2025-2026 Community Needs Assessment Survey

1.What is your role in the community? (Please select the best choice which fits your role when completing this survey.)(Required.)

Community Action Client/Low-Income Resident

Faith Based Organization Representative (Church/Faith Based groups, clubs, councils, association, etc.)

Private Sector Representative/Community Member (for profit, small business, private citizen, etc.)

Community Organization/Partner (local service provider and non-profits)

Educational Institution Faculty/Staff (local adult eds, schools, college and universities)

Health Care Agencies (clinics, health departments, etc.)

Board Member of Community Action Agency

Staff or Volunteer of Community Action Agency

Local Politician/Government/Public Sector Representative (non-profit, government regulated, funding sources, etc.)

2.In which county do you live or represent (for the agency)?(Required.)

3.What is your sex?(Required.)

Male

Female

4.What is your age?(Required.)

5.What is your race/ethnicity?(Required.)

6.What is your education level?(Required.)

7.What is your Military Status?(Required.)

Veteran

Active Military

N/A

2025-2026 Community Needs Assessment