The Empowerment Opportunity Center would like to understand the challenges and needs of Macon County residents like you. The information collected will be used to ensure services are available in the future to meet the needs of our residents.

INSTRUCTIONS: Please answer each question by checking the appropriate box (or boxes) or providing a written response. After completing the survey, please return it where you received it. All surveys will be kept confidential. Thank you for participating.

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* 1. What is your zip code?

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* 2.  In the past 12 months, what is the single greatest challenge you and your household have experienced? (SELECT ONE)

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* 3. Has the challenge identified above been caused by the COVID-19 Pandemic?

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* 4. EMPLOYMENT: Which employment needs could you or your family use help with? (SELECT TOP 3)

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* 5. EDUCATION: Which education needs could you or a family member use help with? (SELECT TOP 3)

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* 6. FINANCIAL ISSUES: Which financial needs could you or your family use help with? (SELECT TOP 3)

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* 7. LEGAL ISSUES: Which legal needs could you or your family use help with?  (SELECT TOP 3)

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* 8. HOUSING: Which housing needs could you or your family use help with?   (SELECT TOP 3)

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* 9. FOOD AND NUTRITION: Which food and nutrition needs could you or your family use help with? (SELECT TOP 3)

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* 10. Do you have children (under the age of 18) living with you?

IF NO, SKIP QUESTIONS 11 AND 12

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* 11. CHILD CARE AND CHILD DEVELOPMENT: If you have children (under the age of 18) living with you, which childcare and/or child development needs could you or your family use help with? (SELECT TOP 6)

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* 12.  PARENTING AND FAMILY SUPPORT: If you have children (under the age of 18) living with you, which parenting and/or family support needs could you or your family use help with?  (SELECT TOP 3)

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* 13. TRANSPORTATION: Which transportation needs could you or your family use help with? (SELECT TOP 3)

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* 14. HEALTH: Which health needs could you or a family member use help with? (SELECT TOP 3)

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* 15. BASIC NEEDS: Which basic needs could you or your family use help with?  (SELECT TOP 3)

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* 16. Are there any problems or needs that you or your family faced within the past year that you could not get help with?

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* 17. How do you find out about various programs and services in the community?

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* 18. What are your sources of household income?   (SELECT ALL THAT APPLY)

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* 19. Compared to last year, do you now have…?

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* 20. What is ONE thing you REALLY LIKE  and ONE thing you would like to see IMPROVED about your neighborhood?

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* 21. Is a member of your household incarcerated now?

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* 22. If you answered YES to question 21, what does your household need help with? (SELECT ALL THAT APPLY)

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* 23. Are you, or a member of your household, a formerly-incarcerated returning resident?

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* 24. If you answered YES to question 23, does the returning resident need help with any of these? (SELECT ALL THAT APPLY)

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* 25. What kinds of problems, in your family or neighborhood, worry you the most?

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* 26. What is your age?

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* 27. What is your gender identity?

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* 28. Are you Hispanic, Latinx or of Spanish origin?

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* 29. What is your race?

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* 30. What is the primary language spoken at home?

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* 31. What is your household type?

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* 32. Please identify services you are currently using, or have used in the past, through the Empowerment Opportunity Center:

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