Assessing the Needs in Your Community

The following survey questions are designed for you to let us know about your community.  Please tell us what you think should be worked on and improved as well as the good things that are happening in your community.  

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* 1. What County do you live in?

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* 2. Please tell us the town or area, in your County, where you live.

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* 3. What areas do you feel need the most improvement in your County? Check all that apply

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* 4. Housing
On a scale from 1 (Not at all important) to 5 (Extremely important), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-Not at all important 2 3 4 5 -Extremely important
Financial assistance/counseling for housing
Weatherization/efficiency improvements
Rehabilitation of existing houses
Building new rental or homeowner units
Housing for persons with special needs
Fair housing education / services
Housing for senior citizens

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* 5. Infrastructure
On a scale from 1 (No Improvements Needed) to 5 (Improvements Extremely Needed), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-No Improvements Needed 2 3 4 5 -Improvements Extremely Needed
Water and Sewer Lines
Provide or improve fire protection
Water supply and treatment facilities
Sewer treatment facilities
Telecommunications/Broadband Internet
Streets and sidewalks
Storm Drainage

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* 6. Public Safety
On a scale from 1 (No Improvements Needed) to 5 (Improvements Extremely Needed), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-No Improvements Needed 2 3 4 5 -Improvements Extremely Needed
Public Safety Facility and Equipment
Police, Fire and EMS Staffing Levels
Neighborhood Watch Programs 
Public Safety Interaction/Education with Public and Neighborhood Groups

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* 7. Public Facilities
On a scale from 1 (No Improvements Needed) to 5 (Improvements Extremely Needed), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-No Improvements Needed 2 3 4 5 -Improvements Extremely Needed
Senior Centers/Activities
Healthcare
Accessibility of public facilities to the disable
Job Training
Childcare
Playgrounds/Green space
Adult Daycare
Libraries

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* 8. Workforce Development
On a scale from 1 (No Improvements Needed) to 5 (Improvements Extremely Needed), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-No Improvements Needed 2 3 4 5 -Improvements Extremely Needed
Financial Training /Counseling
Employment Assistance
Job Training Centers and Programs
Transportation to jobs/employment

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* 9. Economic Development
On a scale from 1 (No Improvements Needed) to 5 (Improvements Extremely Needed), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-No Improvements Needed 2 3 4 5 -Improvements Extremely Needed
Available land or buildings for business development
Infrastructure to support business or industry
Technical Assistance for Small Businesses

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* 10. Neighborhood / Downtown Revitalization
On a scale from 1 (No Improvements Needed) to 5 (Improvements Extremely Needed), please rate how important each need is to you. The more important you feel the need is, the higher you would rate it. The less important you feel the need is, the lower you would rate it.

  1-No Improvements Needed 2 3 4 5 -Improvements Extremely Needed
Store front (facade) improvements
Demolition of Dilapidated Buildings
Playground / Greenspace
Incentives for Downtown Businesses
Sidewalks / Streetlights for Downtown
Demolition of Dilapidated Houses
Sidewalks / Streetlights for Neighborhoods

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* 11. Fair Housing
Please respond to the following questions based on your own knowledge and experience.  Do you understand your fair housing rights?

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* 12. Fair Housing
Do you know where to file a housing discrimination complaint?

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* 13. Fair Housing
Do you believe you have experienced housing discrimination?

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* 14. Fair Housing
If you answered YES, on what basis do you feel you were discriminated against? Check all that apply.

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* 15. Fair Housing
In the past two years, housing discrimination in your community:

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* 16. Fair Housing
Do you feel more education is needed in your community with regard to fair housing rights, issues and concerns?

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* 17. Fair Housing
Please check whether you think more is needed for each housing type below

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* 18. Aging Needs
Do you provide 20 or more hours a week of direct hands on care giving to an aging family member or a family member with dementia?

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* 19. Aging Needs
What do you see is the biggest barrier/problem that prevents seniors from aging /remaining in their homes?

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* 20. Please list 3 things that you like about your community/neighborhood.

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* 21. Please list anything you want us to know about your community (needs, wants, concerns)

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