The MetroWest Commission on the Status of Women seeks to improve the lives of women and girls in the MetroWest. In an effort to understand how we might positively impact conditions that affect your daily life, we have created this survey. We want to learn firsthand about the most pressing challenges you face.

Please take a few minutes to complete this survey and add your voice to making the MetroWest a better place for women and girls.

Thank you.

* 1. Please check the top THREE issues you see as the greatest barriers to your personal economic stability.

* 2. Please list the top THREE issues you see as the greatest barriers to your personal health and wellness?

* 3. Please share what community resources you have used in the last year. Please list up to three.

* 4. How do you find out about community resources? Please be specific.

* 5. What specific ways could your community help you or the women/girls you know? Please be specific.

* 6. Which of the following issues would you consider taking action to change? Please check up to THREE.

* 7. In the past year, have you contacted your local or state legislator about something important to you or your family?

* 8. What type of action(s) interests you? (check all that apply)

* 9. Do you believe that your voice is heard by federal, state, local legislators?

  Yes No Sometimes I do not know
Federal
State
Local

* 10. What is your gender? (how do you self identify)

* 11. What is your age? (check one)

* 12. Do you have any children under 18?

* 13. If you have children, do they live with you?

* 14. What is your race/ethnicity? (check all that apply)

* 15. Languages spoken at home (please list all languages)

* 16. What is your relationship status? (check all that apply)

* 17. What is your employment status? (check all that apply)

* 18. What is your education level?

* 19. What is your household income?

* 20. Do you have health insurance/coverage? 

* 21. Do you receive any subsidized benefits? (check all that apply)

* 22. If you would like more information about the MetroWest Commission on the Status of Women, please email us at metrowestwomen@gmail.com. 

If you would like to be added to our mailing list, please provide us with your name and email address. Thank you again.

* 23. Do you live in the MetroWest region of MA?

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