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Community Needs Assessment
1.
Where do you live?
Freeport
Pownal
Durham
Other (please specify)
2.
Please provide your email address if you would like to participate in upcoming focus group sessions.
3.
What are the biggest challenges you, your household, or your neighbors are experiencing in Freeport and Pownal today?
4.
What makes it difficult for people in our community to thrive?
5.
In the past 12 months, have you or someone in your household experienced challenges related to any of the following?
(Check all that apply.)
Affording enough food
Paying for housing expenses
Paying utility bills, including heating and electricity
Accessing healthcare or medications
Finding reliable transportation
Affording childcare
Maintaining your home or property
Accessing social opportunities or avoiding isolation
Finding appropriate support as you age
Finding stable employment or earning enough income
Other (please specify)
None of the above
6.
What supports, services, or resources do you feel are missing in Freeport and Pownal?
7.
When you have faced a challenge or hardship, how likely are you to seek help from a community resource or organization?
Very likely
Somewhat likely
Neither likely nor unlikely
Unlikely
I would not seek help
None of the above
8.
If you would not seek help, what prevents you from doing so?
I do not know what resources are available
I do not think I qualify
I am concerned about privacy
I do not want to take resources from someone else
Transportation or scheduling barriers
I prefer to handle it myself
Other (please specify)
None of the above
9.
What challenges have you or your household experienced?
10.
What challenges do you see other members of the community experiencing?