2025 Customer Needs Assessment Survey

1.What county do you live in?

Bond

Clinton

Marion

Washington

2.Are you aged 55 or over?

Yes

No

3.Are you married or living or living with a partner?

Yes

No

4.Employment (which employment needs could you use help with (select all that apply))

Getting training/education for the job that I want

Finding a permanent full-time job that will support me or my family

Knowing what jobs are available

Learning how to interview for a job, fill out job applications, or write a resume

Learning computer skills to apply for jobs

Obtaining appropriate clothing or equipment (i.e. tools) for my job

5.Education (which education needs could you or a family member use help with)

Obtaining a high school diploma or GED-HSED

Obtaining a two-year/four-year college degree

Choosing a career or technical school program

Getting financial assistance to complete my education or to complete college aid forms (including FAFSA forms)

6.Financial and Legal issues (which financial and/or legal needs could you or your family use help with) select all that apply

Budgeting and managing money

Opening a checking or savings account

Understanding credit scores

Getting protection in domestic violence situations

Getting legal assistance for issues such as divorce, child support, etc

7.Food and Nutrition: Which food and nutrition needs could you or your family use help with (select all that apply)

Getting food from food pantries, food banks, or food shelves

Having enough food at home

Learning how to shop and cook for healthy eating/how to stretch my food dollar

Getting emergency food assistance

Getting meals delivered to my home

Enrolling in the Food Assistance Program

8.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 all that apply.

Learning how to discipline my children more effectively

Learning how to communicate and deal with my teenage children

Learning how to help my children cope with stress, depression, or emotional issues

Learning how to set goals and plan for my family

Communicating better with my children's care provider or teachers

9.Transportation (which transportation needs could you or your family use help with) select all that apply

Having access to public transportation

Having dependable transportation to and from work

Getting financial assistance to make care repairs

Getting my children to and from school, club activities, or childcare

10.Health (which health needs could you or a family member use help with) select all that apply

Having affordable health or dental insurance

Finding a doctor/dentist willing to accept Medicaid

Getting financial assistance for items such as glasses, hearing aids, wheelchairs, etc.

Getting regular check-ups, developmental screens, or physicals for my children

Getting treatment for a drug or alcohol problem

Getting treatment and services for mental health

Dealing with stress, depression, or anxiety

Dealing with problems related to physical, emotional, or sexual abuse

11.Basic Needs (which basic needs could you or your family use help with) select all that apply

Getting personal care items such as soap, diapers, toilet paper, etc.

Getting clothing and shoes

Doing yard work or snow removal

Having a reliable phone

Getting financial assistance with utility bills

12.Are there any problems or needs that you or your family faced within the last 12 months that you were unable to get help with?

Yes

No

15.What services has your household received from our agency within the last 12 months? Select all that apply

16.Housing: Which housing needs could you or your family use help with (select all that apply)

Finding affordable housing that fits my family's needs

Learning basic home repair and property maintenance skills.

Making my home more energy efficient.

Making changes to my home for a person with disibilities.

Getting emergency shelter.

2025 Customer Needs Assessment

BCMW Community Action Agency