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

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* 2. Are you:

Male

Female

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* 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

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* 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

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* 7. How many people are currently living in your house?

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* 8. How many are adults age 65 years or older? (Include yourself if appropriate)

None

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* 9. How many children under 18 years old?

None

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* 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

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25% of survey complete.