Community Needs Assessment Survey 2025

Please take a few minutes to complete this anonymous survey. Your feedback will help us understand how Action Inc. can improve our current services and explore new ways to better serve the Cape Ann community.

At the end of the survey, you'll have the option to enter your contact information if you'd like to be entered into a drawing for one of five Visa gift cards. Your information will remain confidential and will not be shared outside of Action Inc.

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* 1. Where do you live?

City/Town

ZIP Code

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* 2. What is your age?

Under 18

18-24

25-44

45-65

65 and older

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* 3. What is your gender, as you define yourself?

Male

Female

Non-binary

Other (optional)

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* 4. Are you Hispanic/Latino? (includes Brazilian)

Yes

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* 5. What race/ethnicity best describes you? (Please only check one)

American Indian or Alaska Native

Asian

Black or African American

White

Native Hawaiian/ Other Pacific Islander

Multi-Race

Other (please specify)

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* 6. What languages are spoken in your home?

English

Spanish

Portuguese

French/Haitian Creole

Arabic

Other (please specify)

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* 7. Which of the following best describes your current employment status?

I have a fill-time job

I have a part-time job

I have both a full-time and a part-time job

I have multiple part-time jobs

I am a full-time caretaker of children or elderly family members

I am unemployed and looking for work

I am unemployed and not currently looking for work

I am retired

I am a full-time student

Other (please specify)

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* 8. Have you had to make any of these choices for yourself or your family?(Select all that apply)

Skip meals or buy cheaper food

Delay or skip medical care

Go without medications

Use credit cards or loans to pay bills

Cut back on utilities (heat, electricity)

Work extra jobs or hours

Move to more affordable housing

None of the above

Other (please specify)

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* 9. What challenges, if any, make it hard for you to keep a job? (Select all that apply)

Lack of transportation

Lack of childcare

Lack of housing

Health issues or disability

Criminal record

Language barriers

Lack of education or training

Lack of access or ability to use a computer

Immigration Status

Discrimination

Other (please specify)

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* 10. In the past year, have you or a household member had difficulty accessing healthcare for any of the following reasons? (Select all that apply)

Not applicable

Cost or insurance issues

Providers not accepting MassHealth or Medicare

Transportation problems

Lack of available providers

Language or communication barriers

Long wait times

Appointment times don't work for me

Other (please specify)

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* 11. What is the highest level of education you have completed?

Some high school

High school diploma or GED/HiSET

Some college or vocational training

Associate degree

Bachelor's degree

Graduate or professional degree

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* 12. What are the biggest challenges that make it hard for you (or your household) to access education or training? (Select all that apply)

Cost

Lack of time

Lack of childcare

Transporation

No internet or computer

Not sure where to start

Language barrier

Health/disability

Immigration status

I don't need additional education or training

Other (please specify)

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* 13. Which of the following best describes your housing situation over the past 12 months? (Check all that apply)

I have stable housing that meets my needs and I can afford it

I have housing but worry I may not be able to afford it in the near future

I am staying in a shelter or temporary housing

I am at imminent risk of losing my current housing

I do not have stable housing (e.g., couch surfing, unsheltered, or in unsafe conditions)

Other (please specify)

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* 14. What barriers do you face in finding housing or keeping your housing?

High rent or mortgage

Lack of available units

Poor credit or no credit

Lack of funds for down payment or deposit

Criminal record

Poor housing quality

Immigration status

Discrimination

Does not apply to me

Other (please specify)

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* 15. Does your income (or your household's income)cover basic living expenses like rent, food, transportation and bills?

Yes, fully

Yes, but it's tight

No, I/we often struggle to cover expenses

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* 16. In the last year, did you or anyone in your household access mental health or addiction support services?

Yes

Need services but cannot find them

Need services but cannot afford them

Household member refuses care

Not applicable

Decline to answer

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* 17. What do you think are the top issues impacting people in your community? (Check top three)

Lack of affordable housing

High utility and heating costs

Low availability of living-wage jobs

High cost or lack of childcare options

Inadequate public transportation

Limited access to mental health care

Substance use and addiction concerns

High cost or lack of access to health care

Food insecurity

Social isolation

Domestic violence and lack of safe supports

Lack of access to reliable technology and internet

Difficulty accessing legal assistance

Barriers faced by immigrants and non-English speakers

Other (please specify)

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* 18. Have you or anyone in your family accessed any of Action Inc.'s services?

Yes

Community Needs Assessment Survey 2025

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* 1. Where do you live?

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* 2. What is your age?

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* 3. What is your gender, as you define yourself?

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* 4. Are you Hispanic/Latino? (includes Brazilian)

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* 5. What race/ethnicity best describes you? (Please only check one)

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* 6. What languages are spoken in your home?

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* 7. Which of the following best describes your current employment status?

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* 8. Have you had to make any of these choices for yourself or your family?(Select all that apply)

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* 9. What challenges, if any, make it hard for you to keep a job? (Select all that apply)

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* 10. In the past year, have you or a household member had difficulty accessing healthcare for any of the following reasons? (Select all that apply)

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* 11. What is the highest level of education you have completed?

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* 12. What are the biggest challenges that make it hard for you (or your household) to access education or training? (Select all that apply)

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* 13. Which of the following best describes your housing situation over the past 12 months? (Check all that apply)

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* 14. What barriers do you face in finding housing or keeping your housing?

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* 15. Does your income (or your household's income)cover basic living expenses like rent, food, transportation and bills?

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* 16. In the last year, did you or anyone in your household access mental health or addiction support services?

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* 17. What do you think are the top issues impacting people in your community? (Check top three)

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* 18. Have you or anyone in your family accessed any of Action Inc.'s services?

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* 19. Contact Information (optional)