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* 1. What is your age?

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* 2. In order to organize responses, please provide your ZIP Code.

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* 3. For the following questions, please think about some aspects of life here in Albany County. For each one, please rate that part of life her in Albany County as excellent, good, fair, poor or if you simply don't know enough about it to say.

  Excellent Good Fair Poor Unsure/Don't know enough regarding aspect
The quality of health care services
Access to health care
How responsive local government is to the needs of citizens
The quality of our public schools
The condition of public parks and other recreational facilities
The availability of stores that sell the products that you prefer to buy
The condition of local roads, sidewalks, and other public works
The job done by the police to keep citizens safe
The job done by fire departments and other emergency service personnel
The availability of entertainment including movies, concerts, and other cultural events
How affordable it is to live here
The ability to obtain suitable employment
The compatibility of employment opportunities to worker skill set
The presence of programs that address the needs of low income residents
Support for elderly citizens
As a place to raise children

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* 4. Now after thinking about Albany County for these few minutes, overall how would you rate the quality of life here in Albany County?

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* 5. In describing the county would you say that Albany County is a place that is improving, staying about the same or a place that is going backwards?

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* 6. For each of the following issues or problems that may impact the people of Albany County, please indicate whether you believe this is an issue that is experienced by most, some, a few, or almost none of the people.

  Most are affected Some are affected Only a few are affected Almost none are affected Unsure if affected
The cost of energy including gasoline, electricity, and home heating
The cost of food
Availability of transportation
Adequacy of employment
Access to health care
Affordable housing
Adequate public safety
Access to legal assistance
Substance or alcohol abuse
Quality education for young people
Affordable, quality child care
Not being able to read and comprehend well enough
Access to job training

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* 7. For each of the following major areas of need, how significant a problem do you consider low-income people currently have in meeting their legitimate needs in this area within Albany County?

  Very significant Somewhat significant Not very significant Not at all significant Unsure
Food and nutrition:  access to and affordability of nutritious food as well as not suffering from hunger
Housing: having quality housing in which the basic needs of shelter are taken care of and satisfied affordably
Health: access to and affordability of health care as well as having information about promoting wellness including vaccinations
Governmental services:  access to and representation by elected officials as well as the quality of services the government provides including public transportation, safety, and access to the legal system
Young people: the ability to educate, take care of, and respond to the needs and problems of young people, and in some cases caused by young people
Elderly: caring for and making sure older residents have their needs met and safety maintained
Economy and jobs: the ability to get and maintain employment that provides workers with a living wage
Young children: caring for and making sure infants and toddlers have their needs met and safety maintained; and access to developmentally appropriate educational opportunities

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* 8. Of the areas just reviewed, please rank them with 8 being the most significant problem and 1 being the least significant problem for low-income people in Albany County.

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* 9. Of the various people and institutions that address the needs of low-income people, please indicate how good a job you think they are doing of addressing those needs.

  Excellent Good Fair Poor
Federal government
State government
County government
Local town and city officials
Large umbrella social service agencies
Small local non-profit organizations
Local religious organizations
Citizens of Albany County

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* 10. Now, please think about you, the other members of your household. Thinking about yourself today compared to one year ago, are you more satisfied with your life, feel about the same, or are you less satisfied today than you were a year ago?

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* 11. For the following statements please state your level of agreement or disagreement.

  Strongly agree Somewhat agree Neither agree or disagree Somewhat disagree Strongly disagree
It seems as though many social needs are getting greater and greater.
Everyone must do as much as they can or our community will deteriorate.
A lot of the needs that people have are actually caused by their own choices.
In most cases it is up to the individual or their family, not to the community, to solve personal problems.
I think you have to separate the people that deserve help from those that don't and only provide assistance to those that really deserve it.
I believe you judge a community by how well the people that have resources do in helping those that do not have resources.
In this economy, more and more people than ever before now require help in meeting their basic survival needs.

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* 12. Although it is difficult and you may not have all the information to completely say, for each of the following types of programs that seek to address aspects of the social needs we have been discussing, please indicate if you think we already have enough, too many, or not enough programs in place to address those needs.


  Too many programs Enough programs Need additional programs
Emergency needs, like obtaining emergency shelter, food or clothing
Programs that assist in ongoing access to affordable food including food stamps and free or reduced school lunches
Family needs, such as child care, early childhood education and providing services for children with disabilities and their families
Housing needs like home improvement or weatherization
Career services, like career training skills or job interviewing training
Financial planning programs including tax preparation and budgeting
Alcohol or substance abuse recovery programs
Parenting programs in which parents develop skills
Elder assistance programs
Care giver support and respite programs
Legal aid programs in which clients are provided legal advice
Programs for young people including sports, career exposure and educational support
Disability services
Recreation programs
Counseling programs for mental health issues including family violence
Programs to assist new citizens or immigrants
Health and Wellness supports
Programs that promote and provide affordable housing

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* 13. For each of the following issues or problems that may impact the people of Albany County, please indicate whether you believe this is an issue that is experienced by most, some, a few, or almost none of the people.

  Most are affected Some are affected Only a few are affected Almost none are affected Unsure if affected
The cost of energy including gasoline, electricity, and home heating
The cost of food
Availability of transportation
Adequacy of employment
Access to health care
Affordable housing
Adequate public safety
Access to legal assistance
Substance or alcohol abuse
Quality education for young people
Affordable, quality child care
Not being able to read and comprehend well enough
Access to job training

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* 14. Are you of Hispanic or Latino origin or descent?

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* 15. What is the highest level of school that you have completed?

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* 16. Which race best describes you? (Please choose only one.)

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* 17. Which of the following categories best describes your employment status?

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* 18. Which of the following best describes your current relationship status?

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* 19. What is the income level for your household?

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* 20. Do your household currently have health insurance?

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* 21. What is your gender?

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* 22. Thank you for taking time to complete ACAP's Community Needs survey.  Please add any additional comments or suggestions that you may have in the box below.

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