SCFS Community Needs Assessment 2017

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* 1. What is your gender?

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* 2. What is your age group?

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* 3. What is your marital status?

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* 4. How would you classify your race?

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* 5. What is your highest level of education completed?

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* 6. Employment Status (check all that apply)?

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* 7. Household Income (annually)?

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* 8. COMMUNITY NEEDS:

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* 9. Which of the following do you see as the most MAJOR PROBLEM in your community? (Check ONLY ONE)

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* 10. What TARGETED AREAS of programs and services do you think will benefit your community? (Check ONLY THREE)

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* 11. Which of the following do you feel is MOST IMPORTANT in improving one’s personal life to make a better community? (Check ONLY THREE)

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* 12. Other than self, who do you think is MOST RESPONSIBLE for helping to improve one’s life? (Check ONLY ONE)

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* 13. CLIENT NEEDS: Employment

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* 14. What are your BARRIERS for better employment? (Check ONLY THREE)

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* 15. Are you in need of any of the following employment services? (Check all that apply to your needs)

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* 16. CLIENT NEEDS: Family

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* 17. What are your BARRIERS for a better family life? (Check only THREE)

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* 18. Are you in need of any of the following family improvement services? (Check all that apply to your needs)

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* 19. CLIENT NEEDS: Housing

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* 20. Are you in need of any of the following housing services? (Check all that apply to your needs)

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