Community Needs Assessment

University of Illinois Extension – Unit 27, which includes Alexander, Johnson, Massac, Pulaski, and Union Counties, can use your help. We are interested in your ideas about the most important issues and opportunities in communities like yours.

Your participation is voluntary - you may decide not to answer any of the questions or not to complete the survey at any time. The survey will take approximately 10 to 15 minutes. The answers you provide will be kept confidential. Your name or web address will not be associated with your answers when the data are compiled. We encourage you to ask any questions you may have about this process or survey by contacting County Extension Director Jody Johnson.  He is available by email at jjhnsn@illinois.edu, or by calling 618-658-5321.

Your responses are anonymous.  Thanks for your contribution to our planning process!

Which county do you reside in?

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* 1. Which county do you reside in?

How long have you lived in this county?

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* 2. How long have you lived in this county?

What best describes where you live?

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* 3. What best describes where you live?

What is your age?

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* 4. What is your age?

What is your gender?

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* 5. What is your gender?

How do you describe yourself?

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* 6. How do you describe yourself?

How much education have you completed?

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* 7. How much education have you completed?

Do any of the following apply to you?  (check all that apply)

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* 8. Do any of the following apply to you?  (check all that apply)

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