Waltham Planning Department: Community Development Needs Survey, 2010

1. Waltham Community Development Needs Survey, 2010

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The City of Waltham is preparing a Five Year Consolidated Plan for its federal Community Development Block Grant (CDBG) and HOME Investment Partnership (HOME) Programs. The survey below is an important part of this planning process, providing input from local social service providers on the needs faced by the City's least affluent residents which can be addressed by the CDBG and HOME Programs.

Please take a few minutes and complete this confidential questionnaire. Thank you for your assistance in helping us develop a program serving the needs of the city's residents. We would appreciate your response by January 29, 2010.

1. Social Service Needs:

	High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Anti-crime Programs:	Social Service Needs: Anti-crime Programs: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Child Care Services:	Child Care Services: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Health Services:	Health Services: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Legal Services:	Legal Services: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Mental Health Services:	Mental Health Services: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Senior Activities:	Senior Activities: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Transportation Services:	Transportation Services: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Youth Services:	Youth Services: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Adult Education:	Adult Education: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
English Fluency Training:	English Fluency Training: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Job Training (youth):	Job Training (youth): High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Job Training (adults):	Job Training (adults): High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)

Other (please specify)

2. Social Services for Special Populations:

	High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Victims of Abuse:	Social Services for Special Populations: Victims of Abuse: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Persons with Severe Mental Illness:	Persons with Severe Mental Illness: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Persons with Addictions:	Persons with Addictions: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Persons with Physical Disabilities:	Persons with Physical Disabilities: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Persons with HIV/AIDS:	Persons with HIV/AIDS: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Homeless Individuals:	Homeless Individuals: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Homeless Families:	Homeless Families: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Elderly People:	Elderly People: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Frail Elderly People:	Frail Elderly People: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)

Other (please specify)

3. Community Facilities Needs:

	High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Child Care Centers:	Community Facilities Needs: Child Care Centers: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Community Centers:	Community Centers: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Health Care Centers:	Health Care Centers: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Libraries:	Libraries: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Park & Recreation Centers:	Park & Recreation Centers: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Senior Centers:	Senior Centers: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Youth Centers:	Youth Centers: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Parking Facilities:	Parking Facilities: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)

Other (please specify)

4. Neighborhood Infrastructure Needs:

	High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Drainage Improvements:	Neighborhood Infrastructure Needs: Drainage Improvements: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Street/sidewalk Reconstruction:	Street/sidewalk Reconstruction: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Water/sewer Replacement:	Water/sewer Replacement: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Street lighting:	Street lighting: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Parks/Playgrounds:	Parks/Playgrounds: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Street Tree Planting:	Street Tree Planting: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Walking/bicycle Trails:	Walking/bicycle Trails: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)

Other (please specify)

5. Housing Needs (for people w. low and moderate incomes):

	High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Owner-occupied Housing:	Housing Needs (for people w. low and moderate incomes): Affordable Owner-occupied Housing: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Rental Housing:	Affordable Rental Housing: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Housing (large households):	Affordable Housing (large households): High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affodable Housing (single people/small households):	Affodable Housing (single people/small households): High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Senior Housing:	Affordable Senior Housing: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Housing for the Disabled:	Affordable Housing for the Disabled: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Home Repair Loans:	Affordable Home Repair Loans: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Affordable Homeownership Loans:	Affordable Homeownership Loans: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)
Homeownership Training:	Homeownership Training: High Priority (Severe Need)	Medium Priority (Moderate Need)	Low Priority (Low Need)

Other (please specify)

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