Catholic Charities of the Diocese of Houma-Thibodaux is assessing the needs that exist in the communities that we serve. Please respond to the questions below to indicate if the identified needs are being met by any programs in your community (not just Catholic Charities programs). This information will help us to make decisions about our programs and advocacy efforts.

Note: The demographic information at the end of the survey (e.g. race, income, age) will be used to ensure that our respondents are representative of the communities that we serve.

Question Title

* 1. What region are you representing? (check all that apply)

Question Title

* 2. What church parish do you belong to? (if applicable)

Question Title

* 3. What role(s) do you play in your community? 
(check all that apply)

Question Title

* 4. For the following questions, indicate your opinion about whether or not the following services sufficiently address the need or are lacking in your community:

Help with applying for government assistance (e.g. Social Security, SSDI, WIC, SNAP, etc.)

Question Title

* 5. Help finding resources in the community

Question Title

* 6. Access to affordable child care

Question Title

* 7. Assistance with gaining access to food

Question Title

* 8. Assistance with clothing

Question Title

* 9. Access to transportation services

Question Title

* 10. Access to affordable or free legal services

Question Title

* 11. Access to job skill training

Question Title

* 12. Assistance with searching for employment

Question Title

* 13. Access to financial education, budget counseling, or credit counseling

Question Title

* 14. Access to parenting classes

Question Title

* 15. Access to mental/behavioral health counseling services

Question Title

* 16. Access to affordable housing

Question Title

* 17. Assistance with paying rent

Question Title

* 18. Assistance with paying utility bills

Question Title

* 19. Assistance with home repairs

Question Title

* 20. Sheltering for the homeless

Question Title

* 21. Assistance with paying for prescriptions

Question Title

* 22. Access to food assistance for seniors

Question Title

* 23. Access to transportation services for seniors

Question Title

* 24. Access to safe activities for at-risk youth

Question Title

* 25. Assistance with preparing homes for natural disasters

Question Title

* 26. Assistance with funeral/burial costs

Question Title

* 27. Access to immigration services

Question Title

* 28. Are there any services that you believe your community needs that are not in the previous questions?

Question Title

* 29. How confident are you that you would know where to refer someone experiencing financial stress?

I do not know where to send someone with this issue I could find the resource with some research I know exactly where I would refer someone with this issue
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 30. How confident are you that you would know where to refer someone experiencing mental/behavioral health issues?

I do not know where to send someone with this issue I believe I could find a resource with some research I know exactly where I would refer someone with this issue
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 31. How confident are you that you would know where to refer someone experiencing homelessness or at risk of homelessness?

I do not know where to send someone with this issue I could find a resource with some research I know exactly where I would refer someone with this issue
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 32. How confident are you that you would know where to refer someone experiencing food insecurity?

I do not know where to send some with this issue I could find a resource with some research I know exactly where I would refer someone with this issue
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 33. 1.     How confident are you that you would know where to refer someone experiencing immigration issues?

I do not know where to send someone with this issue. I believe I could find a resource with some research I know exactly where I would refer someone with this issue.
Clear
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 34. For research purposes, please indicate your age range

Question Title

* 35. What is the highest level of education you have completed?

Question Title

* 36. What is your income level per year?

Question Title

* 37. What is your race or ethnicity?

Question Title

* 38. If you would to be contacted about volunteer opportunities from Catholic Charities in the future, please include your name, e-mail, and/or phone number so that a representative from Catholic Charities can contact you.

T