Needs Assessment - 2017

This survey has been designed by members of the Cape Cod and Islands Commission on the Status of Women to determine what challenges women are facing in our region - and to determine where our focus needs to be in the next two years. How can we serve as advocates for you?

*This is an anonymous and completely confidential survey, so feel free to be as honest as possible.

Thank you for your participation!

To learn more about our work: www.CCICSW.com

* 1. Where do you live?

* 2. What is your employment status?

* 3. What is your household status?

* 4. How many are in your household, including yourself?

* 5. Which of the following are areas of concern for you and your family? Please check all that apply - and add any others in the "Other" box. (*Feel free to elaborate on any of these concerns in Question #8).

* 6. Which of these challenges do you consider most pressing for you and your family? Please rank in order of priority.

* 7. What is your annual household income?

* 8. Feel free to add any information regarding your challenges that would help us help you.

* 9. Please tell us more about you. (*The following questions are optional)

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