Question Title

* 1. What is your name?

Question Title

* 2. Are you a Public Housing Resident or a Section 8 (Voucher) Participant?

Question Title

* 3. Community/Household Needs

  Serious Problem Moderate Problem Not a Problem Does Not Apply to My Problem
Availability of job training opportunities
Availability of jobs for adults
Avilability of jobs for youth
Education
Childcare services
Cost of living
Income/Wages
Debt
Financial security
Availability of financial services
Availability of financial counseling
Elderly living assistance (62+)
Availability of health care
Health of residents
Seeking employment with a criminal record
Obtaining a degree/diploma with a criminal record
Substance abuse services
Substance abuse treatment

Question Title

* 4. What are the things that make it difficult for you or other adults in your household to find and/or keep work? (check all that apply)

  Head of Household Other Adult Household Member
Nothing (No Barriers)
Need affordable childcare
Caring for a family member who is sick or disabled
Do not speak English well
Need transportation
Need job experience
Need job training
No job opportunities
Do not have a high school diploma or GED
Do not have a college degree
Disability
Criminal record
Childcare availability
Transportation
Don't know
No response

Question Title

* 5. Do you or other adults in your household have interest in the following? (check all that apply)

  Head of Household Other Adult Household Member
GED/Adult education
Vocational training
Increased income
Getting a job
Saving money
Eliminating debt
2-year college
4-year college

Question Title

* 6. Do you or another adult in your household have difficulty with any of the following? (check all that apply)

  Head of Household Other Adult Household Member
Reading
Math
Speaking English
Reading English
Writing English
Using a computer

Question Title

* 7. What are the primary health care needs of your household? (check all that apply)

  Head of Household Other Adult Household Member
Primary health care
Pediatric (child) care
Prenatal (pregnancy) care
Dental care
Health care education/prevention
Nutrition and exercise programs
Services to help alleviate stress, anxiety, depression
Assistance with daily living elderly/disabled residents
Health screening services
Substance abuse treatment
Stop smoking programs
Stop drinking programs
Transportation to health care services
None
No response

Question Title

* 8. What is your gender?

Question Title

* 9. What is your age?

T