CAPECO Community Needs Assessment Community Partner Survey

The Community Action Program of East Central Oregon (CAPECO), with the help of Eastern Oregon Business Source, is conducting a community needs assessment. This assessment is a combination of information gathering and community engagement with the goal of community improvement. Obtaining feedback from partners, stakeholders, and business owners is vital to this process. Please complete the following survey. We will use the information to help better understand the needs in your community. Thank you for taking this survey. We appreciate your time and input. You are not required to answer every question.

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* 1. What city or cities is your business or organization located?

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* 2. Which of the following best describes the business or organization that you represent?

Elected official

Social Service Provider

Educational Institution

Healthcare Provider

Landlord/Property Management

Government/Public Agency

Recreation/Community Program

Professional Service Provider

Other (please specify)

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* 3. Is your organization:

For-profit

Non-profit

Government

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* 4. How do you invest in the community where your business or organization resides?

Sponsor community events

Sponsor community groups

Sponsor local schools

Charitable contributions to community organizations

Donations of goods for any above

Would like to, but have not done so yet

Have not done so

Not Applicable

Other (please specify)

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* 5. Do you recruit employees from the community in which your business or organization resides?

Yes

I don't know

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* 6. Does your business currently refer customers to CAPECO?

Yes

I don’t know

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* 7. If yes, how would you rate your experience?

Poor

Fair

Average

Good

Excellent

Poor

Fair

Average

Good

Excellent

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* 8. What do you see as the top three issues facing your community?

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* 9. What do you see as the top three accomplishments of your community?

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* 10. Check a box to identify to what degree you think the following are a concern for those in your community.

	Never a concern for my community	Sometimes a concern for my community	Often a concern for my community	Always a concern for my community
Finding affordable, quality housing	Finding affordable, quality housing Never a concern for my community	Finding affordable, quality housing Sometimes a concern for my community	Finding affordable, quality housing Often a concern for my community	Finding affordable, quality housing Always a concern for my community
Programs and services for seniors	Programs and services for seniors Never a concern for my community	Programs and services for seniors Sometimes a concern for my community	Programs and services for seniors Often a concern for my community	Programs and services for seniors Always a concern for my community
Being homeless	Being homeless Never a concern for my community	Being homeless Sometimes a concern for my community	Being homeless Often a concern for my community	Being homeless Always a concern for my community
Finding a job	Finding a job Never a concern for my community	Finding a job Sometimes a concern for my community	Finding a job Often a concern for my community	Finding a job Always a concern for my community
Affordable, quality dental care	Affordable, quality dental care Never a concern for my community	Affordable, quality dental care Sometimes a concern for my community	Affordable, quality dental care Often a concern for my community	Affordable, quality dental care Always a concern for my community
Local, quality dental care	Local, quality dental care Never a concern for my community	Local, quality dental care Sometimes a concern for my community	Local, quality dental care Often a concern for my community	Local, quality dental care Always a concern for my community
Immigration and citizenship issues	Immigration and citizenship issues Never a concern for my community	Immigration and citizenship issues Sometimes a concern for my community	Immigration and citizenship issues Often a concern for my community	Immigration and citizenship issues Always a concern for my community
Opportunities to learn about work, careers, and getting ahead	Opportunities to learn about work, careers, and getting ahead Never a concern for my community	Opportunities to learn about work, careers, and getting ahead Sometimes a concern for my community	Opportunities to learn about work, careers, and getting ahead Often a concern for my community	Opportunities to learn about work, careers, and getting ahead Always a concern for my community
Understanding household budgets	Understanding household budgets Never a concern for my community	Understanding household budgets Sometimes a concern for my community	Understanding household budgets Often a concern for my community	Understanding household budgets Always a concern for my community
Access to computers/Internet	Access to computers/Internet Never a concern for my community	Access to computers/Internet Sometimes a concern for my community	Access to computers/Internet Often a concern for my community	Access to computers/Internet Always a concern for my community
Affordable college or trade school	Affordable college or trade school Never a concern for my community	Affordable college or trade school Sometimes a concern for my community	Affordable college or trade school Often a concern for my community	Affordable college or trade school Always a concern for my community
Support and access to information to help me with my parenting skills	Support and access to information to help me with my parenting skills Never a concern for my community	Support and access to information to help me with my parenting skills Sometimes a concern for my community	Support and access to information to help me with my parenting skills Often a concern for my community	Support and access to information to help me with my parenting skills Always a concern for my community
Finding a job with benefits	Finding a job with benefits Never a concern for my community	Finding a job with benefits Sometimes a concern for my community	Finding a job with benefits Often a concern for my community	Finding a job with benefits Always a concern for my community
Drug or alcohol abuse	Drug or alcohol abuse Never a concern for my community	Drug or alcohol abuse Sometimes a concern for my community	Drug or alcohol abuse Often a concern for my community	Drug or alcohol abuse Always a concern for my community
Health insurance for children	Health insurance for children Never a concern for my community	Health insurance for children Sometimes a concern for my community	Health insurance for children Often a concern for my community	Health insurance for children Always a concern for my community
Health insurance for adults	Health insurance for adults Never a concern for my community	Health insurance for adults Sometimes a concern for my community	Health insurance for adults Often a concern for my community	Health insurance for adults Always a concern for my community
Affordable prescription medication	Affordable prescription medication Never a concern for my community	Affordable prescription medication Sometimes a concern for my community	Affordable prescription medication Often a concern for my community	Affordable prescription medication Always a concern for my community
Being able to afford nutritious foods	Being able to afford nutritious foods Never a concern for my community	Being able to afford nutritious foods Sometimes a concern for my community	Being able to afford nutritious foods Often a concern for my community	Being able to afford nutritious foods Always a concern for my community
Children’s education/tutoring	Children’s education/tutoring Never a concern for my community	Children’s education/tutoring Sometimes a concern for my community	Children’s education/tutoring Often a concern for my community	Children’s education/tutoring Always a concern for my community
Paying utility bills (power, gas, water)	Paying utility bills (power, gas, water) Never a concern for my community	Paying utility bills (power, gas, water) Sometimes a concern for my community	Paying utility bills (power, gas, water) Often a concern for my community	Paying utility bills (power, gas, water) Always a concern for my community
Affordable, quality health care	Affordable, quality health care Never a concern for my community	Affordable, quality health care Sometimes a concern for my community	Affordable, quality health care Often a concern for my community	Affordable, quality health care Always a concern for my community
Local quality health care	Local quality health care Never a concern for my community	Local quality health care Sometimes a concern for my community	Local quality health care Often a concern for my community	Local quality health care Always a concern for my community
Not having a driver’s license	Not having a driver’s license Never a concern for my community	Not having a driver’s license Sometimes a concern for my community	Not having a driver’s license Often a concern for my community	Not having a driver’s license Always a concern for my community
Price of gas	Price of gas Never a concern for my community	Price of gas Sometimes a concern for my community	Price of gas Often a concern for my community	Price of gas Always a concern for my community
Domestic violence	Domestic violence Never a concern for my community	Domestic violence Sometimes a concern for my community	Domestic violence Often a concern for my community	Domestic violence Always a concern for my community
Services for disabled people	Services for disabled people Never a concern for my community	Services for disabled people Sometimes a concern for my community	Services for disabled people Often a concern for my community	Services for disabled people Always a concern for my community
Veterans services	Veterans services Never a concern for my community	Veterans services Sometimes a concern for my community	Veterans services Often a concern for my community	Veterans services Always a concern for my community
Being able to afford groceries	Being able to afford groceries Never a concern for my community	Being able to afford groceries Sometimes a concern for my community	Being able to afford groceries Often a concern for my community	Being able to afford groceries Always a concern for my community
Finding a job that pays enough	Finding a job that pays enough Never a concern for my community	Finding a job that pays enough Sometimes a concern for my community	Finding a job that pays enough Often a concern for my community	Finding a job that pays enough Always a concern for my community
Being able to cook my own meals	Being able to cook my own meals Never a concern for my community	Being able to cook my own meals Sometimes a concern for my community	Being able to cook my own meals Often a concern for my community	Being able to cook my own meals Always a concern for my community
Lack of transportation to work	Lack of transportation to work Never a concern for my community	Lack of transportation to work Sometimes a concern for my community	Lack of transportation to work Often a concern for my community	Lack of transportation to work Always a concern for my community
Affordable, quality mental health care	Affordable, quality mental health care Never a concern for my community	Affordable, quality mental health care Sometimes a concern for my community	Affordable, quality mental health care Often a concern for my community	Affordable, quality mental health care Always a concern for my community
Local, quality mental health care	Local, quality mental health care Never a concern for my community	Local, quality mental health care Sometimes a concern for my community	Local, quality mental health care Often a concern for my community	Local, quality mental health care Always a concern for my community
Information about eating and living healthy	Information about eating and living healthy Never a concern for my community	Information about eating and living healthy Sometimes a concern for my community	Information about eating and living healthy Often a concern for my community	Information about eating and living healthy Always a concern for my community
Long term elderly care	Long term elderly care Never a concern for my community	Long term elderly care Sometimes a concern for my community	Long term elderly care Often a concern for my community	Long term elderly care Always a concern for my community
Home repairs (drafty windows, poor furnace, lack of insulation, etc.)	Home repairs (drafty windows, poor furnace, lack of insulation, etc.) Never a concern for my community	Home repairs (drafty windows, poor furnace, lack of insulation, etc.) Sometimes a concern for my community	Home repairs (drafty windows, poor furnace, lack of insulation, etc.) Often a concern for my community	Home repairs (drafty windows, poor furnace, lack of insulation, etc.) Always a concern for my community
Paying the rent or mortgage	Paying the rent or mortgage Never a concern for my community	Paying the rent or mortgage Sometimes a concern for my community	Paying the rent or mortgage Often a concern for my community	Paying the rent or mortgage Always a concern for my community
Criminal background or outstanding legal issues	Criminal background or outstanding legal issues Never a concern for my community	Criminal background or outstanding legal issues Sometimes a concern for my community	Criminal background or outstanding legal issues Often a concern for my community	Criminal background or outstanding legal issues Always a concern for my community
Lack of transportation for medical appointments and personal outings	Lack of transportation for medical appointments and personal outings Never a concern for my community	Lack of transportation for medical appointments and personal outings Sometimes a concern for my community	Lack of transportation for medical appointments and personal outings Often a concern for my community	Lack of transportation for medical appointments and personal outings Always a concern for my community
Access to local health professionals (doctors, nurse practitioners, etc.)	Access to local health professionals (doctors, nurse practitioners, etc.) Never a concern for my community	Access to local health professionals (doctors, nurse practitioners, etc.) Sometimes a concern for my community	Access to local health professionals (doctors, nurse practitioners, etc.) Often a concern for my community	Access to local health professionals (doctors, nurse practitioners, etc.) Always a concern for my community
Support and access to information about caring for aging relatives	Support and access to information about caring for aging relatives Never a concern for my community	Support and access to information about caring for aging relatives Sometimes a concern for my community	Support and access to information about caring for aging relatives Often a concern for my community	Support and access to information about caring for aging relatives Always a concern for my community
Language barriers	Language barriers Never a concern for my community	Language barriers Sometimes a concern for my community	Language barriers Often a concern for my community	Language barriers Always a concern for my community
Access to information to help me be an informed voter	Access to information to help me be an informed voter Never a concern for my community	Access to information to help me be an informed voter Sometimes a concern for my community	Access to information to help me be an informed voter Often a concern for my community	Access to information to help me be an informed voter Always a concern for my community

CAPECO Community Needs Assessment Community Partner Survey

Question Title

* 1. What city or cities is your business or organization located?

Question Title

* 2. Which of the following best describes the business or organization that you represent?

Question Title

* 3. Is your organization:

Question Title

* 4. How do you invest in the community where your business or organization resides?

Question Title

* 5. Do you recruit employees from the community in which your business or organization resides?

Question Title

* 6. Does your business currently refer customers to CAPECO?

Question Title

* 7. If yes, how would you rate your experience?

Question Title

* 8. What do you see as the top three issues facing your community?

Question Title

* 9. What do you see as the top three accomplishments of your community?

Question Title

* 10. Check a box to identify to what degree you think the following are a concern for those in your community.

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* 11. Are there any other issues or needs that you think are very important that we did not mention? Please tell us about them.

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* 12. Is there anything else you would like us to know?