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2025 VOICES Community Needs Assessment

September 11, 2026, marks the 25th Anniversary of 9/11. As we plan our programs for the year ahead, your insights are important and will help guide the development of our support services and programs for you and your family. The survey will take approximately five minutes to complete, and your response is confidential and for internal use only.

*1.First Name(Required.)

*2.Last Name(Required.)

*3.Contact Information(Required.)

Email address

Phone number

*4.Home Address(Required.)

Address

Address 2

City

State

ZIP/Postal Code *

Country other than U.S.

*5.Age(Required.)

18-30

31-40

41-50

51-60

61-70

71-80

81 +

Prefer not to answer

*6.Gender(Required.)

Male

Female

Non-binary

Prefer not to answer

Prefer to self-describe

*7.How do you identify your race? * Check all that apply(Required.)

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or other Pacific Islander

White

Prefer not to answer

Prefer to self-describe

*8.How do you identify yourself? *Select all that apply(Required.)

9/11 Victim Family Member

Family Member of someone who has died due to a 9/11-related illness

Family Member of someone with a 9/11-related illness

9/11 Responder

9/11 Survivor

Mental Health Provider

Law Enforcement

Government Agency Employee

Emergency Management Personnel

Attorney

General Public

Other (please specify)

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