1. How can we improve?

Please take a moment to help us improve your services at HCHRA by completing this needs assessment.

Feel free to skip any section you believe is not an area of issue.

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* 1. Which county do you live in?

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* 2. Have you ever received services from HCHRA?

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* 3. Was your immediate need met by services from HCHRA?

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* 4. Is your family more stable since receiving services from HCHRA?

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* 5. Issue Area - EMPLOYMENT
Employment is a problem in this community because: (check top 3 that apply)

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* 6. Issue Area - EDUCATION
Education is a problem in this community because: (check top 3 that apply)

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* 7. Issue Area - HOUSING
Housing is a problem in this community because: (check top 3 that apply)

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* 8. Issue Area - NUTRITION
Nutrition is a problem in this community because: (check top 3 that apply)

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* 9. Issue Area - INCOME MANAGEMENT
Use of income is a problem in this community because: (check all that apply)

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* 10. Issue Area - CHILDCARE
Childcare is a problem in this community because: (check top 3 that apply)

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* 11. Issue Area - HEALTH
Health care is a problem in this community because: (check top 3 that apply)

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* 12. Issue Area - TRANSPORTATION
Transportation is a problem in this community because: (check top 3 that apply)

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* 13. Issue Area - EMERGENCY SERVICES
Emergency services is a problem in this community because: (check top 3 that apply)

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* 14. Issue Area - LINKAGES
Agencies in the community have a linkage problem because: (check top 3 that apply)

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* 15. Using the above understanding of the issue areas, please rate the following categories from greatest (9) to least (1) need for resources, services and programs in order for your household to become more self-sufficient. (Example: 9 =highest need, 1 = lowest need). Only 1 number per category.

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* 16. Comments Section

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