We know this is a difficult time. Many people have been stretched beyond their limits. Which is why we wanted to check in with our fellow community members and ask, how are you? Take just a few minutes to let us know how we can better serve you during this stressful time by completing this quick survey. 
From all of us at the Community Action Center, take care, and know that we are here for you.
This survey is anonymous and any personal information you provide will not be shared with anyone outside of CAC. There is an option to provide your contact information at the end of the survey if you would like someone to reach out to you...

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* 1. What is your zip code?

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* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 3. Has the COVID-19 pandemic positively or negatively impacted you?

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* 4. What is your most urgent need right now?

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* 5. Are there currently any services that you cannot access? If so, please list, with most-needed service first...

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* 6. Do you have access to reliable, high speed internet?

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* 7. Are you currently facing any mental health challenges? (Think about anxiety level, additional worries, loneliness, substance or alcohol abuse, etc.)

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* 8. Does anyone else in your household seem to be experiencing  mental health challenges? (Think about anxiety level, additional worries, loneliness, substance or alcohol abuse, etc.)

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* 9. What is your race and/or ethnicity? (Enter N/A if you prefer not to answer.)

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* 10. If you would like to be contacted, please provide your name, City/Town, and email address...

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