Nonprofit Needs Assessment

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1. What is the name of your organization?

What is the name of your organization?

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2. What is the nonprofit organization's primary area of interest? (Choose up to two)

What is the nonprofit organization's primary area of interest? (Choose up to two)   Animal welfare Art & Culture Children, youth & family Community development Health care Housing Education Employment and job-related Environment Faith-based Food security/ending hunger Human and civil rights Immigration International Legal and justice Nonprofit support organization Sports & Recreation

Other (please specify)

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3. What is your primary focus of activities? (Choose up to two)

What is your primary focus of activities? (Choose up to two)   Advocate on behalf of a specific population Education and public outreach Provide direct services Training and technical assistance Lobbying and social action Philanthropy

Other (please specify)

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4. Which of the following describes your primary clients/constituents? (Choose up to three)

Which of the following describes your primary clients/constituents? (Choose up to three)   General Public Children Adults Seniors Families People with disabilities

Other (please specify)

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5. Which of the following BEST describes the geographic scope of your organization's work?

Which of the following BEST describes the geographic scope of your organization's work?   Park City only Park City & Kimball Junction Summit County wide Summit County & Wasatch County State of Utah National International

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6. Which of the following is the primary way that you interact with your clients/constituents? (Choose up to two)

Which of the following is the primary way that you interact with your clients/constituents? (Choose up to two)   Email or mail Phone In person at your facilities In person in their communities In person at their homes

Other (please specify)

7. If clients/constituents come to your facilities, which of the following best describes the primary transportation method they use? (Choose up to three)

If clients/constituents come to your facilities, which of the following best describes the primary transportation method they use? (Choose up to three)   Walk Drive their own vehicles Ride with family/friends Public transportation Organization provides transportation Not applicable

Other (please specify)

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8. What is your organization's annual budget for Fiscal year 2009

What is your organization's annual budget for Fiscal year 2009   Under $25,000 $25,000-$49,999 $50,000-$99,999 $100,000-$249,999 $250,000-$499,999 $500,000-$999,999 $1,000,000-$1,499,999 $1,500,000-$1,999,999 Over $2,000,000

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9. How may people use your organization's facilities in an average week?

	Not applicable	1-4	5-10	11-20	21-50	51-100	Over 100
Full time employees	*How may people use your organization's facilities in an average week? Full time employees Not applicable	Full time employees 1-4	Full time employees 5-10	Full time employees 11-20	Full time employees 21-50	Full time employees 51-100	Full time employees Over 100
Part time employees (<30hrs)	Part time employees (<30hrs) Not applicable	Part time employees (<30hrs) 1-4	Part time employees (<30hrs) 5-10	Part time employees (<30hrs) 11-20	Part time employees (<30hrs) 21-50	Part time employees (<30hrs) 51-100	Part time employees (<30hrs) Over 100
Interns and volunteers	Interns and volunteers Not applicable	Interns and volunteers 1-4	Interns and volunteers 5-10	Interns and volunteers 11-20	Interns and volunteers 21-50	Interns and volunteers 51-100	Interns and volunteers Over 100
Clients/constituents	Clients/constituents Not applicable	Clients/constituents 1-4	Clients/constituents 5-10	Clients/constituents 11-20	Clients/constituents 21-50	Clients/constituents 51-100	Clients/constituents Over 100
Other visitors	Other visitors Not applicable	Other visitors 1-4	Other visitors 5-10	Other visitors 11-20	Other visitors 21-50	Other visitors 51-100	Other visitors Over 100

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10. What changes in staff size do you project over the next five years (please include regular volunteers or interns in your projections)

What changes in staff size do you project over the next five years (please include regular volunteers or interns in your projections)   Decrease substantially Decrease somewhat Stay the same Increase somewhat Increase substantially

Other (please specify)

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11. How would you describe the location of your (main) office?

How would you describe the location of your (main) office?   Office building Storefront Church Public/community facility Own facility Converted house Home office Virtual office

Other (please specify)