2026 CAPSTJOE Community Needs Assessment Survey CAPSTJOE would like your assistance with our 2026 Community needs Assessment. Completing this survey will help us to better understand challenges and unmet needs of individuals and families in our service area. This will allow us to prioritize our efforts in designing programs and developing partnerships to best serve our community. Question Title * 1. County of residence: Andrew Buchanan Clinton Dekalb Question Title * 2. Gender: Male Female Trans-Man Trans-Woman Non- Confirming Other (please specify) Question Title * 3. Race: White or Caucasian Black or African American Asian or Asian American American Indian or Alaska Native Native American or other Pacific Islander Multi- Racial or Bi-Racial Other (please specify) Question Title * 4. Ethnicity: Hispanic, Latino or Spanish Origin Not Hispanic, Latino or Spanish Origin Question Title * 5. Age: Under 18 18-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65-74 Years 75 and over Question Title * 6. Employment Status: Full Time Full time with benefits Part time Part time with benefits Unemployed- Job Searching Unemployed- not job searching Disabled Retired Other (please specify) Question Title * 7. Educational Level: Grades 0-8th Grades 9th-12th (non-graduate) High School Diploma, GED or HiSET equivalent Some technical or trade school Completed technical or trades trade school Some college Associates Degree Bachelor's Degree Master's/Graduate Degree Other (please specify) Question Title * 8. Military Status: Active Military Veteran N/A Question Title * 9. Relationship Status: Single, never married Single, cohabitating with significant other Domestic Partnership or Civil Union Married Separated Divorced Widowed Other (please specify) Question Title * 10. Household Income Range: $0-9,999 $10,000-24,999 $25,000-49,999 $50,000-74,999 $75,000-99,999 $100,000-149,999 $150,000 and above Question Title * 11. Current Housing Situation: Rent Own home- no mortgage Own home- with mortgage Living with family/friends Shelter or temporary arrangement Homeless Other (please specify) Question Title * 12. Household Type: Single person Single parent male with children Single parent female with children Two or more adults- no children Two parents and child(ren) Multi-Generational Other (please specify) Question Title * 13. Number of people in the home: 0 1 2 3 4 5 6 7 8 9 10 Question Title * 14. Number of pregnant household members: 0 1 2 3 4 5 6 7 8 9 10 Question Title * 15. Number of children 0-3 in the home: 0 1 2 3 4 5 6 7 8 9 10 Question Title * 16. Number of children ages 4-5 in the home: 0 1 2 3 4 5 6 7 8 9 10 Question Title * 17. Number of children 6-17 in the home: 0 1 2 3 4 5 6 7 8 9 10 Question Title * 18. Number of elderly ages 65 and over in the home: 0 1 2 3 4 5 6 7 8 9 10 Question Title * 19. What CAPSTJOE programs or services do you participate in? Head Start Classroom Early Head Start Classroom Head Start Home Based Early Head Start home Based Early Head Start Prenatal Home Based LIHEAP Community Support SkillUP H2O Help 2 Others- Missouri American Water Tiny Home None or N/A Other (please specify) Question Title * 20. What difficulties has your household faced with childcare? Question Title * 21. Which childcare services are you currently using? Early Head Start/ Head Start Licensed Facility Licensed home provider Unlicensed home provider Church family Family Childcare isn't needed Other (please specify) Question Title * 22. What are your top barriers related to INCOME? Please move choices in order from greatest to least. Question Title * 23. What are your top barriers related to EDUCATION? Please move choices in order from greatest to least. Question Title * 24. What barriers prevented you from receiving a diploma/degree? No transportation No childcare Have other pressing priorities preventing me from enrolling in school Lack of financial resources- Household Lack of financial resources-Educational Costs (student loans, financial assistance, scholarships) Pregnancy Addiction Had to work Academic disqualification Distance Other (please specify) Question Title * 25. What are your top barriers related to EMPLOYMENT? Please move choices in order from greatest to least. Question Title * 26. If not employed, Why? Question Title * 27. What are your top barriers related to HOUSING? Please move choices in order from greatest to least. Question Title * 28. What are your top 5 household expenses? #1 #2 #3 #4 #5 Question Title * 29. What are your top barriers related to NUTRITION? Please move choices in order from greatest to least. Question Title * 30. How far are you from a food source (e.g., grocery store, food bank, pantries)? 1-5 miles 6-10 miles 11-15 miles 16-20 miles 21 miles or more Question Title * 31. What are your top barriers related to HEALTH? Please move choices in order from greatest to least. Question Title * 32. What are your top 3 barriers related to TRANSPORTATION? Please move choices in order from greatest to least. Question Title * 33. How many times a month do you rely on other forms of transportation besides your own personal vehicle? (e.g., bus, Uber, friend, walking, biking)? 0 I do not use 1-5 times a month 6-10 times a month 11-15 times a month 16-20 times a month 21 or more times a month Question Title * 34. What form of transportation do you use the most? Public bus Personal vehicle Uber or Cab Friends Family Community Agencies Walking Biking Other (please specify) Question Title * 35. Thinking about the community's needs as a whole, what would you say are the top 3 needs that this community could benefit from. Please write in your answers: #1 Need #2 Need #3 Need Question Title * 36. What does our agency or the community need to understand about living in or working with families in poverty? Done