2026 CADC Community Needs Assessment Survey

1.What City do you live in?(Required.)

2.What County do you live in?(Required.)

3.What is your zip code?(Required.)

4.What is your gender?(Required.)

Male

Female

5.What is your ethnicity?(Required.)

Hispanic

Non-Hispanic

7.What is your highest level of education completed?(Required.)

9.ENTER IN THE NUMBER of persons for each age group in your household.(Required.)

0-2

3-4

5-9

10-14

15-17

18-19

20-24

25-34

35-44

45-54

55-59

60-64

65-74

75-84

85 and older

10.What is the primary language spoken in the home?(Required.)

English

Spanish

Other (please specify)

11.Is anyone in your household a veteran?(Required.)

Yes

No

12.Anyone in your household receive disability benefits?(Required.)

Yes

No

If yes, please enter number of each below:
Number of Children
Number of Adults

14.Mark the choice that best describes you:(Required.)

Client of Agency (Have received services from agency. Example – Tax Preparation)

Agency Board Member

Agency Volunteer

Representative of an educational institution (Public or private school, college, technical school)

Representative of a government entity (City, County, State, or Federal)

Representative of a private organization (Business, local civic group)

Representative of a faith-based organization (Church or other religious organization)

Representative of a community based organization (Nonprofit entities providing direct services)

General Public (Have NOT received services from the agency)

15.What are the MOST important program/services you would you like to see continued in your community?(Required.)

Other (please specify)

25.Please describe any other need that was not listed above:(Required.)

26.Are you employed?(Required.)

Yes

No

28.Are you or someone one in your household an expectant mother? (Required.)

Yes

No

29.Are you and your children experiencing homelessness? (Required.)

Yes

No

30.How many children in your care are experiencing homelessness?(Required.)

31.Are you caring for foster children?(Required.)

Yes

No

33.Are you and/ or child(ren) that have disabilities receiving services?

Yes

No

N/A

34.Do you feel you and your family have adequate social support?(Required.)

Yes

No

35.Does your family receive Public Assistance? (SNAP, SSI, TANF)(Required.)

Yes

No

2026 CADC Community Needs Assessment

Community Action Development CorporationP.O. Box 989Frederick, OK 735425803355588 cadcok.org

Community Action Development Corporation

P.O. Box 989

Frederick, OK 73542

5803355588 cadcok.org