Skip to content

Needs Assessment Questionaire

We are currently trying to determine the needs of the people in the communities we serve and would appreciate your input.                                    

Would you please give us your opinion on this simple survey?  Please feel free to add your comments or suggestions.  Thank you for your help.  We value your opinion. 
1.Family Level Needs:

Please rank the importance of needs for low income families based on the following scale:

1: Extremely important 2: Very important 3: Moderately important
4: Slightly important 5: Not important at all
Choose One for Each Need
Child Care Assistance
Assistance for the Elderly
Emergency Assistance
Assistance with Energy Costs
Homeless Assistance
GED or Adult Education
Food Assistance
First Time Homebuyer Education
Foreclosure Prevention Counseling
Self Sufficiency Counseling/Assistance
Assistance with Reentry of ex-offenders
Mental Health Assistance
Transportation
Unemployment Assistance
Job Training
Assistance with Substance Abuse
Before or After School Activities
Dental/Vision Assistance
Post-Secondary Education Supports
Budgeting/Financial Counseling
Rental Assistance
2.Are there any needs not being met in low income families?
3.Community Level Needs:

Please rank the importance of the following needs in your community based on the following scale:

1: Extremely important 2: Very important 3: Moderately important
4: Slightly important 5: Not important at all
Choose One for Each Need
Affordable Housing
Homeless Shelters
Food Pantries
Affordable Childcare
Job Creation
Access to Affordable Healthcare
Reduction in Crime Rates
Child Abuse Prevention
Improving Public Safety
Promoting Volunteerism within the Community
Availability of resources for low-income families
Drug Prevention Resources
Transportation Resources
Supports for ex-offenders
Educational/Training opportunities
Substance Abuse Rehabilitation
Before or After school activities
Anti-poverty initiatives
Elder Abuse Prevention
4.Are there any needs not being met in your community?
5.Other Comments:
6.Customer Satisfaction

Please rank the level of satisfaction with Southwest Human Resource Agency.
7.Thank you for your help. We value your opinion.
Current Progress,
0 of 7 answered