Smart Planning and Growth Coalition

Measuring Local Money Flows in Barnstable County
The information provided in this survey is strictly confidential.
All information will be reported in aggregate. No individual information will be disclosed.
Thank you for taking the time to complete this form!

Employee Dollars Survey
Employer/Company
Where do you live?		Please state where
How do you spend your income? You may use monthly or annual figures, but please be consistent for all items below. If you do not wish to disclose $ figures, please use this survey to assist you in completing Employee Percentage Survey. For each row (e.g., 'Food'), the 'Total $' should be the total of '$ Local' and '$Non-local'. Local = Barnstable County.
Item	Total $ (Local + Non)	$ Local	$ Non-local	Please Name the main local business/ es you use for each category
Example using dollar figures	$1,500	$560	$840	John's Shoes
Local Taxes (real estate, excise taxes, etc)
Food (excl. restaurants/to-go)
Entertainment (e.g. restaurants, video rental, sports, bars, clubs, movies, travel & leisure, books)
Clothes (apparel, footwear & accessories)
Outdoor:Garden/lawn/ landscape/pool/ grilling expenditures
Transportation (e.g. taxis, car rentals, bus fares, parking, fuel)
Services (e.g. babysitting window/house cleaners)
Rent/Mortgage
Indoor Home Expenditures (appliances, furniture, etc)
Home costs (fuel and water, phone, utilities, home repair,etc.)
Insurance (Home, auto, etc.)
Loan Repayments
Savings
Charitable Giving/Donations
Other (please specify)
Totals
If you rent please choose one of the following