2022 Comprehensive CNA Demographics Question Title * 1. How would you classify yourself? Agency Board Member Agency Staff Member Community Member Partner Organization Other (please specify) Question Title * 2. What is your email address? Question Title * 3. If you answered "Board Member", what sector of the board do you represent? Low-Income Population Public Sector (Local Government) Private Sector Question Title * 4. If you answered "Agency Staff Member", which option best classifies your role in the organization? Case Manager Volunteer Management Question Title * 5. What county or counties do you represent/serve? Blount Cherokee DeKalb Etowah Jackson Jefferson Marshall St. Clair Question Title * 6. If you are a partner organization, which of the following best represents the classification of your entity? Federal Government State Government Local Government Law Enforcement Landlord Utility Vendor Other Business Owner/Representative Faith-Based Organization Veteran Services Education Domestic Violence Program Other Community Organization (please specify) Question Title * 7. If you are a partner organization, what type of services do you provide in the community? Job Placement Job Skills Training Work Experience Training Employment Supplies/Uniforms Early Childhood Development/Pre-K K-12 Educational Services Adult Basic Education/Literacy GED Coaching/Testing Emergency Shelter Transitional Housing Emergency Rent Payments Emergency Utility Assistance Subsidized Housing Home Repairs Physical Health Services Mental/Emotional Health Services Behavioral Health Services Domestic Violence Services Parenting Supports Senior Citizen Supports Disabled Individuals Supports Health Education/Exercise Classes Medication Assistance Medical Care Food Assistance Health Insurance Consulting Income Management Counseling/Coaching Tax Assistance Resource Application Assistance Case Management Focused Counseling Services Transporation Services Childcare Other (please specify) None of the above Question Title * 8. Do you consider yourself to be low-income? Yes No Question Title * 9. What is your age range? 18-24 years 25-44 years 45-54 years 55-59 years 60-64 years 65+ years Question Title * 10. What is your race? Black White Hispanic Asian Pacific Islander American Indian Other (please specify) Question Title * 11. What is your family type? Single Individual Adults with children Two Adults, no children Single Parent (female) Single Parent (male) Multi-Generational Other (please specify) Question Title * 12. Are you familiar with the Community Action Agency of Northeast Alabama? Yes No Question Title * 13. Have you ever been assisted by the organization? Yes No Question Title * 14. Do you consider yourself a partner with the Community Action Agency of Northeast Alabama? Yes No Question Title * 15. How would you rate the service you received from the organization? Other (please specify) Question Title * 16. What services did you receive from the agency? Utility Assistance Water Assistance Rent Assistance GROW Program Training (budgeting, housing applications, job skills) Food Card Weatherization Assistance Other (please specify) Question Title * 17. Do you feel that the services you received adequately affected the causes and conditions of poverty facing your family? If not, how can our services better meet your needs? Question Title * 18. Please let us know any additional comments you may have about your experience today: Question Title * 19. In which of the following areas have you identified the needs in the local community? Income Management Employment Education Housing Health Community Involvement Question Title * 20. What income management needs have you observed in your community? Individuals do not have savings/bank accounts Individuals lack financial training on how to budget/save money The community lacks resources to help provide income management help Other (please specify) Question Title * 21. What employment-related needs have you observed in the local community? The community lacks living-wage jobs Individuals are unemployed Individuals are under-employed Question Title * 22. From your perspective, what are the causes of the employment problems in your community? The community lacks living wage jobs Individuals in the community lack an education to secure available jobs Individuals in the community lack skills necessary to secure available jobs Individuals have health issues that prevent them from working Individuals do not have childcare that would allow them to secure jobs Individuals are not motivated to secure employment Individuals do not have access to transportation Other (please specify) Question Title * 23. What education needs are greatest in the local community? Adults are illiterate Adults lack a high school diploma Children are not prepared for school Children/youth are not performing well in school Other (please specify) Question Title * 24. What factors do you believe cause these educational needs? The community lacks educational resources to ensure residents have a good education Educational resources are too expensive for local residents Residents do not have transportation to access educational resources Educational resources exist; however, residents lack childcare necessary to utilize them Individuals are not motivated to improve their educational situation Other (please specify) Question Title * 25. What housing-related issues are you aware of in the local community? Individuals are homeless Individuals are at risk of homelessness Individuals are at risk of utility disconnection Housing units in the community are unsafe Our community does not have any housing needs Housing units in the community are in need of repair Other (please specify) Question Title * 26. In your opinion, what are the primary causes of these issues? The community lacks affordable housing units Homes are in need of general repairs Homes are not energy efficient Individuals are unable to meet their energy burdens Question Title * 27. What health related issues are you aware of in the local community? (mental, physical, nutritional, behavioral, etc.) Individuals lack access to healthcare Individuals live in unsafe environments Individuals lack access to nutritional foods Other (please specify) Question Title * 28. In your opinion, what are the causes of these issues? The community lacks adequate health resources The community lacks adequate food resources Individuals cannot access resources due to limited transportation Individuals cannot afford food because it is not reasonably priced Individuals do not have health insurance Individuals cannot afford healthcare because it is not reasonably priced Houses require health and safety repairs Vulnerable populations require in home care The community has a high crime rate The community has a high substance abuse rate Individuals are living in a domestic violence situation Other (please specify) Question Title * 29. What community engagement needs are you aware of? Individuals are not involved in the community because they lack skills Individuals are not involved in the community due to a lack of motivation Individuals are not involved in the community due to a lack of knowledge/information Individuals are not involved in the community due to a lack of childcare Individuals have criminal records that prevent involvement Individuals are not involved in the community because they do not have time Individuals are not involved in the community due to a lack of social networks Individuals are not invovled in the community due to a lack of transportation Individuals are not involved in the community because they have health barriers Other (please specify) Question Title * 30. From your perspective, what are the THREE greatest conditions people experience due to living in poverty? Individuals are homeless Individuals are unstably housed Families are at risk of utility termination Homes in the community are in poor condition The crime rate in the community is high as compared to other communities Individuals in the community lack access to healthcare Individuals in the community lack access to nutritional foods Individuals do not have adequate clothing Individuals have poor hygiene Children are not performing well in school Young children are not prepared for school Other (please specify) Question Title * 31. From your perspective, what are the THREE greatest causes people experience due to living in poverty? The community lacks living wage jobs Individuals lack adequate education to obtain available jobs Individuals lack adequate skills to obtain available jobs Individuals lack access to childcare; preventing the ability to secure employment Indviduals lack access to transportation; preventing the ability to secure employment Individuals are not motivated to obtain employment Individuals are addicted to drugs or alcohol Other (please specify) Question Title * 32. Please enter the name of the staff member who referred you to this survey: Done
