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Community Needs Assessment - Community Survey

Let Your Voice Be Heard

The Olympic Community Action Programs needs your voice as a foundation for the next 3 years of our programming.   The needs assessment results will help the OlyCAP Board create a strategic plan to initiate and support these programs and services.

We do NOT ask for your name in this survey.  Your information will be kept anonymous.

Thank you for taking a few minutes of your time to provide your views and recommendations!

(If you have completed this survey before, please don't fill it out again.)
1.Are you a resident of Jefferson or Clallam County?  (NOTE:  If you are not a resident, please do not proceed.)
2.Please think about your basic needs.   Please list the top 3 or 4 items that you and your family have needed help with recently.
3.Are you able to meet your basic needs every month?
4.Do you know where to get assistance when you need it?
5.Please think about yourself and your family when answering the following questions:  
Yes
No
Do you have a checking account?
Do you have a savings account?
Have you ever applied for a payday or quick loan?
Have you ever applied for a bank loan?
Does each member of your household have medical insurance coverage?
Do you use e-mail regularly?
Do you text regularly?
6.Please let us know of any financial literacy services that you would like...
7.Which healthcare services are hardest to get?
8.Which counseling services are hardest to get?
9.What barriers / challenges have you or your family experienced recently?  For example:  discrimination due to age, gender, race or disability
10.Are there stores close to you that sell fresh fruits and vegetables?
11.Are there enough opportunities for children and youth in your county?
12.Is quality education available for children of all ages in your county?
13.Is affordable and adequate childcare available?
14.Are recreational opportunities available?
15.Are support groups available to meet your emotional needs?
16.Do you feel part of your community and welcome to attend public meetings / events?
17.Do you feel safe in your community?
18.Which housing service is most needed in your community?  (Check one)
19.Which transportation service is most needed in your community?  (Check one)
20.Please share what you like the least about living in Jefferson or Clallam County.
21.How familiar are you with OlyCAP services for low-income households and communities?
22.Which describes you best?
23.Please list what OlyCAP services you or your family have used or participated in during the past 12 months.
24.Demographic Question:   What zip code do you live in?
25.Demographic Question:  Age
26.Demographic Question:  Race / Ethnicity
27.Demographic Question: Annual Income
28.Demographic Question:  Household Information
29.How many dependents (age 0 to 17) live in your home?
30.Demographic Question:  What is the highest level of education you have completed?