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Greater Cape Ann Community Needs Survey

We want to hear from you — our community — to know what we are doing well and what we could do better. By completing this survey, you are helping inform local nonprofit service providers, government officials, community groups, and your neighbors about the true needs of Cape Ann’s residents.
1.Where do you live?(Required.)
2.What do you think are the top needs impacting people in your community? Check ALL that apply.
3.Compared with three years ago, are you and your family better off, worse off, or about the same?
4.Are you able to pay your bills on time each month?
5.Do you currently have at least $500 set aside for emergencies?
6.What keeps you or your family from feeling more financially stable? Check ALL that apply.
7.What is your employment status?
8.What is your housing situation?
9.Which of these Action Inc. programs/services have you or anyone in your family accessed? Check ALL that apply.
10.Overall, how do you rate the quality of Action Inc.’s services?
11.List any other programs/services you would like to see offered in your community.
12.What is your age?
13.What is your gender, as you define yourself?
14.What is your race? (Please check one.)
15.Are you Hispanic/Latino?
16.What is your household’s monthly income before taxes?

Include: Wages, TANF, Social Security, Disability Benefits, etc. Do NOT Include: Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.
17.How many people are in your household including yourself?
18.Contact Information (optional)

If you provide contact information, you will have a chance to win one of TEN $25 Market Basket gift cards. Your contact information will not be used for any other purposes.
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