Community Needs Assessment Survey 2018

Alliance Behavioral Healthcare is committed to the continuous improvement of the services offered to our residents with mental health, developmental disabilities, and substance use needs. We are conducting a needs assessment to evaluate the service needs and gaps within Alliance communities.

Please take a few minutes to complete this brief survey. Your responses are very important to help us understand the service needs in our community. The information that we receive through this process will inform our service planning and development efforts for the next year and will help us better serve adults, children, and families in our communities.

This survey is being distributed to multiple groups, including individuals who receive services and their families, community providers, stakeholders, and Alliance staff. Please select the option below that you believe applies best.

All responses are anonymous, and we do not collect any identifying information about respondents.

Please complete the survey by Friday, July 20.

Thank you!

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* 1. Please tell us which of the following describes you best:

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* 2. Which race/ethnicity best describes you (Please choose only one.)

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* 3. What best describes your gender (Please choose only one)?

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* 4. Please let us know if you participate in any Alliance committees or workgroups (select all that apply)