Please take a few minutes to complete this survey - thank you!

By completing this survey, you will help us understand area families' resources and needs.  Your answers will aid Rocky and other community organizations to understand which resources are available, what barriers you face, and what resources are needed.  (Questions with * must be answered.)  

Your answers are completely confidential.  Thank you.

 

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* 1. In which county do you reside?  If you do not live in one of the counties below, please do not continue to complete this survey.  Thank you.

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* 2. How did COVID-19 affect you and/or your family? Explain further in comment section if necessary.

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* 3. Are you involved in any civic/service groups or do you volunteer? If so, where?

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* 4. From the list of services below, check all that you think are most needed  in your community.  

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* 5. Of the problems listed below, check all those that you feel are the most serious to your community.

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* 6. Whether you are fully employed, unemployed, or underemployed, please choose employment support needs in your community.

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* 7. If you are unemployed, please select the reason(s) why below:

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* 8. Do you have any of the following financial management resource needs?

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* 9. Do you have reliable phone access?

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* 10. Do you have access to the Internet?

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* 11. Where do you usually use the Internet?

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* 12. Do you have any barriers to good health?

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* 13. Identify the transportation barriers that you or someone in your household have experienced in the last 12 months.  (Provide multiple responses if they apply)

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* 14. What programs do you and/or a member of your household currently participate in?  (Provide multiple responses if they apply)

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* 15. Have you participated in any of the following Rocky programs? (check all that apply)

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* 16. What additional programming would you like to see?

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* 17. When calling or stopping by Rocky offices, do you find the support you are looking for?

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* 18. Please name a Rocky program and tell us how to improve the program.

The following questions are optional and strictly for data gathering.  Thank you.

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* 19. What is your gender?

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* 20. Which race/ethnicity best describes you? (Please choose only one)

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* 21. What is your age?

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* 22. My total family income last year was:

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* 23. Which of the following best describes your current relationship status?

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* 24. How many children age 17 or younger live in your household?

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* 25. What was not included in this survey that you feel is important?

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 100% of survey complete.

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