Washington, Iron, Beaver, Garfield, and Kane Counties

Thank you for providing input on needs of the community. The data collected through this survey will be used to inform community leaders about issues facing your County and used to evaluate existing/future program(s) from non-profit and public agencies. 

****** A drawing for gift cards will be done May 31, 2022. The email address provided on question #28 will be the contact method if you win.

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* 1. What is your race?

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* 2. Are you Hispanic or Latin/o/a/x?

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* 3. Select your gender

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* 4. What is your age?

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* 5. What is your household type

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* 6. What is your household size:

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* 7. What county do you currently live in?

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* 8. What is your education level?

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* 9. Are you a local elected official?

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* 10. Do you work as a human service provider? (non-profit, for-profit, government)

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* 11. What is your current housing situation?

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* 12. How many years have you lived at your current residence?

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* 13. If you rent, has your rent increased within the past two years?

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* 14. Have you received any third party help for rent and/or utilities?

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* 15. Do you feel safe in your home and/or neighborhood?

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* 16. What would make you feel safer in your home and/or neighborhood? (Check all that apply)

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* 17. Does your household have health insurance?

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* 18. Does anyone in your household NOT have health insurance (Check all that apply)

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* 19. Please select your household income

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* 20. Select the answer that best describes your type of income:

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* 21. Do your household expenses exceed your household income?

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* 22. If you received a tax return this year, how did you spend it? (Check all that apply)

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* 23. Were you aware of the child tax credit?

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* 24. How did you spend your child tax credit? how did these funds help your family?

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* 25. What is preventing you from furthering your education? (Check all that apply)

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* 26. Are you aware of community resources for physical health concerns?

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* 27. Are you aware of community resources for mental health concerns?

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* 28. Do you have safe and reliable transportation to get where you need/want to go? (Check all that apply)

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* 29. Rank categories in order of most to least accessible to you and your family, 1 being the least and 7 being the most. 

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* 30. Would you like to receive information about resources available to individuals and families in our community? Type your email address below to be entered into the drawing for a gift card. 

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