The DuPage County Department of Community Services would like to understand the challenges and needs of residents like you. The information collected will be used to ensure services are available in the future to address DuPage County residents’ needs. All survey responses will be kept confidential.

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* 1. Do you live in DuPage County?

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* 2. What is your zip code?

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* 3. In the past 12 months, what is the single greatest challenge you and your household have experienced? (CHECK ONE BOX ONLY)

I. SERVICES RECEIVED

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* 4. In the past 12 months, did you or members of your household receive any services from the DuPage County Department of Community Services?

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* 5. Which services did you or members of your household receive from the DuPage County Department of Community Services? (CHECK ALL THAT APPLY)

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* 6. In the past 12 months, from which agencies/organizations in DuPage County have you or members of your household received services?

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* 7. Which of the following challenges or barriers have you or members of your household experienced accessing services? (CHECK ALL THAT APPLY)

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* 8. Which services, if any, have you or members of your family needed that were not available in DuPage County?

II. CURRENT NEEDS

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* 9. With which of the following health needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 10. With which of the following housing needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 11. With which of the following employment needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 12. With which of the following adult education needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 13. ANSWER QUESTION 13 ONLY IF THERE ARE CHILDREN UNDER THE AGE OF 18 IN YOUR HOUSEHOLD.
With which of the following child care and child development needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 14. With which of the following financial/legal (income management) needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 15. With which of the following food and nutrition needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

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* 16. With which of the following family support needs could you or someone in your household use help? (CHECK ALL THAT APPLY)

III. COMMUNITY AND CIVIC ACTIVITIES

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* 17. In the past 12 months did you or someone in your household participate in the following activities?

  Yes No Don't Know
a. Register to vote in a local, state, or national election
b. Volunteer or participate in an organization, association, or group, such as PTA, Kiwanis, or church group
c. Work with others to solve a community problem
IV. TECHNOLOGY AND INTERNET ACCESS

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* 18. Do you have high-speed internet access at home via a smartphone, tablet, iPad, desktop or laptop computer or other device?

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* 19. Do you receive reduced price internet service?

V. PERSONAL AND HOUSEHOLD CHARACTERISTICS

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* 20. What is your gender?

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* 21. What is your age?

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* 22. Are you of Hispanic, Latinx, or Spanish origin?

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* 23. What is your race? (CHECK ALL THAT APPLY)

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* 24. How many people live in your household?

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* 25. What is the primary language spoken at home?

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* 26. What was your 2023 annual household income? Please consider all sources of income, before taxes, for everyone living with you in 2023.

Thank you for your participation.

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