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Needs Assessment & Strategic Planning
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1.
Which community sectors and relationships best describes you? Check all that apply.
(Required.)
Courts
Law Enforcement
Elected Official
Government Employee
Education Provider
Low-Income
Medical Professional/Healthcare
Faithbased Organization
Business
Youth
Parent
Media
Civic/Volunteer Groups
Mental Health Agency
Substance Abuse Agency
Program Participant/Client - Community Action
Employee - Community Action
Funder - Community Action
Donor - Community Action
Volunteer - Community Action
Board Member - Community Action
Member of the community
Caregiver for the elderly
College student
2.
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
3.
What is your gender?
Male
Female
Other (please specify)
4.
What is your race?
White or Caucasian
Black or African American
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another race
Other (please specify)
5.
What is your ethnicity?
Hispanic
Non-hispanic
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6.
In the following list, which public health issues do you consider to be a problem in our community? (check all that apply)
(Required.)
Drug abuse
Chronic illness
Obesity
Cancer
Alcohol
Tobacco Use
Physical Inactivity
Teen births
Bullying
Mental Health
Alzheimer's Dementia
Falls
Diet (access to healthy food)
Safety in homes
Motor vehicle crashes
Eating disorders
Stroke
Immunization/vaccinations
Low birth weight
Hepatitis B/C
Foodborne illness
Concussions
Poisoning
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7.
What are the 3 best features of our county?
(Required.)
Best 1
Best 2
Best 3
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8.
What are the 3 worst issues facing the county?
(Required.)
Worst 1
Worst 2
Worst 3
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9.
What do you think are the top 3 health issues affecting our county?
(Required.)
1
2
3
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10.
What types of services do you think would meet those health issue needs?
(Required.)
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11.
In the following list, what types of care do you feel our community DOES NOT have adequate access to meet community needs. Check all that apply.
(Required.)
Mental health counseling services - Adults
Substance abuse counseling services - Adults
Medication-assisted treatment for substance abuse
Mental health counseling for trauma victims
Primary Care Physicians
Specialty Physicians
Dentist
OBGYN
Substance abuse detox facility
Birthing center
Substance abuse counseling services - Youth
Home health care
Specialist physician type:
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12.
In the following list, what health issues have you or a family member had in the last year?
(Required.)
Aging problems
Allergies
Diabetes
Cancers
Dental problems
Heart disease, stroke
Mental Health problems
Substance abuse problems
Falls
Respiratory/lung disease
Bullying
Liver disease
Motor vehicle crashes
Domestic violence
Teen preganancy
Emergency in the home
Suicide
Child abuse/neglect
Rape/Sexual Assault
HIV/AIDS
Sexually transmitted disease
Infant death
Firearm related
Infectious disease
Fertility
Not applicable or not willing to share
Other (please specify)
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13.
If you have children, do you have any of the following health issues or concerns for them? Check all that apply.
(Required.)
Not applicable
Allergies
Asthma
Depression or anxiety
Bullying
Diabetes
Obesity
Attention Deficit Disorder
Lack of physical activity
Sexual activity
Autism
Developmental delay
Immunizations
Cancer
Substance abuse
Eating disorder
Mobility issues
Cerebral palsy
Permature/pre-term birth
Suicide
Concussions
Other (please specify)
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14.
In the following list, what behaviors have you or a family member experienced in the last year? Check all that apply.
(Required.)
Not applicable
Being overweight
Lack of exercise
Poor eating habits
Tobacco use
Alcohol abuse
Drug abuse
Dropping out of school
Not getting shots
Not using a seat belt or childseat
Hoarding
Lack of birth control
Domestic violence
Unsafe sex
Sexual assault
Isolation
Other (please specify)
15.
In the past 1-2 years have you had any of the following preventative health screening, tests or immunizations? Check all that apply.
Dental care
Mammogram
Breast exam
Immunizations
Pap smear
General physical
Cholesterol screen
Diabetes
Colonoscopy
PSA test
Other (please specify)
16.
Do you believe the following issues exist in our community? Check all that apply.
Pests (bed bugs, roaches, etc)
Exposure to tobacco
Unsafe housing/vacant housing
Lack of safe recreational activities
Air pollution
Unsafe roads and highway
Open dumping
Farm run-off
Unsafe river, creeks, lakes
Unsafe drinking water
Septic system run-off
Other (please specify)
17.
If there was a time in the past year that you or anyone in your family needed medical care but could not get it, what were the reasons you did not get care? Check all that apply.
Inability to pay
No appointment available
No access for people
No insurance
No transportation
No child care
Provider didn't speak my language
Provider not taking new patients
Provider not accepting my insurance
Other (please specify)
Community Action Commission of Fayette County Questions
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18.
Please check the following areas in Fayette County you believe to be the most important causes of poverty in the community and/or the areas that need additional support.
(Required.)
Affordable Housing
Employment
Under-employment (not enough money to cover expenses)
GED
Post Secondary Education
Before & After School Childcare
Food Assistance
Utility Assistance
Homelessness
Facing Eviction
Medical Care
Domestic Violence Programs
Rental Assistance
Enrichment Programs for Youth
Senior Programs
Programs for the Disabled
Adult Counseling Services
Youth Counseling Services
Substance Abuse Prevention All Populations
Substance Abuse Prevention for Youth
Medication Assisted Treatment
Parenting Skills
School Readiness
Health Care Services
Health Care Costs/Lack of Insurance
Transportation
Legal Services
Health Programming for Exercise
Nutrition
Peer Support Groups
Financial Literacy
Support for Opening a New Business
Discrimination
Criminal history & other legal matters
Lack of support and familial relationships
Credit and/or savings
Home delivered meals
Congregate meals
Home repair
Loss of mainstream benefit greater than increases in income (benefit cliff)
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19.
In the space below make suggestions or the types of services that would help meet these needs.
(Required.)
Priority 1
Priority 2
Priority 3
Priority 4
Priority 5
20.
What are the top 3 things that impact employment and underemployment in our community?
1
2
3
21.
What are the top 3 things impacting housing and homelessness?
1
2
3
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22.
What do you see as the most important issues that will likely impact the low-income community during the next 3 years?
(Required.)
23.
CAC has as part of the mission to reduce reliance on federal grant programs. Which alternatives should the agency explore?
Medicaid Billing
Fundraising Events
Donation Drives
Business venture to earn funding for agency programs
Other (please specify)
24.
If CAC were to launch a business for the purpose of earning funding for agency programs, what type(s) of new business(es) do you think our community needs?
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25.
Are there any community partnerships or initiatives which you believe CAC should establish or play a role? For each partnership or initiative, please explain how CAC should engage a greater role? Is it with your agency?
(Required.)
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26.
Are there any new programmatic initiatives that you believe CAC should explore?
(Required.)
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27.
What do you think CAC should do differently within the next 3 years?
(Required.)
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28.
In what areas do you think the CAC agency needs to improve?
(Required.)
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29.
In what program or administrative areas do you believe CAC has performed particularly well?
(Required.)
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30.
The mission of the Community Action Commission of Fayette County is to combat causes of poverty, expand community services, and implement projects necessary to provide services and further community improvements. Its mission is also to consider the problems concerning youth, adults and senior citizens and deal with the prevention and solving of those problems. The development and management of affordable housing for special populations like individuals in recovery from substance abuse or mental illness, victims of domestic violence, the homeless and/or disabled, and low to moderate income individuals, families, and seniors is a specific purpose of the agency, as is the development of income-generating projects consistent with the purposes of the corporation which will increase funds available for services and reduce the agency’s dependence on public funds.
Our vision is to facilitate the development of effective community programs that provide every individual and neighborhood in our community the opportunity to thrive.
Do you believe CAC is meeting that mission and vision? Why or why not?
(Required.)
31.
Do you have any general comments or questions?
32.
Please leave your contact information if you are willing to provide more informtion in person or over the phone.
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
33.
Are there any ways that you think Community Action needs to improve: accessibility for individuals with disabilities, staff understanding of trauma, and/or staff understanding of racial equity? If yes, how can those things be improved?
Current Progress,
0 of 33 answered
