English Español English Community Assesment Survey Question Title * 1. Today's Date: Date / Time Date Question Title * 2. What is your age? Under 18 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 3. How long have you lived in this community? Less than 1 year 1- 2 years 3-5 years 6-10 years More than 10 years Question Title * 4. Which of the following best represents your racial or ethnic heritage? White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Other (please specify) Question Title * 5. What is your country of birth? Australia Brazil Cambodia Canada China Cuba France Germany Guatemala India Italy Japan Mexico New Zealand Spain Somalia Ukraine United Kingdom United States Venezuela Vietnam Other (please specify) Question Title * 6. What language do you speak at home? English Chinese Khmer Somali Spanish Vietnamese Other (please specify) Question Title * 7. How far did you go in School? I didn't attend School 8th grade or less Some High School GED High School Diploma Some College Associate's Degree Trade School Bachelor's Degree Master's Degree Professional Certification Doctoral Degree Other (please Specify) Other (please specify) Question Title * 8. Are you able to work? Yes No Question Title * 9. Which of the following categories best describes your employment status? Employed, working full-time Employed, working part-time Employed, working more than one part-time Employed, working full-time and one part-time Not employed, looking for work Not employed, NOT looking for work Student Retired Disabled, not able to work Question Title * 10. If unemployed, please select the reason(s) why below: Lack skills/education Lack transportation Language barrier Lack of childcare Health problems Others (please specify) Additional (please specify) Question Title * 11. If working, which industry are you working in? Food Processing Health Care Manufacturing Restaurant Hotel Agriculture Day Care Education Financial / Banking Retail Self-employed Other Other (please specify) Question Title * 12. Are you currently looking for work or different type of work? Yes No Question Title * 13. If you are seeking other type of work, what do you feel is preventing you from moving into new career? Select the reason(s) why below: Lack skills/education Lack transportation Language barrier Lack of childcare Health problems Other (please specify) Question Title * 14. Would you like more information with these job-related activities? (Check all that apply) Career assessment Resume assessment Career/job training Career information options Job search strategies Job interviewing skills None Question Title * 15. What is your housing status? Own Rent Staying with friends or family Homeless-streets/car Homeless-shelter Homeless-transitional housing (HUD) Hotel/motel Nursing/long term care Assisted living Group home Halfway House Other (please specify) Question Title * 16. How many people currently live in your household? 1 2 3 4 5 6 7 8 9 10 Other (please specify) Question Title * 17. How safe do you feel calling 911 ? Extremely safe Very safe Somewhat safe Not so safe Not at all safe Other (please specify) Question Title * 18. How safe do you feel practicing your religion? Extremely safe Very safe Somewhat safe Not so safe Not at all safe Other (please specify) Question Title * 19. Rank the following need and/or services on priority of focus for our community. Scale is: 1 is highest priority. 5 is lowest priority. Question Title * 20. How likely is it that you would recommend to a friend or family member to move to Yankton? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Please share - why or why not: Question Title * 21. How welcoming would you rate Yankton? Exceeded expectations Met expectations Below expectations Explanation please - Question Title * 22. Would you like to know more about any of the following subjects? (Check all that apply) Employment and Training Skills Financial Service Recreation Health Care System Access Home Ownership Voter Registration Family Activities Arts and Culture Education Community Volunteering Activities Religious Affiliate -Groups Other (please specify) All of the above Question Title * 23. How do you most prefer to receive information about the community of Yankton? Select only 3. City of Yankton Website Yankton Thrive website Social Media (Facebook, Instagram and/or Twitter) Radio Newspaper Employee Bulletin Board Community Electronic Billboard Email Text Other (please specify) Question Title * 24. Do you have anything to share about your experiences in Yankton? Done
