2016 Community Needs Assessment - Community Survey 1. RESPONDENT CHARACTERISTICS Question Title * 1. To which of the following age groups do you currently belong: Under 18 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85 or older Question Title * 2. Are you: Male Female Question Title * 3. Which of the following do you consider to be your primary race: White/Caucasian Black/African American Native American/Alaskan Native Asian Pacific Islander Hispanic/Latino Other (please specify) Question Title * 4. Counting income from all sources for everyone living in your household, which category below represents your annual household income for 2015 before taxes (gross income): Less than $10,000 $10 - 14,999 $15,000 - 24,999 $25,000 - 34,999 $35,000 - 49,999 $50,000 - 74,999 $75,000 - 99,999 $100,000 - 149,999 $150,000 - 199,999 $200,000 or more Don't know/refused Question Title * 5. In what county do you live? Nez Perce Clearwater Idaho Latah Lewis Asotin Question Title * 6. In what county do you work? Nez Perce Clearwater Idaho Latah Lewis Asotin N/A Question Title * 7. How many people are currently living in your house? 1 2 3 4 5 6 7 8+ Question Title * 8. How many are adults age 65 years or older? (Include yourself if appropriate) 1 2 3 4 5+ None Question Title * 9. How many children under 18 years old? 1 2 3 4 5 6 7 8+ None Question Title * 10. Of those children, how many are: 0 1 2 3 4 5 6 7 Pre-Kindergarten in age Pre-Kindergarten in age 0 Pre-Kindergarten in age 1 Pre-Kindergarten in age 2 Pre-Kindergarten in age 3 Pre-Kindergarten in age 4 Pre-Kindergarten in age 5 Pre-Kindergarten in age 6 Pre-Kindergarten in age 7 Grades K-6 Grades K-6 0 Grades K-6 1 Grades K-6 2 Grades K-6 3 Grades K-6 4 Grades K-6 5 Grades K-6 6 Grades K-6 7 Grades 7-12 Grades 7-12 0 Grades 7-12 1 Grades 7-12 2 Grades 7-12 3 Grades 7-12 4 Grades 7-12 5 Grades 7-12 6 Grades 7-12 7 Page1 / 4 25% of survey complete. Next