Central Pennsylvania Community Action, Inc. 2021 Needs Assessment Survey

Question Title

* 1. Which describes you and your relationship to CPCA? (Select only one)

CPCA Consumer (Client)

CPCA Employee

CPCA Board Member

Service Provider

Elected Official/Public Sector

Teacher/Educational Institution

Representative from a Business/ Private Sector

Concerned Community Member

Other (please specify)

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* 2. Are you:

Male

Female

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* 3. City or Town where you live?

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* 4. County of Residence?

Centre

Clearfield

Other (please specify)

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* 5. Your Age Group:

17 and under

18-24

25-44

45-54

55-59

60-64

65-74

75+

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* 6. How many children do you have in the home?

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* 7. Are you a single parent?

Yes

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* 8. Are you a Veteran?

Yes

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* 9. What is your Household Size?

Single Person

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* 10. What is your level of income? (Select only one)

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* 11. What is your current housing status? (select only one)

Own

Rent

Other Permanent Housing

Homeless

Other (please specify)

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* 12. In your opinion, what is the primary cause of unemployment in our community? (Select only one)

Drug/Alcohol Abuse

Lack of Child Care

Lack of Motivation

Lack of Education

Lack of Transportation

Mental Health Issues

Not Enough Jobs

Wages Too Low

Other (please specify)

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* 13. In your opinion, what is the primary cause of the transportation barriers in your community? (Select only one)

Insurance Costs

Public Transportation Not Available or Unreliable

Unable to Afford Vehicle Purchase

Unable to Afford Vehicle Maintenance/Repairs

Other (please specify)

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* 14. In your opinion, what are the biggest issues facing the adults (ages 25 and older) in your community?

Alcohol/Drug Abuse

High Costs for Mortgage/Rent

Lack of Education

Lack of Employment Opportunities

Lack of Supports

Low-income and wages

Poor Budgeting Skills

Poor Credit

Stress

Unemployment

Other (please specify)

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* 15. For each community resource, please identify which 'level of need' you feel is appropriate.

	Most Needed	Somewhat Needed	Not Needed	Don't Know
Affordable Housing	Affordable Housing Most Needed	Affordable Housing Somewhat Needed	Affordable Housing Not Needed	Affordable Housing Don't Know
Financial Education (Budget & Credit Counseling)	Financial Education (Budget & Credit Counseling) Most Needed	Financial Education (Budget & Credit Counseling) Somewhat Needed	Financial Education (Budget & Credit Counseling) Not Needed	Financial Education (Budget & Credit Counseling) Don't Know
Food Assistance	Food Assistance Most Needed	Food Assistance Somewhat Needed	Food Assistance Not Needed	Food Assistance Don't Know
Free Income Tax Prep Services	Free Income Tax Prep Services Most Needed	Free Income Tax Prep Services Somewhat Needed	Free Income Tax Prep Services Not Needed	Free Income Tax Prep Services Don't Know
First Time Home Buyer Assistance	First Time Home Buyer Assistance Most Needed	First Time Home Buyer Assistance Somewhat Needed	First Time Home Buyer Assistance Not Needed	First Time Home Buyer Assistance Don't Know
Health Insurance Coverage	Health Insurance Coverage Most Needed	Health Insurance Coverage Somewhat Needed	Health Insurance Coverage Not Needed	Health Insurance Coverage Don't Know
Help Seeking Reliable Transportation	Help Seeking Reliable Transportation Most Needed	Help Seeking Reliable Transportation Somewhat Needed	Help Seeking Reliable Transportation Not Needed	Help Seeking Reliable Transportation Don't Know
Help Seeking Employment	Help Seeking Employment Most Needed	Help Seeking Employment Somewhat Needed	Help Seeking Employment Not Needed	Help Seeking Employment Don't Know
Home Repairs	Home Repairs Most Needed	Home Repairs Somewhat Needed	Home Repairs Not Needed	Home Repairs Don't Know
Shelters	Shelters Most Needed	Shelters Somewhat Needed	Shelters Not Needed	Shelters Don't Know
Mental Health Services	Mental Health Services Most Needed	Mental Health Services Somewhat Needed	Mental Health Services Not Needed	Mental Health Services Don't Know
Mortgage/Rental Assistance	Mortgage/Rental Assistance Most Needed	Mortgage/Rental Assistance Somewhat Needed	Mortgage/Rental Assistance Not Needed	Mortgage/Rental Assistance Don't Know
Nutrition Education	Nutrition Education Most Needed	Nutrition Education Somewhat Needed	Nutrition Education Not Needed	Nutrition Education Don't Know
Utility Assistance	Utility Assistance Most Needed	Utility Assistance Somewhat Needed	Utility Assistance Not Needed	Utility Assistance Don't Know
Weatherization Services	Weatherization Services Most Needed	Weatherization Services Somewhat Needed	Weatherization Services Not Needed	Weatherization Services Don't Know

Central Pennsylvania Community Action, Inc. 2021 Needs Assessment

Welcome to CPCA's Community Needs Assessment Survey

Question Title

* 1. Which describes you and your relationship to CPCA? (Select only one)

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* 2. Are you:

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* 3. City or Town where you live?

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* 4. County of Residence?

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* 5. Your Age Group:

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* 6. How many children do you have in the home?

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* 7. Are you a single parent?

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* 8. Are you a Veteran?

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* 9. What is your Household Size?

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* 10. What is your level of income? (Select only one)

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* 11. What is your current housing status? (select only one)

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* 12. In your opinion, what is the primary cause of unemployment in our community? (Select only one)

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* 13. In your opinion, what is the primary cause of the transportation barriers in your community? (Select only one)

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* 14. In your opinion, what are the biggest issues facing the adults (ages 25 and older) in your community?

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* 15. For each community resource, please identify which 'level of need' you feel is appropriate.

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* 16. Do you have a bank account (i.e. checking or savings)?

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* 17. Do you have health insurance coverage?

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* 18. Do you have dental insurance coverage?

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* 19. Please provide any additional community needs and/or concerns.

Central Pennsylvania Community Action, Inc. 2021 Needs Assessment

Welcome to CPCA's Community Needs Assessment Survey

Question Title

* 1. Which describes you and your relationship to CPCA? (Select only ﻿one)

Question Title

* 2. Are you:

Question Title

* 3. City or Town where you live?

Question Title

* 4. County of Residence?

Question Title

* 5. Your Age Group:

Question Title

* 6. How many children do you have in the home?

Question Title

* 7. Are you a single parent?

Question Title

* 8. Are you a Veteran?

Question Title

* 9. What is your Household Size?

Question Title

* 10. What is your level of income? (Select only one)

Question Title

* 11. What is your current housing status? (select only one)

Question Title

* 12. In your opinion, what is the primary cause of unemployment in our community? (Select only one)

Question Title

* 13. In your opinion, what is the primary cause of the transportation barriers in your community? (Select only ﻿one)

Question Title

* 14. In your opinion, what are the biggest issues facing the adults (ages 25 and older) in your community?

Question Title

* 15. For each community resource, please identify which 'level of need' you feel is appropriate.

Question Title

* 16. Do you have a bank account (i.e. checking or savings)?

Question Title

* 17. Do you have health insurance coverage?

Question Title

* 18. Do you have dental insurance coverage?

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* 19. Please provide any additional community needs and/or concerns.

* 1. Which describes you and your relationship to CPCA? (Select only one)

* 13. In your opinion, what is the primary cause of the transportation barriers in your community? (Select only one)