Hunger Action Network of New York State Questionnaire Survey

Hunger Action Network of New York State Questionnaire

1. General Questions

This questionnaire is designed to gather information in order to help provide remedies to the barriers that persons encounter in their application for, and receipt of, public assistance and other benefits. The benefits we are concerned about include cash assistance, food stamp benefits, emergency assistance, and domestic violence assistance. We are also interested about the fair hearing assistance. The goal of the Hunger Action Network of New York State’s project is to identify those local social services districts that have policies and practices that create barriers for people who are trying to receive assistance under any of the various benefit programs administered by the districts. We want to identify those barriers and perhaps learn of some new ones not considered in this survey.

Hunger Action Network of New York State Questionnaire
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1. General Questions

1. County

2. Are applicants routinely provided by district with information about Eligibility requirements for assistance programs?

3. Are applicants routinely provided by district with information about the various programs available?

4. Are applicants routinely provided by district with information about the applicant’s rights and responsibilities?

5. Have applicants been screened out before they even file their paper application (e.g., by being told they’re not eligible and so not to apply)?

6. Does the local social services district routinely make application forms readily accessible?

7. Does the district regularly provide applicants with written notice concerning the decision on their application?

8. Does the district regularly provide applicants with written notice concerning the right to a fair hearing?

9. Does the department of social services treat clients with respect and dignity?

10. Does the department of social services contact you prior to referring a client to make sure you can help them?

11. Have applicants or recipients of benefit programs faced any challenges or barriers die to limited English proficiency?

12. Have applicants or recipients of benefit programs faced any challenges or barriers die to limited English proficiency?

13. Does your local district office have the “Right to Interpreter Services” Poster displayed in a noticeable place?

Hunger Action Network of New York State QuestionnaireExit this survey

1. General Questions

1. County

2. Are applicants routinely provided by district with information about Eligibility requirements for assistance programs?

3. Are applicants routinely provided by district with information about the various programs available?

4. Are applicants routinely provided by district with information about the applicant’s rights and responsibilities?

5. Have applicants been screened out before they even file their paper application (e.g., by being told they’re not eligible and so not to apply)?

6. Does the local social services district routinely make application forms readily accessible?

7. Does the district regularly provide applicants with written notice concerning the decision on their application?

8. Does the district regularly provide applicants with written notice concerning the right to a fair hearing?

9. Does the department of social services treat clients with respect and dignity?

10. Does the department of social services contact you prior to referring a client to make sure you can help them?

11. Have applicants or recipients of benefit programs faced any challenges or barriers die to limited English proficiency?

12. Have applicants or recipients of benefit programs faced any challenges or barriers die to limited English proficiency?

13. Does your local district office have the “Right to Interpreter Services” Poster displayed in a noticeable place?

Hunger Action Network of New York State Questionnaire
Exit this survey