Calaveras-Mariposa County Community Action Community Needs Survey 2023

Community Needs Survey 2023 -Your Voice Matters!

Encuesta Comunitaria (Spanish Community Survey) Link: https://www.surveymonkey.com/r/CMCAASPANISH

The Calaveras-Mariposa Community Action Agency (CMCAA) is conducting a community survey. Your feedback is important and valuable in understanding the needs of your community and this survey will take approximately 5 minutes of your time. The information collected from this survey will assist in the planning of the 2024/2025 CMCAA Community Action Plan, which determines what services are funded in your community through the Community Services Block Grant (CSBG). This survey is open to residents and/or service providers living or working in Calaveras and/or Mariposa Counties.

Thank you for participating in this short survey. Please feel free to share the survey with residents of Calaveras and Mariposa counties. We appreciate your time!

Note: All information collected will be utilized to assess the local needs and priorities of Calaveras and/or Mariposa Counties. No personal information will be shared with the public.

Question Title

* 1. Please choose which one best describes you

Community resident

Community Service Provider and/or Work in either county

If you are a Community Service Provider or Work in either county, please specify your organization/entity or sector you work in

Question Title

* 2. What county do you live or work in?

Calaveras County

Mariposa County

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* 3. Please specify what zip code where you live or work (city/town)

Other: city/town (please specify)

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* 4. Gender: How do you identify?

Male

Female

Non-Binary

Transgender

Prefer not to state

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* 5. Race: How would you best describe yourself?

White or Caucasian

Black or African-American

Asian or Asian-American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Multi-race (two or more of the above)

Prefer not to state

Something not listed

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* 6. Ethnicity: Are you of Hispanic/Latino/Spanish Origin?

Yes

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* 7. What is your age range?

Under 18

18-24

25-34

35-44

45-54

55-64

65-74

75+

Prefer not to state

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* 8. What is your total annual household income?

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* 9. If you are over 55+, do any of the following apply to you?

	Do you have transportation needs?	Do you have access to healthy food on a daily basis?	Do you have needs that require a caregiver?	Do you struggle with meeting your monthly basic needs?
Yes	Yes Do you have transportation needs?	Yes Do you have access to healthy food on a daily basis?	Yes Do you have needs that require a caregiver?	Yes Do you struggle with meeting your monthly basic needs?
No	No Do you have transportation needs?	No Do you have access to healthy food on a daily basis?	No Do you have needs that require a caregiver?	No Do you struggle with meeting your monthly basic needs?

If yes, please share what needs you are struggling with?

Question Title

* 10. What is your housing status?

Own

Rent

Staying with friends or family

Homeless-Streets/Car

Homeless Shelter

Homeless-Transitional housing (temporary)

Hotel/Motel

Nursing/Long-Term Care

Assisted Living

Group Home

Half-way house

Prefer not to state

None of the Above

Other (please specify)

Question Title

* 11. For Community Organizations Only: What are the top 3 needs requested by clients in your agency?

1st Need

2nd Need

3rd Need

Question Title

* 12. What are the top 3 priorities or needs faced by you and your family?

	1 - First Priority	2 - Second Priority	3 - Third Priority
Affordable Housing/Finding Housing	Affordable Housing/Finding Housing 1 - First Priority	Affordable Housing/Finding Housing 2 - Second Priority	Affordable Housing/Finding Housing 3 - Third Priority
Rental Assistance/Eviction Prevention	Rental Assistance/Eviction Prevention 1 - First Priority	Rental Assistance/Eviction Prevention 2 - Second Priority	Rental Assistance/Eviction Prevention 3 - Third Priority
Food Assistance/Access to food	Food Assistance/Access to food 1 - First Priority	Food Assistance/Access to food 2 - Second Priority	Food Assistance/Access to food 3 - Third Priority
Utility Assistance (PG&E, wood or Propane)	Utility Assistance (PG&E, wood or Propane) 1 - First Priority	Utility Assistance (PG&E, wood or Propane) 2 - Second Priority	Utility Assistance (PG&E, wood or Propane) 3 - Third Priority
Mortgage Assistance	Mortgage Assistance 1 - First Priority	Mortgage Assistance 2 - Second Priority	Mortgage Assistance 3 - Third Priority
Dental Care	Dental Care 1 - First Priority	Dental Care 2 - Second Priority	Dental Care 3 - Third Priority
Medical Care	Medical Care 1 - First Priority	Medical Care 2 - Second Priority	Medical Care 3 - Third Priority
Public Health Services	Public Health Services 1 - First Priority	Public Health Services 2 - Second Priority	Public Health Services 3 - Third Priority
Substance Abuse	Substance Abuse 1 - First Priority	Substance Abuse 2 - Second Priority	Substance Abuse 3 - Third Priority
Mental Health Services	Mental Health Services 1 - First Priority	Mental Health Services 2 - Second Priority	Mental Health Services 3 - Third Priority
Youth Services/Tutoring	Youth Services/Tutoring 1 - First Priority	Youth Services/Tutoring 2 - Second Priority	Youth Services/Tutoring 3 - Third Priority
Child Care	Child Care 1 - First Priority	Child Care 2 - Second Priority	Child Care 3 - Third Priority
Employment Services (help finding a job/resume development)	Employment Services (help finding a job/resume development) 1 - First Priority	Employment Services (help finding a job/resume development) 2 - Second Priority	Employment Services (help finding a job/resume development) 3 - Third Priority
Transportation	Transportation 1 - First Priority	Transportation 2 - Second Priority	Transportation 3 - Third Priority
Veterans Services	Veterans Services 1 - First Priority	Veterans Services 2 - Second Priority	Veterans Services 3 - Third Priority
Senior Citizen Services	Senior Citizen Services 1 - First Priority	Senior Citizen Services 2 - Second Priority	Senior Citizen Services 3 - Third Priority
Domestic Violence Services	Domestic Violence Services 1 - First Priority	Domestic Violence Services 2 - Second Priority	Domestic Violence Services 3 - Third Priority
Homeless Services	Homeless Services 1 - First Priority	Homeless Services 2 - Second Priority	Homeless Services 3 - Third Priority
Food Stamps (CalFresh)	Food Stamps (CalFresh) 1 - First Priority	Food Stamps (CalFresh) 2 - Second Priority	Food Stamps (CalFresh) 3 - Third Priority
Public Assistance	Public Assistance 1 - First Priority	Public Assistance 2 - Second Priority	Public Assistance 3 - Third Priority
Personal Protective Equipment (PPE) to Personal/Business use	Personal Protective Equipment (PPE) to Personal/Business use 1 - First Priority	Personal Protective Equipment (PPE) to Personal/Business use 2 - Second Priority	Personal Protective Equipment (PPE) to Personal/Business use 3 - Third Priority
Prescription Assistance	Prescription Assistance 1 - First Priority	Prescription Assistance 2 - Second Priority	Prescription Assistance 3 - Third Priority
Landlord/Tenant Rights	Landlord/Tenant Rights 1 - First Priority	Landlord/Tenant Rights 2 - Second Priority	Landlord/Tenant Rights 3 - Third Priority
Parent Education	Parent Education 1 - First Priority	Parent Education 2 - Second Priority	Parent Education 3 - Third Priority
Legal Assistance	Legal Assistance 1 - First Priority	Legal Assistance 2 - Second Priority	Legal Assistance 3 - Third Priority
Immigration Services/Documentation Status	Immigration Services/Documentation Status 1 - First Priority	Immigration Services/Documentation Status 2 - Second Priority	Immigration Services/Documentation Status 3 - Third Priority
Business Assistance (Micro-loans/Resources)	Business Assistance (Micro-loans/Resources) 1 - First Priority	Business Assistance (Micro-loans/Resources) 2 - Second Priority	Business Assistance (Micro-loans/Resources) 3 - Third Priority
Starting a Business	Starting a Business 1 - First Priority	Starting a Business 2 - Second Priority	Starting a Business 3 - Third Priority
Access to basic needs (hygiene kits, laundry soap, PPE, toiletries, diapers, female products, adult diapers, etc.)	Access to basic needs (hygiene kits, laundry soap, PPE, toiletries, diapers, female products, adult diapers, etc.) 1 - First Priority	Access to basic needs (hygiene kits, laundry soap, PPE, toiletries, diapers, female products, adult diapers, etc.) 2 - Second Priority	Access to basic needs (hygiene kits, laundry soap, PPE, toiletries, diapers, female products, adult diapers, etc.) 3 - Third Priority
Covid-19 Assistance/Resources	Covid-19 Assistance/Resources 1 - First Priority	Covid-19 Assistance/Resources 2 - Second Priority	Covid-19 Assistance/Resources 3 - Third Priority
Job Training/Vocational Skills Training	Job Training/Vocational Skills Training 1 - First Priority	Job Training/Vocational Skills Training 2 - Second Priority	Job Training/Vocational Skills Training 3 - Third Priority
Safety/Crime Prevention	Safety/Crime Prevention 1 - First Priority	Safety/Crime Prevention 2 - Second Priority	Safety/Crime Prevention 3 - Third Priority
Weatherization of your rental/home	Weatherization of your rental/home 1 - First Priority	Weatherization of your rental/home 2 - Second Priority	Weatherization of your rental/home 3 - Third Priority
Home Accommodations/Modifications (for Disabled/Seniors)	Home Accommodations/Modifications (for Disabled/Seniors) 1 - First Priority	Home Accommodations/Modifications (for Disabled/Seniors) 2 - Second Priority	Home Accommodations/Modifications (for Disabled/Seniors) 3 - Third Priority
Disability Services	Disability Services 1 - First Priority	Disability Services 2 - Second Priority	Disability Services 3 - Third Priority
Internet Accessibility	Internet Accessibility 1 - First Priority	Internet Accessibility 2 - Second Priority	Internet Accessibility 3 - Third Priority
Decline to State	Decline to State 1 - First Priority	Decline to State 2 - Second Priority	Decline to State 3 - Third Priority
Not Applicable/None	Not Applicable/None 1 - First Priority	Not Applicable/None 2 - Second Priority	Not Applicable/None 3 - Third Priority

Other Priorities (Please Specify)

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* 13. Have you received any help or services for these 3 needs?

Yes

I don't know where to access these services

Prefer not to state

What services did you need help with?

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* 14. Do you feel that any of these 3 needs that you identified are as a result of the Covid-19 Pandemic?

Yes

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* 15. Do you have any of the following housing-related needs? (Check all that apply)

Rent Assistance

Mortgage Assistance

Housing not affordable

Home not safe-structure

Handicap access or modification

Unable to find housing (rentals not available)

Repairs needed

Does not apply

Other housing needs, type of assistance or repairs needed (please specify)

Question Title

* 16. What are the top 3 priorities or needs faced by your neighbors or community?

	1 - 1st Priority	2 - 2nd Priority	3 - 3rd Priority
Affordable Housing/Finding Housing	Affordable Housing/Finding Housing 1 - 1st Priority	Affordable Housing/Finding Housing 2 - 2nd Priority	Affordable Housing/Finding Housing 3 - 3rd Priority
Rental Assistance/ Eviction Prevention	Rental Assistance/ Eviction Prevention 1 - 1st Priority	Rental Assistance/ Eviction Prevention 2 - 2nd Priority	Rental Assistance/ Eviction Prevention 3 - 3rd Priority
Food Assistance/Access to food	Food Assistance/Access to food 1 - 1st Priority	Food Assistance/Access to food 2 - 2nd Priority	Food Assistance/Access to food 3 - 3rd Priority
Utility Assistance (PG&E, wood & propane)	Utility Assistance (PG&E, wood & propane) 1 - 1st Priority	Utility Assistance (PG&E, wood & propane) 2 - 2nd Priority	Utility Assistance (PG&E, wood & propane) 3 - 3rd Priority
Dental Care	Dental Care 1 - 1st Priority	Dental Care 2 - 2nd Priority	Dental Care 3 - 3rd Priority
Medical Care	Medical Care 1 - 1st Priority	Medical Care 2 - 2nd Priority	Medical Care 3 - 3rd Priority
Public Health Services	Public Health Services 1 - 1st Priority	Public Health Services 2 - 2nd Priority	Public Health Services 3 - 3rd Priority
Substance Abuse	Substance Abuse 1 - 1st Priority	Substance Abuse 2 - 2nd Priority	Substance Abuse 3 - 3rd Priority
Mental Health Services	Mental Health Services 1 - 1st Priority	Mental Health Services 2 - 2nd Priority	Mental Health Services 3 - 3rd Priority
Youth Services/Tutoring	Youth Services/Tutoring 1 - 1st Priority	Youth Services/Tutoring 2 - 2nd Priority	Youth Services/Tutoring 3 - 3rd Priority
Child Care	Child Care 1 - 1st Priority	Child Care 2 - 2nd Priority	Child Care 3 - 3rd Priority
Employment Services	Employment Services 1 - 1st Priority	Employment Services 2 - 2nd Priority	Employment Services 3 - 3rd Priority
Transportation	Transportation 1 - 1st Priority	Transportation 2 - 2nd Priority	Transportation 3 - 3rd Priority
Veterans Services	Veterans Services 1 - 1st Priority	Veterans Services 2 - 2nd Priority	Veterans Services 3 - 3rd Priority
Senior Citizen Services	Senior Citizen Services 1 - 1st Priority	Senior Citizen Services 2 - 2nd Priority	Senior Citizen Services 3 - 3rd Priority
Domestic Violence Services	Domestic Violence Services 1 - 1st Priority	Domestic Violence Services 2 - 2nd Priority	Domestic Violence Services 3 - 3rd Priority
Homeless Services	Homeless Services 1 - 1st Priority	Homeless Services 2 - 2nd Priority	Homeless Services 3 - 3rd Priority
Food Stamps (CalFresh)	Food Stamps (CalFresh) 1 - 1st Priority	Food Stamps (CalFresh) 2 - 2nd Priority	Food Stamps (CalFresh) 3 - 3rd Priority
Public Assistance	Public Assistance 1 - 1st Priority	Public Assistance 2 - 2nd Priority	Public Assistance 3 - 3rd Priority
Prescription Assistance	Prescription Assistance 1 - 1st Priority	Prescription Assistance 2 - 2nd Priority	Prescription Assistance 3 - 3rd Priority
Landlord/Tenant Rights	Landlord/Tenant Rights 1 - 1st Priority	Landlord/Tenant Rights 2 - 2nd Priority	Landlord/Tenant Rights 3 - 3rd Priority
Parent Education	Parent Education 1 - 1st Priority	Parent Education 2 - 2nd Priority	Parent Education 3 - 3rd Priority
Legal Assistance	Legal Assistance 1 - 1st Priority	Legal Assistance 2 - 2nd Priority	Legal Assistance 3 - 3rd Priority
Immigration Services	Immigration Services 1 - 1st Priority	Immigration Services 2 - 2nd Priority	Immigration Services 3 - 3rd Priority
Business Services	Business Services 1 - 1st Priority	Business Services 2 - 2nd Priority	Business Services 3 - 3rd Priority
Job Training/Vocational Skills	Job Training/Vocational Skills 1 - 1st Priority	Job Training/Vocational Skills 2 - 2nd Priority	Job Training/Vocational Skills 3 - 3rd Priority
Covid-19 Assistance/Resources/PPE	Covid-19 Assistance/Resources/PPE 1 - 1st Priority	Covid-19 Assistance/Resources/PPE 2 - 2nd Priority	Covid-19 Assistance/Resources/PPE 3 - 3rd Priority
Local Business Support	Local Business Support 1 - 1st Priority	Local Business Support 2 - 2nd Priority	Local Business Support 3 - 3rd Priority
Education/Information about Community Programs	Education/Information about Community Programs 1 - 1st Priority	Education/Information about Community Programs 2 - 2nd Priority	Education/Information about Community Programs 3 - 3rd Priority
Mortgage Assistance	Mortgage Assistance 1 - 1st Priority	Mortgage Assistance 2 - 2nd Priority	Mortgage Assistance 3 - 3rd Priority
Home Weatherization	Home Weatherization 1 - 1st Priority	Home Weatherization 2 - 2nd Priority	Home Weatherization 3 - 3rd Priority
Home Accommodations/Modifications (Disabled/Seniors)	Home Accommodations/Modifications (Disabled/Seniors) 1 - 1st Priority	Home Accommodations/Modifications (Disabled/Seniors) 2 - 2nd Priority	Home Accommodations/Modifications (Disabled/Seniors) 3 - 3rd Priority
Disability Services	Disability Services 1 - 1st Priority	Disability Services 2 - 2nd Priority	Disability Services 3 - 3rd Priority
None	None 1 - 1st Priority	None 2 - 2nd Priority	None 3 - 3rd Priority

Other Community Priorities (please specify)

Question Title

* 17. Are there any other Community priorities or needs that have not been addressed? Specify County

Question Title

* 18.
OPTIONAL: If you would like information about Calaveras-Mariposa Community Action Agency (CMCAA),

please include your contact information below.

Note: Your information is confidential and will not be shared outside of CMCAA.

Name

Mailing Address

Phone Number

Question Title

* 19. Any additional comments about your community needs, please feel free to share

Thank you!
The Calaveras-Mariposa Community Action Agency appreciates your time in completing this survey. The results will assist our agency in determining the services provided in the future.

Calaveras-Mariposa County Community Action Community Needs Survey 2023

Community Needs Survey 2023 -Your Voice Matters!

Question Title

* 1. Please choose which one best describes you

Question Title

* 2. What county do you live or work in?

Question Title

* 3. Please specify what zip code where you live or work (city/town)

Question Title

* 4. Gender: How do you identify?

Question Title

* 5. Race: How would you best describe yourself?

Question Title

* 6. Ethnicity: Are you of Hispanic/Latino/Spanish Origin?

Question Title

* 7. What is your age range?

Question Title

* 8. What is your total annual household income?

Question Title

* 9. If you are over 55+, do any of the following apply to you?

Question Title

* 10. What is your housing status?

Question Title

* 11. For Community Organizations Only: What are the top 3 needs requested by clients in your agency?

Question Title

* 12. What are the top 3 priorities or needs faced by you and your family?

Question Title

* 13. Have you received any help or services for these 3 needs?

Question Title

* 14. Do you feel that any of these 3 needs that you identified are as a result of the Covid-19 Pandemic?

Question Title

* 15. Do you have any of the following housing-related needs? (Check all that apply)

Question Title

* 16. What are the top 3 priorities or needs faced by your neighbors or community?

Question Title

* 17. Are there any other Community priorities or needs that have not been addressed? Specify County

Question Title

* 18. OPTIONAL: If you would like information about Calaveras-Mariposa Community Action Agency (CMCAA), please include your contact information below. Note: Your information is confidential and will not be shared outside of CMCAA.

Question Title

* 19. Any additional comments about your community needs, please feel free to share

* 18.
OPTIONAL: If you would like information about Calaveras-Mariposa Community Action Agency (CMCAA),

please include your contact information below.

Note: Your information is confidential and will not be shared outside of CMCAA.