Thank you for taking the time to provide us with your ideas and perspectives.

This survey is being made available to residents in Clarion and Jefferson Counties to gain input into many of the critical issues facing our community. Your insights and experiences will be invaluable as we begin to prioritize issues and seek better solutions for addressing our community's most pressing needs. The survey should take approximately 10 minutes to complete. Because this is being sent to only a sample of residents in the area, every response matters!  Your responses are completely confidential  -  there will be no way to identify responses with any individual.   

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* 1. As our community works to find ways to address it's most critical issues over the next 3 years, what PRIORITY do you think the following issues/concerns should receive?

  Not a priority Low priority Moderate priority High priority Essential Don't Know
Improving public transportation
Expanding affordable housing
Improving health care access and affordability
Expanding employment opportunities
Improving adult education and training opportunities
Improving children's educational opportunities
Improving recreational opportunities for youth
Improving senior citizen services
Improving access to basic needs
Decreasing crime

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* 2. Next, we'd next like to know  how often you or your immediate family have experienced the following TRANSPORTATION challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Difficulty accessing public transportation
Difficulty affording public transportation
Limited or no access to a reliable vehicle
Difficulty affording car insurance

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* 3. We'd next like to know  how often you or your immediate family have experienced the following HOUSING challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Homelessness
Eviction from place of residence
Difficulty affording utilities
Difficulty affording heat
Difficulty affording rental rates
Difficulty affording mortgage

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* 4. We'd next like to know  how often you or your immediate family have experienced the following EMPLOYMENT challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Lack of job training opportunities
Availability of employment opportunities
Difficulty finding employment that matches my skills

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* 5. We'd next like to know  how often you or your immediate family have experienced the following HEALTH CARE challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Lack of available primary care/family doctors
Area medical providers don’t accept Medicaid or Medicare
Do not have health insurance
Difficulty affording health insurance
Difficulty affording dental services
Difficulty affording prescriptions

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* 6. We'd next like to know  how often you or your immediate family have experienced the following EDUCATION related challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Limited availability of post-secondary education or training programs
Difficulty affording additional training or education
Lack of information related to existing education and training opportunities
Difficulty affording child care to allow additional education or training

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* 7. We'd next like to know  how often you or your immediate family have experienced the following SENIOR CITIZEN related challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Elder abuse
Difficulty with in-home accessibility related to physical disabilities
Difficulty finding reliable transportation to needed services
Difficulty meeting basic needs
Limited availability of needed medical care

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* 8. We'd next like to know  how often you or your immediate family have experienced the following CHILDREN'S EDUCATIONAL challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Limited availability of pre-school opportunities
Affordability of pre-school opportunities
Limited availability of educational resources for children with special needs
Public school not meeting children's educational needs
Limited availability of K-12 educational alternatives
Lack of knowledge related to existing educational resources for children

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* 9. We'd next like to know  how often has you or your immediate family experienced the following YOUTH related challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Limited availability of youth mentoring opportunities
Limited availability of after-school programs
Limited availability of youth recreation opportunities
Difficulty accessing affordable youth programs and events

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* 10. We'd next like to know  how often you or your immediate family have experienced the following BASIC NEEDS challenges in the last 2 years?

  Never Rarely Occasionally Often Very Often N/A
Acquiring food assistance
Acquiring rental/mortgage assistance
Acquiring utilities assistance
Acquiring heating assistance
Acquiring financial medical assistance
Acquiring homelessness assistance
Acquiring transportation assistance

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* 11. We'd next like to know  how often you or your immediate family have experienced the following CRIME OR SOCIAL ISSUES in the last 2 years?

  Never Rarely Occasionally Often Very Often Don't Know
Adult drug abuse
Youth drug abuse
Alcohol abuse
Underage drinking
Domestic violence
Assault and battery
Sexual abuse
Rape
Burglary/robbery
Homicide

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* 12. What do you feel are the THREE GREAT CHALLENGES that will face our community in the next 3 years?

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* 13. What suggestions do you have for better meeting the needs of low-income citizens in our community?

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* 14. In general, how would you rate the overall QUALITY OF SERVICES available to the following groups of people in our community?

  Poor Fair Good Very good Excellent Don't Know
Children and youth
Families
Single parents
Senior citizens
Veterans
Persons with physical disabilities
Persons with mental health/intellectual disabilities
Low income individuals and families
Employees
Women

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* 15. How frequently have you or your family received support from the local Community Action Agency in the last 2 years?

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* 16. If you have received assistance from the local Community Action Agency, how satisfied were you with the services provided

Lastly we'd like to know a bit more about you.  As a reminder all responses are confidential and there will be no way to identify you with any of your responses.

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* 17. In what county do you currently live?

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* 18. What is the zip code where your currently live?

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* 19. What is your age?

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* 20. What is your approximate average household income?

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* 21. How many people currently live in your house within the following age groups?

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* 22. What is the highest level of education you have completed? 

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