The following survey will assist in learning what services the community feels are most needed. All information will be kept confidential and your name is not requested.  

:يوجد نسخة ورقية من هذا الاستبيان باللغة العربية. لايجاد النسخة الورقية, اضغط على الرابط  
https://tinyurl.com/1822sw0x 
 
Una versión en papel de esta encuesta está disponible en español. Para acceder, visite https://tinyurl.com/yyueasvd

“Une version écrite de ce sondage est disponible en français  Pour accéder au document, visiter https://tinyurl.com/1ohk9xu6.  

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* 1. Are you responding to this survey as:

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* 2. In what zip code did you spend most of 2020?

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* 3. Community Need: Education (Mark top priority)

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* 4. Community Need: Employment (Mark top priority)

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* 5. Community Need: Income and Asset Building (Mark top priority)

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* 6. Community Need: Civic Engagement (Mark top priority)

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* 7. Community Need: Health (Mark top priority)

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* 8. Community Need: Support Services that target (Mark top priority)

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* 9. Community Need: OBTAINING Housing (Mark top priority)

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* 10. Community Need: MAINTAINING Housing (Mark top priority)

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* 11. Youth Services: (People under 18) (Mark top priority for youth)

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* 12. Senior Services: (People 55 or older) (Mark top priority for seniors)

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* 13. Overall Most Needed in Community (Mark top priority of community need)

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* 14. How many people live in your household?

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* 15. How many children (under 18) live with you?

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* 16. Which best describes your housing presently?

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* 17. What is your age?

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* 18. What gender do you identify as?

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* 19. What is your Military Status?

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* 20. What is your ethnicity?

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* 21. What is your race?

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

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* 23. What is your yearly household income?

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* 24. Which of the following best describes your current employment status?

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* 25.  If you have additional concerns or comments, please feel free to write them here. 

0 of 25 answered
 

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