LEO is conducting its 3-Year Community Needs Assessment and invites your feedback and assistance in this process to help us determine the issues and needs that require our attention and services. Your answers to these questions will help us provide better programs and services to you and our community. Thank you for your help!

Question Title

* 1. First, please tell us a little about yourself:

Question Title

* 2. What is your age?

Question Title

* 3. How many people are in your household including yourself ?

Question Title

* 4. What is your gender, as you define yourself?

Question Title

* 5. Are you of Hispanic, Latino, or Spanish origin?

Question Title

* 6. How would you describe yourself? (Mark all that apply)

Question Title

* 7. What is your household’s annual gross income before taxes?

Include: Wages, TANF, Social Security, Disability Benefits, and similar income.
Do Not Include: Food Stamps (SNAP), WIC, MassHealth, other public health insurance, Fuel Assistance or other similar income benefits.

Question Title

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

Question Title

* 9. What is the primary language spoken in your household?

Question Title

* 10. Which of the following do you use often for local news and community information? (select top 3)

T