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Each year Sangamon County Department of Community Resources (SCDCR) completes a community survey to learn about the needs of our community. We would appreciate it if you would take a few minutes to complete this survey to help us understand the pressing issues/needs of our community.  A copy of the survey results are available upon request and will be posted on our website as soon as available.
Please complete this survey no later than Friday, May 12, 2017.
All information you provide is confidential.  Thank you for your participation!

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* 1. Date:

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* 2. What city do you live in?

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* 3. Before today's apt have you ever used Sangamon County Community Resources Services?

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* 4. Do you use Public Health/WIC?

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* 5. EMPLOYMENT:  Which employment needs could you use help with (select all that apply)

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* 6. EDUCATION:  Which education needs could you or a family member use help with (select all that apply)

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* 7. FINANCIAL AND LEGAL ISSUES:  Which financial and/or legal needs could you or your family use help with (select all that apply)

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* 8. HOUSING:  Which housing needs could you or your family use help with (select all that apply)

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* 9. FOOD AND NUTRITION:  Which food and nutrition needs could you or your family use help with (select all that apply)

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* 10. Do you have children (under the age of 18) living with you?

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* 11. CHILD CARE AND CHILD DEVELOPMENT:  (If you have children (under the age of 18) living with you, which child care and/or child development needs could you or your family use help with (select all that apply)

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* 12. PARENTING AND FAMILY SUPPORT:  If you have children (under the age of 18) living with you, which parenting and/or family support needs could you or your family use help with (select all that apply)

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* 13. TRANSPORTATION:  Which transportation needs could you or your family use help with (select all that apply)

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* 14. HEALTH:  Which health needs could you or a family member use help with (select all that apply)

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* 15. BASIC NEEDS:  Which basic needs could you or your family use help with (select all that apply)

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* 16. Are there any problems or needs that you or your family faced within the last 12 months that you were unable to get help with?

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* 17. What is ONE thing you would like to see improved in your neighborhood?

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* 18. How did you learn about our agency?  (Select all that apply)

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* 19. What are your sources of household income?  (Select all that apply)

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* 20. In the last 12 months, how has your household's income changed?

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* 21. What services has your household received from our agency within the last 12 months?  (Select all that apply)

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* 22. If you know anyone with an incarcerated adult in their family, do they ever talk about particular concerns that could be addressed through.... (Select all that apply)

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* 23. When you think about your adult family, friends and neighbors, how many of them might say something like "there's too much month at the end of my money?" or "where am I going to find money to pay for that?"  (Select one)

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* 24. When you think about your family, friends and neighbors, how many of them may have difficulties finding or buying enough quality food to provide at least three meals per day?  (Select one)

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* 25. When you think about your family, friends and neighbors, how many of them may have difficulties finding or buying enough quality food to provide at least three meals per day?  (Select one)

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* 26. When you think about your family, friends and neighbors, how many of them may have difficulties finding or buying enough quality food to provide at least three meals per day?  (Select one)

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* 27. When you think about your family, friends and neighbors, how many of them may have difficulties finding or buying enough quality food to provide at least three meals per day?  (Select one)

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* 28. When you think about your family, friends and neighbors, how many of them may have difficulties finding or buying enough quality food to provide at least three meals per day?  (Select one)

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* 29. When you have time to rest or are ready to sleep, what kind of issues in your family or neighborhood keep you up?

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* 30. Gender (Number of each gender in household)

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* 31. Age of each person in household (Number of each age group)

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* 32. Ethnicity Per Household

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* 33. Race of EACH PERSON in household

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* 34. Education levels of all Adults 24 years old or older

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* 35. Other Characteristics Per Household

  Yes No
Health Insurance
Disabled

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* 36. Family Type

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* 37. Family Size

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* 38. Source of Family Income

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* 39. Housing

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* 40. Level of Family Income

T