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Community Needs Assessment | Karen
ပကွဲမုာ်သုလၢသုကရ့လိာ်သးဒီး UCAP’s ပှၤတဝၢတၢ်လိၣ်ဘၣ်တၢ်သမံသမိးတၢ်သံကွၢ်.
တၢ်ဂ့ၢ်တၢ်ကျိၤလၢနဟ့ၣ်လီၤသ့ၣ်တဖၣ်အံၤမၤစၢၤဒုးနၢ်ပၢၢ်ပှၤဘၣ်ဃးပှၤတဝၢၢအတၢ်လိၣ်ဘၣ်.
တၢ်သံကွၢ်သ့ၣ်တဖၣ်အံၤတပၤဖျါထီၣ်နမံၤဒီးတထၢဖှိၣ်နတၢ်ဂ့ၢ်တၢ်ကျိၤနီတမံၤဘၣ်.
တၢ်ဘျုးလၢနဟ့ၣ်တၢ်ဆၢကတီၢ်!
ဂံၢ်ခီၣ်ထံးတၢ်ဂ့ၢ်တၢ်ကျိၤ | GENERAL DEMOGRAPHICS
1.
နအိၣ်countyဖဲလဲၣ်တတီၤလဲၣ်? (Which County do you live in?)
Cottonwood
Jackson
Kandiyohi
Lincoln
Lyon
McLeod
Meeker
Murray
Nobles
Pipestone
Redwood
Renville
Rock
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) | Other (please specify)
2.
တၢ်ရ့လိာ်သးဒီး UCAP ဒ်လဲၣ်? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ)
What is your relationship to UCAP? (Check all that apply.)
ပှၤတဂၤလၢတၢ်မၤစၢၤဘၣ်အီၤလၢ UCAP (Person served by UCAP)
ပှၤမၤတၢ်ဖိဟဲလၢတၢ်ကရၢကရိလၢအဂၤတတီၤ (Staff from another agency)
UCAP ပှၤလၢအပၢဆှၢတၢ်သ့ၣ်တဖၣ် (UCAP Board of Directors)
UCAP ပှၤမၤတၢ်ဖိ (UCAP staff)
□ မ့ၢ်ပှၤတဝၢဖိကရၢဖိလၢအဂၤ (Other community member)
3.
နအိၣ်သးနံၣ်ဖဲလဲၣ်တဒူၣ်လဲၣ်? (What is your age group?)
တဆံဃီနံၣ်ဆူဖီလာ် (Under 18)
18-24
25-54
55-64
65+
4.
ဖိသၣ်အအိၣ်တဆံဃိးနံၣ်ဆူဖီလာ်အိၣ်ပှဲၤဂၤလဲၣ်လၢနဟံၣ်ပူၤဃီပူၤ? (How many children under the age of 18 live in your household?)
0
1
2
3
အိၣ်အါန့ၣ်ဒံးသၢဂၤ (More than 3)
5.
အဂ့ၤကတၢၢ်ဖဲလဲၣ်တခါလဲၣ်လၢတဲဖျါထီၣ်နဟံၣ်ဖိဃီဖိ? (Which of the following best describes your household?)
ပှၤလၢတအိၣ်ဒီးအဝၤမ့တမ့ၢ်တအိၣ်ဒိးအ မါဘၣ်ဆၣ်အိၣ်ဒိးအဖိ. (Single parent)
မိၢ်ပၢ်အိၣ်လၢဟံၣ်ပူၤခံဂၤလၢၤ (Two parent)
ဟံၣ်ဖိဃီဖိအါဒူၣ်လၢအိၣ်တပူၤဃီ (Multi-generational)
ပှၤလၢအိၣ်တဂၤလၢအဖိအမါဒီးမ့တမ့ၢ်အဝၤတအိၣ် (Single person)
ပှၤဒိၣ်တုာ်ခိၣ်ပှဲၤလၢအဖိတအိၣ်ဘၣ် (Adults-no children)
ပှၤဒိၣ်တုာ်ခိၣ်ပှဲၤအိၣ်ဃုာ်ဒီးဖိသၣ်လၢတမ့ၢ်ဒီဘူး (Non-related adults with children)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
6.
နၤမ့တမ့ၢ်ပှၤတဂၤဂၤလၢနဟံၣ်ပူၤဃီပူၤန့ၣ်လဲၤကဲသုးလၢ United States အိၣ်တဂၤဂၤဧါ? (Have you or anyone else in your household served on active duty in the United States Armed Forces?)
မ့ၢ် (Yes)
တမ့ၢ်ဘၣ် (No)
7.
လၢနဟံၣ်ပူၤန့ၣ်သုတဲတၢ်ကျိာ်ဖဲလဲၣ်တခါလဲၣ်?
(ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (Which languages are spoken in your home? (Check all that apply.)
English
Spanish
Karen
Somali
Hmong
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
8.
နဟံၣ်ပူၤဃီပူၤတၢ်ဟဲနုာ်တနံၣ်ဂီၢ်ဘူးထီၣ်ဘူးလီၤထဲလဲၣ်? (Which category is closest to your annual household income?)
စှၤန့ၢ် $10,000 (Less than $10,000)
$10,000-$15,000
$15,001-$20,000
$20,001-$30,000
$30,001-$40,000
$40,001-$50,000
$50,001-$75,000
အါန့ၢ် $75,000 (More than $75,000)
9.
နမၤလိတၢ်အပတီၢ်ထီတုၤဖဲလဲၣ်? (What is the highest level of education you have completed?)
ပတီၢ်ဖုၣ်န့ၢ်တီၤထီကၠိမ့တမ့ၢ်တန့ၢ်ဘၣ်တီၤထီကၠိလဲးမးမ့တမ့ၢ် GED ဘၣ် (Less than high school or no high school diploma or GED)
ဒီၣ်ဒီးတီၤထီကၠိလံာ်အုၣ်သးမ့တမ့ၢ်အိၣ်ဒီး GED (High school diploma or GED)
ထီၣ်ခီလ့ၣ်ကၠိတနီၤ-တီၤဒိၣ်တုာ်လံာ်အုၣ်သးတအိၣ်ဘၣ် (Some college-no degree)
ဖျိခီလ့ၣ်ကၠိခံနံၣ် (Associate's degree)
ဖျိခီလ့ၣ်ကၠိလွံၢ်နံၣ် (Bachelor's degree)
ဖျိခီလ့ၣ်ကၠိအါန့ၢ်လွံၢ်နံၣ်လၢဒုးန့ၢ်ဘၣ်တီၤဒိၣ်တုာ်လံာ်အုၣ်သး (Post graduate degree (Master's, PhD, etc.)
10.
နတၢ်ဖံးတၢ်မၤခဲနံၣ်အံၤတၢ်အိၣ်သးဒ်လဲၣ် (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What is your current employment status?)
မၤတၢ်နၣ်ရံၣ်ပှဲၤ (Full-time)
မၤတၢ်နၣ်ရံၣ်တပှဲၤဘၣ် (Part-time)
မၤတၢ်ခံခါမ့တမ့ၢ်အါန့ၢ်ဒံးခံခါ (Two or more jobs)
မၤတၢ်တစိၢ်တလီၢ် (Migrant worker)
တၢ်မၤတအိၣ်ဘၣ် (Unemployed)
အိၣ်ဘှံးလၢတၢ်မၤ, မၤတၢ်မၤတသ့ (Retired, out of the workforce)
တမၤတၢ်ဘၣ်ခီဖျိလၢနီၢ်ကစၢ်တၢ်ဃုထၢ (Not working by choice)
11.
နဖံးမၤမ့တမ့ၢ်ထီၣ်ကၠိညီနုၢ်ဆၢကတီၣ်နၢ်ရံၢ်ဖဲလဲၣ်? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What is your typical work and/or school schedule?)
မုၢ်ဆါခီကတီၢ် (Daytime hours)
ဟါလီၤခီ (Evenings)
ဒီတနၤကျၢၤ (Overnight)
လၢနွံအကတၢၢ် (Weekends)
ယတမၤတၢ်ဘၣ်မ့တမ့ၢ်ယတထီၣ်ကၠိဘၣ် (I do not work or attend school)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
တၢ်ဝံစိာ်တီဆှၢ (TRANSPORTATION)
12.
အမျာ်ကယၤတဲလဲၣ်နတၢ်လိၣ်ဘၣ်န့ၣ်အလၢပှဲၤလံဘၣ်ဃးဒီးတၢ်ဝံစိာ်တီဆှၢလၢတမ့ၢ်နဟံၣ်ဖိဃီဖိနီၢ်ကစၢ်သိလ့ၣ်? (What percentage of your transportation needs are being met by something other than your family vehicle?)
0% to 40%
41% to 80%
81% to 99%
100% - ယဟံၣ်ဖိဃီဖိသိလ့ၣ်တအိၣ်ဘၣ် (I have no family vehicle)
13.
လၢအပူၤကွံာ်တနံၣ်တီၢ်ပူၤနတလဲၤဘၣ်တၢ်မၤ, တၢ်ဆါဟံၣ်, ဒိးသမံသမိးသး, မ့တမ့ၢ်နတလဲၤဘၣ်တၢ်အဂုၤဂၤလၢအရ့ဒိၣ်ခီဖျိလၢတၢ်တီဆှၢတအိၣ်အိၣ်စ့ၢ်ဧါ? (Within the last year, have you ever missed work, a medical appointment, job interview, or other important appointment because you did not have transportation?)
မ့ၢ် (Yes)
တမ့ၢ်ဘၣ် (No)
14.
ဘၣ်ဃးတၢ်တီဆှၢန့ၣ်နသူဖဲလဲၣ်တခါလဲၣ်? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (Which of the following forms of transportation do you use? (Check all that apply.)
တၢ်ဒိးဘၢးမ့တမ့ၢ်သိလ့ၣ်ဒိးလဲ (Public Transit)
ဒိးသိလ့ၣ်ဒီးပှၤအဂၤ (Sharing rides with others)
တၢ်ဒိးလ့ၣ်ယီၢ် (Biking)
ဟးလၢခီၣ် (Walking)
ကစၢ်သိလ့ၣ် (Personal vehicle)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
15.
ဘၣ်ဃးတၢ်တီဆှၢန့ၣ်နသူညီနုၢ်အါတက့ၢ်ဖဲလဲၣ်တခါလဲၣ်? (Which form of transportation do you use most frequently?)
တၢ်ဒိးဘၢးမ့တမ့ၢ်သိလ့ၣ်ဒိးလဲ (Public Transit)
ဒိးသိလ့ၣ်ဒီးပှၤအဂၤ (Sharing rides with others)
တၢ်ဒိးလ့ၣ်ယီၢ် (Biking)
ဟးလၢခီၣ် (Walking)
ကစၢ်သိလ့ၣ် (Personal vehicle)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
16.
တၢ်ကီတၢ်ခဲလၢနဂီၢ်ဘၣ်ဃးတၢ်တီဆှၢန့ၣ်အိၣ်ဒ်လဲၣ်? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What are some transportation challenges that you have? (Check all that apply.)
တၢ်နီသိလ့ၣ်လံာ်ပျဲက့တအိၣ်ဘၣ် (No driver's license)
တၢ်အုၣ်ကီၤအလံာ်တအိၣ်ဘၣ် (No insurance)
တၢ်တီဆှၢတအိၣ်မ့တမ့ၢ်သူအီၤတသ့(သိလ့ၣ်, တၢ်ဒိးလ့ၣ်ယီၢ်, အဂုၤဂၤ...) (No reliable transportation (vehicle, bike, etc.)
သိလ့ၣ်လိၣ်တၢ်ဘၣ်ဘှီအီၤ (Vehicle needs repair)
စ့တအိၣ်ဘၣ်လၢကါသိအဂီၢ် (No money for gas)
တၢ်ကီတၢ်ခဲတအိၣ်ဘၣ် (No challenges)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
ကတီၤဆိကၠိတၢ်ကူၣ်ဘၣ်ကူၣ်သ့ (EARLY EDUCATION)
17.
ဒွးကယာ်လၢနတဝၢအပူၤန့ၣ်ဘၣ်ဃးဖိသၣ်တၢ်လိၣ်ဘၣ်သးနံၣ်0တူၤသၢနံၣ်. (Rate the following as they relate to the needs of 0 to 3 year olds in your community.)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်ဒုးအိၣ်တၢ်ကွၢ်ထွဲကဟုဟယာ်ဖိသၣ် (Available Childcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်ကွၢ်ထွဲကဟုဟယာ်ဖိသၣ်လၢအဂ့ၤကတၢၢ် (High Quality Childcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယာ် (Healthcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
နီၢ်သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယာ် (Mental Healthcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်အီၣ်လၢအန့ၣ်ဂံၢ်န့ၣ်ဘါ/တၢ်ဆီၣ်ထွဲမၤစၢၤဘၣ်ဃးတၢ်အီၣ် (Healthy Food/Food Support)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်မၤစၢၤဘၣ်ဃးဖိသၣ်လၢအက့ၢ်ဂီၤတဂ့ၤ (Services for Children with Disabilities)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
18.
ဃုထၢဘၣ်ဃးဖိသၣ်လၢနတဝၢအပူၤစးထီၣ်ဖဲ ၃နံၣ် တုၤလၢ ၅နံၣ် အတၢ်လိၣ်ဘၣ်. (Rate the following as they relate to the needs of 3 to 5 year olds in your community.)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်ဒုးအိၣ်တၢ်ကွၢ်ထွဲကဟုဟယာ်ဖိသၣ် (Available Childcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်ကွၢ်ထွဲကဟုဟယာ်ဖိသၣ်လၢအဂ့ၤကတၢၢ် (High Quality Childcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယာ် (Healthcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
နီၢ်သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယာ် (Mental Healthcare)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်အီၣ်လၢအန့ၣ်ဂံၢ်န့ၣ်ဘါ/တၢ်ဆီၣ်ထွဲမၤစၢၤဘၣ်ဃးတၢ်အီၣ် (Healthy Food/Food Support)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
တၢ်မၤစၢၤဘၣ်ဃးဖိသၣ်လၢအက့ၢ်ဂီၤတဂ့ၤ (Services for Children with Disabilities)
တလိၣ်ဘၣ်ဘၤ (Not a need)
လိၣ်ဘၣ်တနီၤ (Some need)
လိၣ်ဘၣ်ဖးအါ (High need)
တလီၤတံၢ်ဘၣ် (Unsure)
19.
တၢ်လၢနလိၣ်ဘၣ်ဒီး/မ့တမ့ၢ်နတဝၢလိၣ်ဘၣ်ဘၣ်ဃးဖိသၣ်ယဲၢ်နံၣ်ဆူဖီလာ်အဂီၢ်ဃုာ်ဒီး ဟံၣ်ဖိဃီဖိလၢအတၢ်ဟဲနုာ်တအါမ့ၢ်မနုၤလဲၣ်? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What needs do you and/or your community have for low-income children under the age of 5 and their families? (Check all that apply.)
တၢ်လိၣ်ဘၣ်အခီလီမ့တမ့ၢ်အပှ့ၤဘၣ်ဘၣ်ဃးတၢ်ကွၢ်ထွဲကဟုကယာ်ဖိသၣ်ဆံးဒီး/မ့တမ့ၢ်ဖိသၣ်လၢအဟးလိသီ (Free or low-cost childcare options for infants and/or toddlers)
တၢ်လိၣ်ဘၣ်အခီလီမ့တမ့ၢ်အပှ့ၤဘၣ်ဘၣ်ဃးတၢ်ကွၢ်ထွဲကဟုကယာ်ဖိသၣ်လၢကတီၤဆိကၠိ (Free or low-cost childcare options for preschoolers)
တၢ်ကွၢ်ထွဲကဟုကယာ်ဖိသၣ်လၢကညီအဂီၢ်ဖဲမ့လိၣ်ဘၣ် (Easily accessible childcare)
တၢ်အီၣ်ဒီးအတၢ်န့ၢ်ဂံၢ်န့ၢ်ဘါတၢ်ရဲၣ်တၢ်ကျဲၤ (Food and nutrition programs)
တၢ်ဝံစိာ်တီဆှၢဆူတၢ်ကွၢ်ထွဲကဟုကယာ်ဖိသၣ်အလီၢ်မ့တမ့ၢ်ဆူကတၠီၤဆိကၠိ (Transportation to and from childcare or preschool)
ဖိသၣ်တၢ်အံးထွဲကွၢ်ထွဲဘၣ်ဃးဒီးမဲ (Pediatric dental care)
မိၢ်ပၢ်တၢ်သိၣ်ဖိအတီၤဒီး/မ့တမ့ၢ်တၢ်ဆီၣ်ထွဲမၤစၢၤလၢအဂၤ (Parenting classes and/or other support)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
တၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယာ် (HEALTHCARE)
20.
လၢနဟံၣ်ပူၤဃီပူၤန့ၣ်တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ဒီသဒၢအိၣ်ဧါ? (Do people in your household have health insurance?)
လၢယဟံၣ်ပူၤဃီပူၤန့ၣ်တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ဒီသဒၢအိၣ်ကိးဂၤဒဲးလီၤ (All the people in my household are currently insured.)
လၢယဟံၣ်ပူၤဃီပူၤန့ၣ်တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ဒီသဒၢတအိၣ်ကိးဂၤဒဲးဘၣ် (Some, but not all people in my household are insured.)
လၢယဟံၣ်ပူၤဃီပူၤန့ၣ်တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ဒီသဒၢတအိၣ်နီတဂၤဘၣ် (None of the people in my household are insured.)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
21.
တၢ်ယဲၢ်ခါလၢအခိၣ်စိးကတၢၢ်ဘၣ်ဃးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယၤလၢနဘၣ်ကိၢ်တၢ်ဂီၤန့ၣ်ဖဲလဲၣ်တခါလဲၣ်? (ဃုထၢန့ၢ်တုၤယဲၢ်ခါ) (What are your top five (5) healthcare concerns? (Select up to 5.)
ကသံၣ်သရၣ်လၢကူဆါယါဘျါတၢ် /ကသံၣ်သရၣ်လၢအံးထွဲကွၢ်ထွဲမဲ/ပှၤဟ့ၣ်မၤစၢၤတၢ်လၢနီၢ်သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ သ့ၣ်တဖၣ်တတူၢ်လိာ် Medicaid, MNcare မ့တမ့ၢ်ယကစၢ်တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ဒီသဒၢဘၣ် (Doctors/dentists/mental health providers do not accept Medicaid (MA), MNCare, or my insurance plan.)
ပှၤဟ့ၣ်မၤစၢၤတၢ်လၢတၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ကဟုကယာ်သ့ၣ်တဖၣ်အကျါန့ၣ်တအိၣ်ဒီးတၢ်ဒိသူၣ်ဒိသး (ပၣ်ဃုာ်တၢ်ထံၣ်သ့ၣ်ညါ
နၢ်ပၢၢ်တၢ်ဆဲးတၢ်လၤ) (Lack of sensitivity among healthcare providers (including cultural awareness)
တနၢ်ပၢၢ်ဒီးတဲပှၤကျိာ်တဘၣ်/ပှၤကျိာ်ထံတၢ်တအိၣ် (Language barriers/no interpreter)
လၢပတဝၢပူၤန့ၣ်တၢ်ဆါဟံၣ်မ့တမ့ၢ်ပှၤဟ့ၣ်မၤစၢၤတၢ်ဘၣ်ဃးဒီးကသံၣ်ကသီတအိၣ်ဘၣ် (No clinics or medical providers in my community)
လၢပတဝၢပူၤန့ၣ်ဂ့ၢ်ဂီၢ်အူအဒၢးတအိၣ်ဘၣ်ဖဲ မ့လိၣ်ဘၣ်အီၤအဆၢကတီၢ် (No emergency room in my community at convenient times.)
လၢကဘၣ်လဲၤတၢ်ဆါဟံၣ်/မၤမဲအဂီၢ်/တၢ်တီဆှၢတအိၣ်ဘၣ် (No affordable/reliable transportation to medical/dental providers)
ဘၣ်အိၣ်ခိးတၢ်အဆၢကတီၢ်ယံာ် (Lengthy waiting list or times)
ဘၣ်ဟ့ၣ်ကသသံၣ်ပှ့ၤ (Cost of prescriptions)
မ့လဲၤတၢ်ဆါဟံၣ်မ့ၢ်ဂ့ၤမ့တမ့ၢ်လိၣ်ဂ့ၢ်ဂီၢ်အူမ့ၢ်ဂ့ၤဘၣ်ဟ့ၣ်အပှ့ၤ (Cost of medical emergencies/Cost of medical visits)
ပှၤဟ့ၣ်မၤစၢၤတၢ်လၢနီၢ်သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့တအိၣ်လၢပှဲၤဘၣ် (Lack of mental health providers)
ပှၤဟ့ၣ်မၤစၢၤတၢ်ဘၣ်ဃးတၢ်ယါဘျါတၢ်အီသံးမ့တမ့ၢ်ကသံၣ်မူၤဘှီးန့ၣ်တအိၣ်လၢပှဲၤဘၣ် (Lack of alcohol or drug abuse treatment providers)
ပှၤဟ့ၣ်မၤစၢၤတၢ်အိၣ်ဆူၣ်ချ့ကဟုကယာ်တအိၣ်လၢပှဲၤဘၣ် (Lack of healthcare providers)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
အဆၢကတီၢ်ခဲအံၤယတၢ်ကိၢ်တၢ်ဂီၤဘၣ်ဃးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ကဟုကယာ်န့ၣ်တအိၣ်ဘၣ် (None-I do not have any healthcare concerns at this time.)
တၢ်အီၣ်/တၢ်အီၣ်န့ၢ်ဂံၢ်န့ၢ်ဘါ (FOOD/NUTRITION)
22.
နနီၢ်ကစၢ်မ့တမ့ၢ်လၢနတဝၢအပူၤန့ၣ်တၢ်လိၣ်ဘၣ်လၢကမၤမၤဂ့ၤထီၣ်တၢ်အီၣ်/တၢ်အီၣ်န့ၢ်ဂံၢ်န့ၢ်ဘါန့ၣ်မ့ၢ်မနုလဲၣ်? (ဃုထၢန့ၢ်တုၤယဲၢ်ခါ) What do you or your community need to help people with better food/nutrition? (Select up to 5.)
မၤန့ၢ်တၢ်အီၣ်/တၢ်အီၣ်န့ၢ်ဂံၢ်န့ၢ်ဘါကညီအဂီၢ် (Access to nutritious meals)
တၢ်သိၣ်လိဘၣ်ဃးတၢ်ကတဲာ်ကတီၤမ့တမ့ၢ်လဲၤပှ့ၤတၢ်အီၣ်တၢ်အီဒီးကဘၣ်သူစ့တိာ်ပာ်ထဲလဲၣ် (Education about preparing or shopping for meals on a budget)
ဟ့ၣ်အီၣ်ဖိသၣ်တၢ်အီၣ်လၢကၠိကလီမ့တမ့ၢ်မၤစှၤလီၤအပှ့ၤ (Free or reduced lunches for children)
ဟ့ၣ်အီၣ်ပှၤသူၣ်က့သးပှၢ်ကလီမ့တမ့ၢ်မၤစှၤလီၤအပှ့ၤ (Free or reduced lunches for seniors)
တၢ်ကိၢ်ခါတၢ်ရဲၣ်တၢ်ကျဲၤဟ့ၣ်အီၣ်တၢ်အီၣ်ကလီမ့တမ့ၢ်မၤစှၤလီၤအပှ့ၤ (Free or reduced summer meals)
တၢ်အီၣ်တၢ်အီကအိၣ်လၢအိၣ်ပှဲၤ (Enough food to eat)
မၤညီထီၣ်မုၢ်နံၤ/တၢ်ဆၢကတီၢ်လၢကလဲၤဟံအီၣ်တၢ်အီလၢတၢ်အီၣ်ဝဲၤဒၢး (Flexible food shelf days/hours)
တၢ်တီဆှၢလၢကလဲၤဟံအီၣ်တၢ်လၢတၢ်အီၣ်ဝဲၤဒၢး (Transportation to a food shelf)
မၤစၢၤပတံထီၣ်တၢ်အီၣ်တၢ်အီတၢ်ဆီၣ်ထွဲ (တၢ်အီၣ်ခး (SNAP), NAPS, အဂုၤဂၤ…) (Help applying for food support (SNAP, NAPS, WIC, etc.)
တၢ်အိၣ်ဆူၣ်အိၣ်ချ့/တၢ်အီၣ်န့ၣ်ဂံၢ်န့ၣ်ဘၣ်အတၢ်သိၣ်လိနဲၣ်လိ (Health/nutrition education)
မၤန့ၢ်တၢ်ပီၣ်တၢ်လီလၢကသူအီၤလၢတၢ်တ့တၢ်ဖီအီၣ်ဂီၢ် (Access to supplies/equipment needed to cook meals)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
တအိၣ်နီတခါဘၣ် (None of the above)
ပှၤသူၣ်က့သးပှၤတၢ်မၤစၢၤ (SENIOR SERVICES)
23.
ဖဲလဲၣ်တခါလဲၣ်လၢအပိာ်ထွဲထီၣ်အခံဘၣ်ဃးပှၤသူၣ်က့သးပှၤတၢ်လိၣ်ဘၣ်ဒ်သိးကပူၤဖျဲးဒီးတၢ်ဘၣ်ယိၣ်ဒီးမ့အိၣ်သဘျ့လၢအဟံၣ်ပူၤ. (ဃုထၢန့ၢ်တုၤယဲၢ်ခါ) (Which of the following are needed for seniors to remain safe and independent in their homes. (Select up to 5.)
မၤစၢၤအီၤလၢဟံၣ်ပူၤဃီပူၤတၢ်ဖံးတၢ်မၤ(မၤကဆှဲကဆှီတၢ်, တၢ်အံးက့ၤကွၢ်က့ၤတၢ်, တၢ်လိၣ်တၢ်ဘှီ) (Help with household tasks and chores (cleaning, maintenance, repairs)
လဲၤဆှၢန့ၣ်အီၤတၢ်အီၣ်လၢဟံၣ် (Delivery service for groceries)
ကတဲာ်ကတီၤတၢ်အီၣ်ဒီလဲၤဆှၢန့ၣ်အီၤ (Delivery of prepared meals)
တၢ်အီၣ်လီၢ်ဒၢးလၢပှၤသူၣ်က့သးပှၢ်အဂီၢ် (Senior dining at a local site)
ဟါလီၤခီတၢ်အီၣ် (Evening meals)
နွံအကတၢၢ်တၢ်အီၣ် (Weekend meals)
ဟ့ၣ်န့ၣ်အီၤကသံၣ်ပှ့ၤ (Paying for prescription costs)
ဝံစိာ်တီဆှၢတၢ်မၤစၢၤ (Transportation services)
ဂ့ၢ်ဂီၢ်အူတၢ်အီၣ် (Emergency food boxes)
မၤစၢၤဘၣ်ဃးဒုးန့ၢ်/ဒုးသူအီၤလီတဲစိ (Help getting/using a cell phone)
မၤစၢၤပတံထီၣ်တၢ်အီၣ်တၢ်အီတၢ်ဆီၣ်ထွဲ (တၢ်အီၣ်ခး (SNAP), NAPS, အဂုၤဂၤ…) (Help filling out applications for food support (SNAP, NAPS, etc.)
မၤစၢၤဘၣ်ဃးတၢ်သံကွၢ်လၢတၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ဒီသဒၢဂီၢ် (Help with health insurance questions)
မၤစၢၤဘၣ်ဃးတၢ်ဆါဟံၣ်တၢ်ပီးတၢ်လီ (Help getting medical equipment)
တလီၤတံၤဘၣ်မ့တမ့ၢ်တသ့ၣ်ညါဘၣ် (Unsure or Do not know)
□ လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
ဟံၣ်ဃီ/လီၢ်အိၣ်လီၢ်ဆိး (HOUSING)
24.
နတၢ်အိၣ်တၢ်ဆိးအလီၢ်ခဲအံၤန့ၣ်မၤအသးဒ်လဲၣ်? (What is your current living situation?)
ပှ့ၤဟံၣ် (Own a home)
ဒိးလဲဟံၣ်/ဟံၣ်ဒၢးဖှိၣ် (Rental home/apartment)
အိၣ်ဒီးဟံၣ်ဖိဃီဖိမ့တမ့ၢ်သကိး (Staying with family or friends)
ကဲပှၤလၢအဟံၣ်ဃီတအိၣ် (Homeless)
အိၣ်လၢတၢ်အိၣ်သဒၢအလီၢ်ဘၣ်ဃးတၢ်အ့ၣ်လိာ်ဆိးက့လၢဟံၣ်ပူၤဃီပူၤတၢ်စုဆူၣ်ခီၣ်တကး (Staying at a domestic violence shelter)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
25.
ဟံၣ်ဖဲလဲၣ်တဒူၣ်လဲၣ်လၢအတလၢတပှဲၤလၢနတဝၢအပူၤ? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What type of housing is lacking in your community? (Check all that apply.)
ဟံၣ်လၢပှၤဆါလီၤအီၤလၢဟံၣ်ဖိဃီဖိတဒူၣ်အဂီၢ် (Single family homes for sale)
ဟံၣ်ဒိးလဲလၢဟ့ၣ်အပှ့ၤကဲ (Affordable rental units)
ဟံၣ်ဒိးလဲလၢဟံၣ်ဖိဃီဖိနီၢ်ဂံၢ်အါအဂီၢ်ဒီးတၢ်ဟဲနုာ်စှၤ (Rental units for large families/Income-based rental units)
တၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢဟံၣ်ဖိဃီအိၣ်အဒူၣ်အါဒီးအိၣ်တပူၤဃီ (Multi-generational housing)
ပှၤသူၣ်က့သးပှၤတၢ်အိၣ်တၢ်ဆိးအလီၢ် (Senior housing)
တၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢပှၤနီၢ်ခိက့ၢ်ဂီၤတလၢပှဲၤဘၣ်အဂီၢ် (Housing for people with disabilities)
တၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢပှၤမၤကမၣ်သဲးစးလၢအပူၤကွံာ်အဂီၢ် (Housing for people with a past criminal history)
တၢ်အိၣ်သဒၢအလီၢ်လၢပှၤဟံၣ်တအိၣ်ဃီတအိၣ်အဂီၢ် (Shelter for people who are homeless)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
26.
လၢနလီၢ်ကဝီၤအပူၤတၢ်တြီလၢမၤတံၤတၤပှၤအါဂၤလၢကပှ့ၤဟံၣ်အဂီၢ်အခဲနံၣ်အံၤမ့ၢ်မနုၤလဲၣ်?(ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What are the top issues that currently prevent people from buying a home in your area? (Check all that apply.)
ကျိၣ်စ့တအိၣ်ဘၣ်/စ့ကဒွဲတၢ်ကီတၢ်ခဲ (Lack of available financing/credit issues)
လၢကဟ့ၣ်လီၤပာ်စ့တနီၤလၢကဒီလီၤအဂီၢ်ကျိၣ်စ့တအိၣ်ဘၣ် (Lack of funds for down payment)
တနၢ်ပၢၢ်ဘၣ်ဃးတၢ်ပှ့ၤဟံၣ်ဘၣ် (Lack of understanding of how to buy a home)
ဘၣ်ဘှီတၢ်ဟးဂူာ်ဟးဂီၤလၢဟံၣ်ပူၤမၤအကျိၤအကျဲတဘၣ်/တဘၣ်သးကွၢ်ဆၢၣ်မဲာ်တၢ်လၢဘၣ်ဘှီ (Lack of ability/desire to deal with maintenance/repairs)
စ့တအိၣ်ဘၣ်လၢကပှ့ၤဟံၣ်အဂီၢ် (Lack of affordable homes to purchase)
စ့အအ့ၣ်အါ (High interest rates)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
27.
နၤမ့တမ့ၢ်လၢနတဝၢအပူၤန့ၣ်တၢ်လိၣ်ဘၣ်လၢအတလၢတပှဲၤဒံးဘၣ်ဃးတၢ်အိၣ်တၢ်ဆိးအလီၢ်န့ၣ်မ့ၢ်မနုၤလဲၣ်? (ဃုထၢန့ၢ်တုၤယဲၢ်ခါ) (What housing needs do you or your community have that are not being met? (Select up to 5.)
ဃုတၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢအကြီၢ်ဟံၣ်ဖိဃီဖိကိးဂၤဒဲး (Finding housing that is large enough for my family)
ဃုတၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢအပှ့ၤဘၣ်ဒီးပှၤဘှီဂ့ၤထီၣ်အီၤမူၤနီၢ် (Finding affordable housing that is in good repair)
ကျိၣ်စ့တၢ်လီးစၢၤမၤစၢၤဘၣ်ဃးတၢ်ဟးဂူာ်ဟးဂီၤအဂီၢ်/လၢကပာ်လီၤဆိစ့လၢတၢ်ဘံၣ်တၢ်ဘၢအဂီၢ် (Help with paying for damage/security deposits)
တၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢပှၤဃ့ၢ်ပူၤဖျဲးဟံၣ်ဃီအတၢ်အ့ၣ်လိာ်ဆိးက့လၢဟံၣ်ပူၤဃီပူၤတၢ်စုဆူၣ်ခီၣ်တကးအဂီၢ် (Safe housing for people fleeing domestic violence)
တၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢပှၤနီၣ်ခိက့ၢ်ဂီၢ်တလၢပှဲၤဘၣ်အဂီၢ် (Handicap accessible housing)
တၢ်အိၣ်တၢ်ဆိးအလီၢ်လၢအတူၢ်လိာ်ပှၤမၤကမၣ်သဲးစးလၢအပူၤကွံၤ (Housing that accepts people with a criminal history)
တၢ်မၤစၢၤလၢကဒုးမၤဂ့ၤထီၣ်တၢ်သူမ့ၣ်အူလၢတၢ်အိၣ်တၢ်ဆိးအလီၢ် (Help to make housing more energy efficient)
တၢ်မၤစၢၤလၢကဒုးနၢ်ပၢၢ်ဒီးမၤဂ့ၤထီၣ်စ့ကဒွဲ (Help to understand and improve my credit score)
တၢ်မၤစၢၤလၢကဒုးတြီသဒၢတၢ်နီဟးထီၣ်မ့တမ့ၢ်တၢ်ဟံးန့ၢ်ကွံာ်တၢ်စုလီၢ်ခီၣ်ခိၣ် (Help to prevent eviction or foreclosure)
ဟ့ၣ်တၢ်သိၣ်လိဘၣ်ဃးဟံၣ်ဒိးလဲအပှ့ၤ, ပှၤလၢအိၣ်ဟံၣ်ဒိးလဲအတၢ်ခွဲးယာ်, တၢ်ဘူးတၢ်လဲ (ဂာ်သဝံ, လီမ့ၣ်အူ, ထံအလဲ), တၢ်ပာ်လီၤဆိစ့, လံာ်ဟ့ၣ်ဒိးလဲလီၤတၢ်, etc. (Education about rental cost, tenant rights, utilities, deposits, leases, etc.)
စ့လၢတၢ်ဟ့ၣ်လိၢ်လီၤအီၤလၢအအ့ၣ်စှၤ/တၢ်ရဲၣ်တၢ်ကျဲၤလၢကဘှီမ့တမ့ၢ်မၤဂ့ၤထီၣ်ဟံၣ် (Low-interest loans/programs to make home repairs or improvements)
တၢ်မၤစၢၤဘၣ်ဃးတၢ်ဘှီဘၣ်က့ၤတၢ်လၢဟံၣ်ပူၤ (Help with home maintenance)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
တအိၣ်နီတခါဘၣ် (None of the above)
မုၢ်ဆ့ၣ်မုၢ်ဂီၤတၢ်လိၣ်ဘၣ်/လၢအဂၤ (BASIC NEEDS/OTHER)
28.
နၤမ့တမ့ၢ်လၢနတဝၢအပူၤန့ၣ်တၢ်လိၣ်ဘၣ်အဂုၤအဂၤလၢအတလၢတပှဲၤအိၣ်ဒံးမနုၤလဲၣ်
? (ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (What other needs do you or your community have that are not being met? (Check all that apply.)
တၢ်ကူတၢ်သိးဒီးခီၣ်ဖံး (Clothing and shoes)
တၢ်မၤတၢ်ကူတၢ်သိး (Professional clothing for work)
တၢ်မၤအတၢ်လိၣ်တၢ်ဖိတၢ်လံၤ(ခီၣ်ဖံးဘူး, တၢ်ပီးတၢ်လီ, ယူနံဖီ) (Work related items (boots, tools, uniforms)
ဟံၣ်ဃီတၢ်ပီးတၢ်လီမ့တမ့ၢ်လၢအဂၤ (Furniture or other household items)
ဖိသၣ်အခံပး/ဖိသၣ်တၢ်နုၢ်ထံ (Diapers/formula)
တၢ်ဝံစိာ်တီဆှၢလၢအပှ့ၤဘၣ်( ပၣ်ဃုာ်သိလဲ, သိလ့ၣ်ဘၢးခွဲးယာ်အလံာ်, လံာ်အုၣ်ကီၤ, ဘၣ်ဘှီသိလ့ၣ်) (Affordable transportation (including gas, bus passes, insurance, repairs)
တၢ်ကွၢ်လုၢ်ဒိၣ်ထီၣ်ဖိတၢ်ကဲမိၢ်ကဲပၢ်အတၢ်သိၣ်လိ, တၢ်ဂ့ၢ်တၢ်ကျိၤဒီးတၢ်ဆီၣ်ထွဲမၤစၢၤ (Parenting education, information and support)
တၢ်လီးစၢၤတၢ်ဘူးတၢ်လဲ (ဂာ်သဝံ, လီမ့ၣ်အူ, ထံအလဲ) (Help paying utility bills)
နီၢ်ကစၢ်အတၢ်ပူၤဖျဲး (Personal safety)
တၢ်လီးစၢၤတၢ်ဘူးတၢ်လဲ (ဂာ်သဝံ, လီမ့ၣ်အူ, ထံအလဲ) (Available work with living wages)
လိၣ်ဘၣ်တၢ်မၤစၢၤလၢဃုတၢ်မၤ (Assistance finding employment)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
29.
တၢ်သၢခါလၢအခိၣ်စိးကတၢၢ်လၢနဘၣ်ကိၢ်ဘၣ်ဂီၤလၢဖိသၣ် ၆နံၣ် တုၤလၢ ၁၂နံၣ် န့ၣ်အိၣ်မနုၤလဲၣ်? (ဃုထၢသၢခါ) (What are the top three (3) concerns you have for youth ages 6-12? (Select 3)
ကၠိပျၢ်တၢ်ရဲၣ်တၢ်ကျဲၤန့ၣ်တအိၣ်အါဘၣ် (Not enough after school programming)
တၢ်လီၢ်လၢသူၣ်ဘီၣ်သးစၢ်အဂီၢ်တအိၣ်ဘၣ်”ဟးလိာ်ကွဲ” (No place for youth to "hang out")
သူညါသူး/အီမိာ် (Tobacco use/vaping)
အီသံး (Alcohol use)
သူကသံၣ်မူၤဘှီးလၢအဂၤ (Other drug use)
ပှၤဒိၣ်တုာ်ခိၣ်ပှဲအတၢ်ကွၢ်ထွဲတလၢပှဲၤဘၣ်/ ကွၢ်ထွဲတၢ်တအိၣ်ဘၣ် (Lack of adult care/supervision)
မၤကမၣ်သဲစးတၢ်ပာ်သူၣ်ပာ်သး (Criminal behavior)
နီၢ်သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ /တၢ်အိၣ်ဆူၣ်အိၣ်ချ့ (Mental health/wellness)
ကူၣ်လဲမၤကၤတၢ်လၢတဖိးသဲစး (Human Trafficking)
တအိၣ်နီတခါဘၣ် (None of the above)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
30.
တၢ်သၢခါလၢအခိၣ်စိးကတၢၢ်လၢနဘၣ်ကိၢ်ဘၣ်ဂီၤလၢဖိသၣ် ၁၃နံၣ် တုၤလၢ ၁၈နံၣ် န့ၣ်အိၣ်မနုၤလဲၣ်? (ဃုထၢသၢခါ) (What are the top three (3) concerns you have for youth ages 13-18? (Select 3)
ကၠိပျၢ်တၢ်ရဲၣ်တၢ်ကျဲၤန့ၣ်တအိၣ်အါဘၣ် (Not enough after school programming)
တၢ်မၤတအိၣ်လၢပှဲၤဘၣ်(Not enough jobs available)
တၢ်လီၢ်လၢသူၣ်ဘီၣ်သးစၢ်အဂီၢ်တအိၣ်ဘၣ်”ဟးလိာ်ကွဲ” (No place for youth to "hang out")
သူညါသူး/အီမိာ်. (Tobacco use/vaping)
အီသံး (Alcohol use)
သူကသံၣ်မူၤဘှီးလၢအဂၤ (Other drug use)
ပှၤဒိၣ်တုာ်ခိၣ်ပှဲအတၢ်ကွၢ်ထွဲတလၢပှဲၤဘၣ်/ ကွၢ်ထွဲတၢ်တအိၣ်ဘၣ် (Lack of adult care/supervision)
လၢတၢ်တမုၢ်လၢ်ဘၣ်အပူၤတၢ်ဒၢထီၣ်ဖိ (Unintentional pregnancies)
မၤကမၣ်သဲစးတၢ်ပာ်သူၣ်ပာ်သး (Criminal behavior)
နီၢ်သးတၢ်အိၣ်ဆူၣ်အိၣ်ချ့ /တၢ်အိၣ်ဆူၣ်အိၣ်ချ့ (Mental health/wellness)
ကူၣ်လဲမၤကၤတၢ်လၢတဖိးသဲစး (Human Trafficking)
တအိၣ်နီတခါဘၣ် (None of the above)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
31.
လၢနတဝၢပူၤန့ၣ်တၢ်မၤစၢၤခဲအံၤန့ၣ်အိၣ်မနုၤလဲၣ်? (How available are the following resources in your community right now?)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
တၢ်အီၣ်ဒီးအတၢ်န့ၢ်ဂံၢ်န့ၢ်ဘါတၢ်ရဲၣ်တၢ်ကျဲၤ (Food and nutrition programs)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
ဖိသၣ်တၢ်လဲၤထီၣ်လဲၤထီတၢ်ရဲၣ်တၢ်ကျဲၤ (Child development programs)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
တၢ်ဘှီဟံၣ်/ဘှီဂ့ၤထီၣ်က့ၤတၢ်အတၢ်ရဲၣ်တၢ်ကျဲၤ (Housing maintenance/repair program)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
ဃုထၢဟံၣ်လၢကအိၣ်တစိၢ်တလီၢ် (Temporary housing options)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
ပှ့ၤဟံၣ်/ဟ့ၣ်တၢ်ဘူးတၢ်လဲအတၢ်ရဲၣ်တၢ်ကျဲၤ (Housing purchase/payment programs)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
ဝံစိာ်တီဆှၢတၢ်မၤစၢၤ (Transportation assistance)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
တၢ်အိၣ်ဆူၣ်အိၣ်ချ့တၢ်ကဟုကယာ်တၢ်သိၣ်လိဒီးတၢ်မၤစၢၤ (Healthcare education and assistance)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
ကျိၣ်စ့တၢ်ဆီၣ်ထွဲ/တၢ်မၤစၢၤ(တၢ်ကူၣ်ဘၣ်ကူၣ်သ့, လံာ်အုၣ်ကီၤ, တၢ်အဘျုး, ခိသွဲ, အဂုၤဂၤ...) (Financial support/assistance (education, insurance, benefits, taxes, etc.)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
နီၢ်ခိတၢ်ပူၤဖျဲးတၢ်သိၣ်လိ/တၢ်ဆီၣ်ထွဲမၤစၢၤ (Physical safety education/support)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
ပှၤသူၣ်က့သးပှၤတၢ်ဆီၣ်ထွဲမၤစၢၤ (Senior care support)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
တၢ်သိၣ်လိတၢ်ဆီၣ်ထွဲမၤစၢၤ, တၢ်သ့ဖံးသ့မၤဒီးတၢ်သိၣ်လိ (Education support, skills and training)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
တၢ်ဟ့ၣ်ဖံးဟ့ၣ်မၤတၢ်ဆီၣ်ထွဲမၤစၢၤ, တၢ်သ့ဖံးသ့မၤဒီးတၢ်သိၣ်လိ (Employment support, skills and training)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
လၢအဖိးသဲစးတၢ်ဆီၣ်ထွဲမၤစၢၤဒီးတၢ်ဆၢထၢၣ်ခၢၣ်စး (Legal support and representation)
အတအိၣ်ဘၣ် (Not available at all)
အိၣ်တစဲးစဲး (Somewhat available)
အိၣ်ဖဲဘၣ်ဒး (Moderately available)
အအိၣ်လီၤ (Adequately available)
32.
နၤဒီးမ့တမ့ၢ်နတဝၢန့ၣ်တၢ်မၤစၢၤလၢလိၣ်ဘၣ်ဒိၣ်ကတၢၢ်မ့ၢ်မနုၤလဲၣ်? (ဃုထၢန့ၢ်တူၤယဲၢ်ခါ) Which of the following do you and/or your community need the most help with? (Select up to 5.)
တၢ်မၤလၢဟ့ၣ်စ့အါထီၣ် (Higher paying jobs)
လၢအဂ့ၤ/ဟ့ၣ်အပှ့ၤကဲဘၣ်ဃးတၢ်ကွၢ်ထွဲကဟုကယာ်ဖိသၣ် (Quality/affordable childcare)
ပူၤဖျဲးဒီဟ့ၣ်အပှ့ၤကဲဘၣ်ဃးဟံၣ် (Safe and affordable housing)
ဟ့ၣ်အပှ့ၤကဲဘၣ်ဃးတၢ်ကူၣ်ဘၣ်ကူၣ်သ့ (Affordable education)
မၤစၢၤဘၣ်ဃးတၢ်မၤစှၤလီၤကမၢ် (Help with reducing debt)
ထီၣ်တၢ်မၤလိဘၣ်ဃးသူကျိၣ်စ့ (Budgeting training)
ခိသွဲတၢ်လီၢ်လၢကမ့ၢ်ဝဲကလီ (Free tax preparation sites)
မၤဂ့ၤထီၣ်တၢ်ထဲသိးတုၤသိးဒီတၢ်ဒုးပၣ်ဃုာ်ပှၤ (Promotion of equity and inclusion)
မၤန့ၢ်တၢ်အီၣ်ဒီးအတၢ်န့ၢ်ဂံၢ်န့ၢ်ဘါ (Access to food and nutritious meals)
မၤန့ၢ်အ့ထၢၣ်နဲး (Access to internet)
ဟ့ၣ်အပှ့ၤကဲ/အ့ထၢၣ်နဲးလၢသူအီၤသ့ (Affordable/reliable internetservice)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
33.
နဘၣ်သးထံၣ်န့ၢ်တၢ်မၤစၢၤလၢနလီၢ်ကဝီၤပူၤဒ်လဲၣ်?(ဃုထၢလၢအဘၣ်ဃးဒီးနၤ) (How do you prefer to find out about services in your area? (Check all that apply.)
လီတဲစိလံာ် (Phone book)
လံာ်တၢ်ကစီၣ် (Newspaper)
ကွဲၤလ့လိၤ (Radio)
တၢ်ရ့လိာ်ဆဲးကျိးလိာ်သး ( Facebook, Twitter, Instagram) (Social media - Facebook, Twitter, Instagram)
ပှာ်ယဲၤသန့ (Websites)
ပှၤတဝၢလံာ်ပရၢ (Community newsletters)
တၢ်မၤသူၣ်ဖှံသးဖှံမုၢ်နံၤ/ ပှၤတဝၢအမူး (Fairs/community events)
လၢအဂၤ(ဝံသးစူၤတဲဖျါလီၤတံၢ်လီၤဆဲး) (Other - please specify)
34.
နတဝၢတၢ်ဂံၢ်တၢ်ဘါမ့ၢ်မနုၤလဲၣ်? (What are the strengths of your community?)
35.
လၢနတဝၢအပူၤန့ၣ်တၢ်လိၣ်ဘၣ်မၤစၢၤလၢအဂၤအိၣ်မနုၤလဲၣ်? (Which services or resources and services in your community are meeting people’s needs?)
36.
လၢနပှၤတဝၢအပူၤတၢ်မၤစၢၤလၢနလိၣ်ဘၣ်အိၣ်တမံၤမံၤဧါ? (What other services are needed in your community?)
