Thank you for taking the time to complete this survey. It includes required information to meet Head Start program regulations and will be used in our program’s Community Assessment.

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* 1. Name of Center/Location

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* 2. From your observations in the last year, have you seen an "Increase", "Decrease" or "No change" in each of the items below:

  Increase Decrease No change Don't know
Number of low-income families contacting your agency
Number of families over your income guidelines
Need for licensed childcare or early childhood education providers
Job availability in local community
Number of families with an incarcerated parent or an incarcerated adult
Number of teen parents
Number of grandparents as the primary caregiver
Number of children with autism or other severe disabilities
Number of children with health issues
Number of children with nutrition issues
Number of children with mental health issues
Number of families with social service needs
Number of homeless individuals/families in the local community
Number of non-English speaking individuals and families
Number of diverse ethnic groups in local community
Available and accessible modes of transportation

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* 3. In your opinion, what are the strengths of the ESU 13 Head Start & Early Head Start programs?

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* 4. What other programs or services do you believe that your program could offer to better serve the children and families?

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* 5. What do you believe are the major issues and challenges in working with and serving our families?

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* 6. In your opinion, what are the strengths in your local community?

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* 7. What is your dream for your community?

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* 8. If you could change anything about where you live or work, what would it be?

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* 9. Please let us know anything else that will assist us in making programming decisions to even better serve the children and families in our community.

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