Demographic Information

Welcome to JCEO's Survey for Community Members for our Community Needs Assessment! Thank you for taking the time to complete the survey - your voice is extremely important to us and will help us to better provide services to our community.

Responses are completely anonymous and cannot be traced back to the respondent.

For comments or questions about the survey please contact Nicole Laurin at (518) 561-6310 or nlaurin@jceo.org.

You can navigate through the pages of the survey using the 'Previous' and 'Next' buttons at the bottom of the page.

Please do NOT use the back and forward arrows in your browser, as you will lose your work.

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* 1. What is your age?

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* 2. What is your sex?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 4. Where do you live?

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* 5. What have been your household's top THREE needs within the past 12 months. Check three that apply:

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* 6. If you needed services, but didn't get them, what was the reason?

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