Copy of Southeastern Community Action Partnership Needs Assessment, CSBG 2020

SCAP Community Needs Assessment 2020

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* 1. What is your gender?

 Male

 Female

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* 2. Which county do you reside in?

Bladen

Brunswick

Columbus

Hoke

Pender

Robeson

Scotland

Other (please specify)

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* 3. What is your age group?

 18-25

 26-35

 36-45

 46-55

 55+

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* 4. What is your marital status?

 Single

 Married

 Separated

 Divorced

 Widowed

 Living w/Partner

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* 5. How would you classify your race?

 Asian/Pacific Islander

 Black/African American

 Hispanic

 Latina

 Multiracial

 Native American/American Indian

 White/Caucasian

 Other:

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* 6. What is your highest level of education completed?

Elementary/Grammar

 Middle School

 High School

 GED

 Vocational/Technical

 Some College

 Bachelor’s Degree

 Master’s Degree

 Doctoral Degree

 No formal education

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* 7. Employment Status (check all that apply)?

 Employed (Wages)

 Self-Employed

 Unemployed

 Retired

 Student

 Military/Spouse (Active)

 Veteran/Spouse

 Ex-Offender/Paroled

 Other:

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* 8. Household Income (annually)?

 Less than $10,000

 $10,000 to $19,999

 $20,000 to $29,999

 $30,000 to $39,999

 $40,000 to $49,999

 $50,000 to $59,999

 $60,000 to $69,999

 $70,000 to $79,999

 $80,000+

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* 9. COMMUNITY NEEDS: What do you think are the major causes of POVERTY in your community?

(Check ONLY THREE)

 Unemployment/Lack of Available Jobs

 Crime/Violence

 Lack of Affordable Housing

 Low Paying Jobs

 Lack of Transportation

 High Cost of Living

 Lack of Job Skills

 Alcohol/Substance/Drug Abuse

 Lack of Government/Community Support

 Lack of Education

 Lack of Family Support

Other

Other (please specify)

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* 10. Which of the following do you see as the most MAJOR PROBLEM in your community? (Check ONLY ONE)

 Violence/Domestic Violence

 Public Health Issues

 Unemployment/Low Paying Jobs

 Depression/Mental Health

Lack of Nutritional Food Resources

 Lack of Education

 Alcohol/Substance/Drug Abuse

 Homelessness/Lack of Affordable Housing

 Teen Pregnancy

 Lack of Recreational Activities

 Crime/Theft/Homicide/Suicide

 Single Parent Households

Lack of resources for seniors

Lack of Transportation

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* 11. What TARGETED AREAS of programs and services do you think will benefit your community? (Check ONLY THREE)

 Life Skills/Home Management

Sexual Education

 Re-Entry/Post Incarceration

 Anti-Bullying/Peer Pressure

 Job Readiness/Resume Writing

 Conflict Resolution/Anger Management

 Elderly Support

 Tutoring/Educational Support

 After School Activities

 Financial Literacy/Banking/Budgeting

 Family Planning/Strengthening

 Childcare/Head Start

 Entrepreneurship

 Parenting/Fatherhood/Child Support

 Healthcare/Nutrition

 Computer Training

 Abuse Shelter/Counseling

 Housing/First-Time Homebuyer

 Mental Health

Other (please specify)

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* 12. Which of the following do you feel is MOST IMPORTANT in improving one’s personal life to make a better community? (Check ONLY THREE)

 Mental/Physical/Emotional Health

 Family Support

 Personal Accomplishments

 Mentoring and Peer Support

 Sense of Purpose

Emergency Assistance

 Spiritual Guidance/Support

 Social/Networking Opportunities

 Hobbies/Recreational Activities

 Transportation/Accessibility

 Continuing Education

 Financial Stability

 Career/Vocation

 Other:

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* 13. CLIENT NEEDS: Employment :If you could improve your employment status what areas would you focus?

(Check ONLY THREE)

 Increase in Pay/Responsibilities

 Job Stability

 More Training/Growth Opportunities

 More Hours

 Location of Job

 Different Job Title/Position with Employer

 Increase in Benefits

 Transportation to Work

 Career Change

 Reduce Required Overtime

 Flexible Working Hours

 Other:

 No Services Needed

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* 14. What are your BARRIERS for better employment? (Check ONLY THREE)

 Lack of Training

 Declining Physical Health

 Lack of Interviewing Skills

 Lack of Skills (Vocational)

 Need a Resume

 Poor Work History

 Lack of Dependable Childcare

 Poor Work Ethics

 Lack of Adult Dependent Care

 Lack of Education

 Lack of Professional Work Attire

 Formerly Incarcerated/Ex-Offender

 Mental/Physical Disability

 Lack of Reliable Transportation

 Other:

 No Services Needed

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* 15. Are you in need of any of the following employment services? (Check all that apply to your needs)

 Career Planning/Goal Setting

 Vocational Rehabilitation

 Benefits Advice/Counseling

 Computer Skills Training

 Resume Writing

 Financial Literacy/Management

 Entrepreneurship Training

Job Readiness

 Mock Interviewing

 Re-Entry Assistance

 Continuing Education Assistance

 Leadership/Management Training

 Other:

 No Services Needed

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* 16. CLIENT NEEDS: Family: If you could improve your family needs what areas would you focus?

(Check ONLY THREE)

 Happier/Healthier Marriage

 Employment/Career

 Financial Literacy/Management

 Homeownership

 Family Vacations

 Health/Wellness/Nutrition

 Entrepreneurship

 Education (for all)

 Parenting

 Hobbies/Recreation

 Other:

 No Services Needed

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* 17. What are your BARRIERS for a better family life? (Check only THREE)

 Lack of Income/Financial Support

 Declining Physical Health

 Lack of Education

 Lack of Spousal Support

 Long/Short Working Hours

 Domestic Violence

 Lack of Dependable Childcare

Mental Health

 Lack of Adult Dependent Care

 Lack of Hobbies/Recreation

 Mental/Physical Disability

 Poor Living Conditions

 Lack of Transportation

 Homeless

 No Services Needed

Other (please specify)

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* 18. Are you in need of any of the following family improvement services? (Check all that apply to your needs)

 Family Goal Setting

 Banking and Budgeting/ Financial Literacy

 Home Buying/Selling

 Foreclosure Prevention

 College Preparation

Volunteering/Giving Back

Better Nutrition

 Business Start-Up/Financing

 Anti-Bullying/Youth Empowerment

 Parenting/Prenatal Care

Credit Repair

 Physical Health Counseling

 Motivational Empowerment

 Legal Counsel-Mediation

 Mental Health/Depression

 Relationship Management

 Alcohol/Substance Abuse

 No Services Needed

Other (please specify)

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* 19. CLIENT NEEDS: Housing: Housing is a problem for my family because .

(Check ONLY ONE)

 High cost of rent/house payments

 Housing size does not meet my family needs

 High cost of utilities

 Available housing is in undesirable/unsafe neighborhoods

 Available housing is not conveniently accessible to work/school

 Affordable housing is unavailable

 Lack of Shelters

 High cost of housing improvements/repairs

 No Services Needed

Other (please specify)

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* 20. Are you in need of any of the following housing services? (Check all that apply to your needs)

 Section 8/HUD

 Rental/Deposit Assistance

 Housekeeping Training

 Home Improvement Training

 Utilities Assistance

 Weatherization

 Temporary Homeless Shelters

 Home buying/Selling

 Foreclosure Prevention

 No Services Needed

Other (please specify)