2022 MARTINSVILLE, VA - Community Needs Assessment--This survey has been developed to identify the needs and resources recognized within this community. Your input is valued and all responses are anonymous and confidential.

As an accredited child advocacy center, the Southern VA CAC, is responsible for conducting a community needs assessment every three years. This survey was developed to examine the strengths and challenges recognized in this community and the information gathered will used to identify needs and develop services and programs that compliment the established and available resources here.

The Southern VA Child Advocacy Center's goal is to maintain family-focused, child-centered, community-based care to promote successful outcomes for children impacted by trauma. Your input is valued and appreciated.

If you would prefer to complete this electronically - please visit https://www.surveymonkey.com/r/7X765MB or you can mail the survey to the Southern VA CAC - 300 South Main Street Rocky Mount, VA 24151

Question Title

* 1. Race/Ethnicity of person responding to survey:

African American/Black

Caucasian/White

Hispanic

Asian

Native American/Alaskan Native

Multi-Racial

Other (please specify)

Question Title

* 2. Age of person responding to survey:

Under 18

18-35

36-55

56 and over

Question Title

* 3. Education:

Not A High School Graduate

High School Graduate/GED

Some College

Associate’s Degree (2 yrs) College/Technical Certificate

Bachelor’s Degree (4 yrs)

Master’s Degree

Other Advanced degrees

Question Title

* 4. Do you live and/or work in Martinsville City, VA

Yes

Question Title

* 5. Number of Individuals Living in the Home

1-2

3-4

5-6

more than 7

Question Title

* 6. Household characteristics:

Single

Married Household

Single Parent Household

Married Household with Extended Family Members

Single Parent Household with Extended Family Members

Unmarried Adults with children in common living in same house

Other (please specify)

Question Title

* 7. Household Income:

Under $13,590

Between $13,591--$18,310

Between $18,311--$23,030

Between $23,031--$27,750

Between $27,751--$32,470

Between $32,471--$37,190

Between $37,191--$41,910

Between $41,911--$46,630

Greater than $46,630

Question Title

* 8. Employment

Employed full-time

Employed part-time

Employed with multiple jobs

Unemployed

Retired

Question Title

* 9. Is anyone in YOUR HOME diagnosed with a disability?

Yes

Question Title

* 10. Identify your TOP 5 COMMUNITY concerns

Individuals Living in Poverty

Lack of food

Transportation

Limited Employment/Job Opportunities

Homelessness

Language Barriers

Available Dental Care

Available Medical Care

Family/Parent Mentoring

Youth Programs/Mentoring

Lack of Awareness of Services Available in the Community

Available Mental Health/Psychiatric Services

Services to the Elderly

Services for Disabled Individuals

Elder Abuse

Child Abuse and Neglect

Substance Use and Abuse

Crime/criminal activity

Discrimination due to race or ethnicity

Discrimination due to religion or culture

Discrimination due to sexual orientation or gender identity

The impact of COVID-19

Other (please specify)

Question Title

* 11. Identify your TOP 5 community concerns that you would recommend additional time, money and resources be applied to:

Individuals Living in Poverty

Lack of food

Transportation

Limited Employment/Job Opportunities

Homelessness

Language Barriers

Available Dental Care

Available Medical Care

Family/Parent Mentoring

Youth Programs/Mentoring

Lack of Awareness of Services Available in the Community

Available Mental Health/Psychiatric Services

Services to the Elderly

Services for Disabled Individuals

Elder Abuse

Child Abuse and Neglect

Substance Use and Abuse

Crime/criminal activity

Discrimination due to race or ethnicity

Discrimination due to religion or culture

Discrimination due to sexual orientation or gender identity

The impact of COVID-19

Other (please specify)

Question Title

* 12. Identify ALL the community concerns that directly impact or have impacted YOU or MEMBERS OF YOUR HOUSEHOLD.

Individuals Living in Poverty

Transportation

Limited Employment/Job Opportunities

Homelessness

Language Barriers

Available Dental Care

Available Medical Care

Family/Parent Mentoring

Youth Programs/Mentoring

Lack of Awareness of Services Available in the Community

Available Mental Health/Psychiatric Services

Services to the Elderly

Services for Disabled Individuals

Elder Abuse

Child Abuse and Neglect

Substance Use and Abuse

Crime/criminal activity

Discrimination due to race or ethnicity

Discrimination due to religion or culture

Discrimination due to sexual orientation or gender identity

The impact of COVID-19

Other (please specify)

Question Title

* 13. If you selected "Discrimination due to race, ethnicity, religion, culture, sexual orientation or gender identity" would you please share how you or members of your household were discriminated against (for example, in securing housing, in education or in employment)

Question Title

* 14. Identify ANY additional health problems that directly impact or have impacted you or members of household.

Adolescent/Teen Pregnancy

Multiple Sexual Partners

Depression

Alcoholism/Alcohol Abuse

Heart Disease

Fetal Death

Suicide Attempts

Sexually Transmitted Diseases

Risk For Intimate Partner Violence

Unintended Pregnancies

Early Initiation of Smoking

Chronic Obstructive Pulmonary Disease (COPD)

Early Initiation of Sexual Activity

Health Related Quality of Life Issues

Illicit Drug Use

Diabetes

Obesity

Smoking

Liver Disease

Long term COVID-19 effects/disease

Behavioral addiction (examples include gambling addiction, sex addiction, pornography addiction, video gaming addiction, screen addiction)

Other (please specify)

2022 MARTINSVILLE, VA - Community Needs Assessment--This survey has been developed to identify the needs and resources recognized within this community. Your input is valued and all responses are anonymous and confidential.

Question Title

* 1. Race/Ethnicity of person responding to survey:

Question Title

* 2. Age of person responding to survey:

Question Title

* 3. Education:

Question Title

* 4. Do you live and/or work in Martinsville City, VA

Question Title

* 5. Number of Individuals Living in the Home

Question Title

* 6. Household characteristics:

Question Title

* 7. Household Income:

Question Title

* 8. Employment

Question Title

* 9. Is anyone in YOUR HOME diagnosed with a disability?

Question Title

* 10. Identify your TOP 5 COMMUNITY concerns

Question Title

* 11. Identify your TOP 5 community concerns that you would recommend additional time, money and resources be applied to:

Question Title

* 12. Identify ALL the community concerns that directly impact or have impacted YOU or MEMBERS OF YOUR HOUSEHOLD.

Question Title

* 13. If you selected "Discrimination due to race, ethnicity, religion, culture, sexual orientation or gender identity" would you please share how you or members of your household were discriminated against (for example, in securing housing, in education or in employment)

Question Title

* 14. Identify ANY additional health problems that directly impact or have impacted you or members of household.

Question Title

* 15. What services have you needed that you have been unable to receive or access? Why?

Question Title

* 16. What services have members of your household needed that they have been unable to received or access? Why?

Question Title

* 17. Other comments or concerns: