaith@gmail.com to
arrange to have it picked up.
PERSONAL INFORMATION
Ag
e:
Prefer Not to
Answer
Heritage
Choose one or more categories. Heritage refers to your own selfidentification for most people it will refer to biological ancestry, but for
some it may refer to cultural identity. By American we mean identifies
personally as American and/or has lived in the United States for a long
time.
American - Native Peoples (American
Indian/Native American/Alaska Native)
American - European descent
American Canadian origin
American African descent
American Hispanic descent
American Middle Eastern descent
American East Asian descent
American South Asian descent
American Southeast Asian
American Pacific Islander descent
American Australian/New Zealander
European
Canadian
Latin American
African
East Asian
South Asian
Southeast Asian
Middle Eastern
Pacific Islander/Australian
Australian/New Zealander
Other (please specify):
Approximately how far do you live from your primary church or religious
community?
mile or less
1-3 miles
5-9 miles
mile to 1 mile 3-5 miles
More than 9 miles
What is the closest
Audubon
Bryant/St.
Columbkille
Carver
Eisenhower
Fulton
Resurrection
Sageville
St. Anthony/Our
Lady of
Guadalupe
Other
No political party
affiliation
Not politically active
(Masters Degree)
What is the total number of years you have lived in Dubuque?
Religious Affiliation (Choose one or more categories.)
Agnostic
Jewish
Presbyterian
Atheist
Lutheran
Roman Catholic
Baptist
Methodist
Unitarian
Buddhist
Mormon
Other Protestant
Episcopalian
Muslim
Non-religious/Nonaffiliated
Hindu
Non-denominational
Spiritual, not part of
Christian
any organized religion
Historically Black
Orthodox Christian
Other (please specify):
Denomination
Jehovahs Witness
Pagan
PERSONAL OUTLOOK
AND
PRACTICE
Moderate
ly Agree
Moderate
ly
Disagree
Strongly
Disagree
community service.
I am involved in the
VIEW
OF
OTHERS
4
Atheist
Buddhist
Catholic
Hindu
Jewish
Mainline
Protestants
(Presbyteria
n, Lutheran,
Episcopalian
, Methodist,
UCC, etc.)
Mormon
Muslim
Non
denominatio
nal Christian
Orthodox
Christian
CITY CLIMATE
Agnostics
Atheists
Buddhists
Catholics
Hindus
Jews
Mainline
Protestants
Mormons
Muslims
Non-
Strongly
Agree
Moderately
Agree
Moderately
Disagree
Strongly
Disagree
I dont
know
Strongly
Agree
denominatio
nal Christians
Orthodox
Christians
Moderately
Agree
Moderately
Disagree
Strongly
Disagree
I dont
know
Atheists
Buddhists
Catholics
Hindus
Jews
Mainline
Protestants
Mormons
Muslims
Nondenominatio
nal
Christians
Orthodox
Christians
To your knowledge, how often does the following happen in Dubuque?
Alway Frequentl Sometime
Rarely Never
I
s
y
s
dont
know
Catholics are rejected
service or offered poor
service from a business,
organization, or
institution based on their
religious status.
Catholics are portrayed
negatively in media in
Dubuque.
Mainline Protestants are
rejected service or
offered poor service from
a business, organization,
or institution based on
their religious status.
6
Alway
s
Frequentl
y
Sometime
s
Rarely
Never
I
dont
know
Alway
s
Frequentl
y
Sometime
s
Rarely
Never
I
dont
know
Alway
s
Frequentl
y
Sometime
s
Rarely
Never
I
dont
know
Moderately
Disagree
Strongly
Disagree
I dont
know or
N/A
How well do you know one or more people with the following perspective?
(Mark one or more boxes; multiple categories can apply)
Agnostic
Family
Membe
r
Close
Friendsh
ip
Friendsh
ip
Work
Relationshi
p
Acquaintan
ce
Do not
know
someo
ne
Atheist
Buddhist
Catholic
Jewish
Hindu
Mainline Protestant
Mormon
Muslim
Nondenominational
Christian
Orthodox Christian
Moderate
ly Agree
Moderate
ly
Disagree
Strongly
Disagree
Always
Frequently
Sometimes
Rarely
Never
Compared to three years ago, do you think Dubuque has become a more
welcoming environment for people from diverse religious faiths and
philosophical perspectives?
Yes
No
Why do you think that?
Ten years from now, do you think Dubuque will likely be more or less
welcoming to diverse faith traditions?
More welcoming
Less welcoming
Why do you think that?
Comments (Optional)
Please feel free to offer further comments to elaborate on answers above or add
new information you would like us to know.
12
13