COVID-19 Community Needs Assessment

1. Please complete our survey.

We are currently assessing the needs of our community as a result of the COVID-19 pandemic. Your input will help direct funds where they are needed most. Please take a few minutes to complete this survey. All answers are anonymous and confidential.

If you have questions, please contact Rebecca Hanlin at rhanlin@ozarkopp.org.

Thank you.

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* 1. What county do you live in?

Baxter County

Boone County

Marion County

Newton County

Searcy County

Van Buren County

Other (please specify)

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* 2. What is your relationship with Ozark Opportunities, Inc (OOI)? (Select all that apply.)

I have received services or am enrolled in a program OOI offers/offered.

I am a community member, concerned citizen.

I work with OOI as a community partner.

I am an employee of OOI.

I am a board member.

I am a policy council member.

I am on the Healthy Families advisory council.

Other (please specify)

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* 3. How have you been affected by COVID-19?

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* 4. Do you have a job?

Yes

No (recently unemployed, since COVID in March 2020)

No (been unemployed before March 2020)

N/A (retired, disabled)

Other (please specify)

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* 5. If you have a job, how have your work conditions changed? (Due to COVID-19.)

No change

Decreased hours

Increased hours

Furloughed

Laid Off

Terminated

Work from home or remote work

Self-employed - decreased work opportunities

N/A

Other/Additional Comments:

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* 6. What challenges have you, your family, and/or your community experienced due to COVID-19?

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* 7. What needs have you seen arise due to the COVID-19 pandemic? (Please identify local needs.)

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* 8. How would you like to see COVID-19 stimulus funds, CARES Act funds, used?

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* 9. What is your age?

17 or younger

18-24

25-44

45-54

55-59

60-64

65-74

75+

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* 10. What is your marital status?

Single

Married

Divorced

Widowed

Separated

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* 11. What is your gender?

Male

Female

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* 12. What is your race?

White

Black/Afr. Amer.

Amer. Indian

Asian

Hawaiian/P. Islander

Other

Multi-Race

Hispanic

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* 13. How many people live in your household?

8 or more

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* 14. What is your HOUSEHOLD income?

No Income

less than $10,000

10,001-$15,000

$15,001- $20,000

$20,001-$25,000

$25,001- $30,000

$30,001-$35,000

$35,001- $40,000

$40,001- $45,000

$45,001- $50,000

$50,001- $55,000

$55,001- $60,000

$60,001- $65,000

$65,001- $70,000

$70,001- $75,000

$75,001- $80,000

$80,001- $85,000

$85,001- $90,000

above $90,001

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* 15. What is your highest education level completed?

0-8

9-12/Non-graduate

High School Graduate/GED

12+ some Post Secondary

2 or 4 year college graduate

Graduate of other post-secondary school

Other (please specify)

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* 16. Have you received assistance or services from Ozark Opportunities, Inc. (past and present)? (Select all that apply.)

Child Development (Head Start/Early Head Start/ABC)

SUCCESS (Family Development)

Getting Ahead in a Just Gettin' by World

Healthy Families Arkansas

Utility Assistance (gas, wood, electric, propane)

Vehicle Repairs

Medical, Dental, Vision

RSVP (Retired Senior Volunteer Program)

Food

Weatherization

None

Other (please specify)

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* 17. Name and contact information if you would like to be involved in follow-up conversations regarding OOI's COVID-19/CARES Act response. (If you prefer to remain anonymous do not complete this section.)

Name (first and last)

Phone number

Mailing address

COVID-19 Community Needs Assessment

1. Please complete our survey.

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* 1. What county do you live in?

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* 2. What is your relationship with Ozark Opportunities, Inc (OOI)? (Select all that apply.)

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* 3. How have you been affected by COVID-19?

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* 4. Do you have a job?

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* 5. If you have a job, how have your work conditions changed? (Due to COVID-19.)

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* 6. What challenges have you, your family, and/or your community experienced due to COVID-19?

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* 7. What needs have you seen arise due to the COVID-19 pandemic? (Please identify local needs.)

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* 8. How would you like to see COVID-19 stimulus funds, CARES Act funds, used?

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* 9. What is your age?

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* 10. What is your marital status?

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* 11. What is your gender?

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* 12. What is your race?

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* 13. How many people live in your household?

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* 14. What is your HOUSEHOLD income?

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* 15. What is your highest education level completed?

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* 16. Have you received assistance or services from Ozark Opportunities, Inc. (past and present)? (Select all that apply.)

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* 17. Name and contact information if you would like to be involved in follow-up conversations regarding OOI's COVID-19/CARES Act response. (If you prefer to remain anonymous do not complete this section.)

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* 18. Preferred method of contact

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* 19. Comments: