Central Pennsylvania Community Action, Inc. 2021 Needs Assessment Survey

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

CPCA Consumer (Client)

CPCA Employee

CPCA Board Member

Service Provider

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? (Check up to three)

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
Adult Education/GED Classes/Literacy Skills	Adult Education/GED Classes/Literacy Skills Most Needed	Adult Education/GED Classes/Literacy Skills Somewhat Needed	Adult Education/GED Classes/Literacy Skills Not Needed	Adult Education/GED Classes/Literacy Skills Don't Know
Affordable Housing	Affordable Housing Most Needed	Affordable Housing Somewhat Needed	Affordable Housing Not Needed	Affordable Housing Don't Know
Caregiver Supports of Senior Citizens	Caregiver Supports of Senior Citizens Most Needed	Caregiver Supports of Senior Citizens Somewhat Needed	Caregiver Supports of Senior Citizens Not Needed	Caregiver Supports of Senior Citizens Don't Know
Childcare and Caregiver Supports of Children w/Disabilities	Childcare and Caregiver Supports of Children w/Disabilities Most Needed	Childcare and Caregiver Supports of Children w/Disabilities Somewhat Needed	Childcare and Caregiver Supports of Children w/Disabilities Not Needed	Childcare and Caregiver Supports of Children w/Disabilities 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
Weatherization Services	Weatherization Services Most Needed	Weatherization Services Somewhat Needed	Weatherization Services Not Needed	Weatherization Services Don't Know

Other (please specify)

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* 16. Would you know where to get help if you or someone else was experiencing the following?

	Yes	No
Disability and Not Being Able to Work	Disability and Not Being Able to Work Yes	Disability and Not Being Able to Work No	Disability and Not Being Able to Work	Disability and Not Being Able to Work	Disability and Not Being Able to Work
Domestic Violence	Domestic Violence Yes	Domestic Violence No	Domestic Violence	Domestic Violence	Domestic Violence
Homelessness	Homelessness Yes	Homelessness No	Homelessness	Homelessness	Homelessness
Home Repairs	Home Repairs Yes	Home Repairs No	Home Repairs	Home Repairs	Home Repairs
Income Tax Preparation	Income Tax Preparation Yes	Income Tax Preparation No	Income Tax Preparation	Income Tax Preparation	Income Tax Preparation
Lack of Childcare	Lack of Childcare Yes	Lack of Childcare No	Lack of Childcare	Lack of Childcare	Lack of Childcare
Lack of Food	Lack of Food Yes	Lack of Food No	Lack of Food	Lack of Food	Lack of Food
Mortgage/Rental Assistance	Mortgage/Rental Assistance Yes	Mortgage/Rental Assistance No	Mortgage/Rental Assistance	Mortgage/Rental Assistance	Mortgage/Rental Assistance
Obtaining Diploma/GED/Literacy Issues	Obtaining Diploma/GED/Literacy Issues Yes	Obtaining Diploma/GED/Literacy Issues No	Obtaining Diploma/GED/Literacy Issues	Obtaining Diploma/GED/Literacy Issues	Obtaining Diploma/GED/Literacy Issues
Poor Nutrition	Poor Nutrition Yes	Poor Nutrition No	Poor Nutrition	Poor Nutrition	Poor Nutrition
Unemployment	Unemployment Yes	Unemployment No	Unemployment	Unemployment	Unemployment
Utility Assistance	Utility Assistance Yes	Utility Assistance No	Utility Assistance	Utility Assistance	Utility Assistance

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

Yes

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* 18. Do you have health insurance coverage?

Yes

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* 19. Do you have dental insurance coverage?

Yes

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* 20. Are you in need of an eye exam or glasses but cannot afford them?

Yes

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* 21. Do you have a computer at home?

Yes

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* 22. If No, do you have access to a computer? (i.e. relative/friends house; library; school)

Yes

Not Applicable

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* 23. Do you have an internet connection at your home?

Yes

Central Pennsylvania Community Action, Inc. 2021 Needs Assessment

Welcome to CPCA's Community Needs Assessment Survey

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* 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? (Check up to ﻿three﻿)

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

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* 16. Would you know where to get help if you or someone else was experiencing the following?

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

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* 18. Do you have health insurance coverage?

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* 19. Do you have dental insurance coverage?

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* 20. Are you in need of an eye exam or glasses but cannot afford them?

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* 21. Do you have a computer at home?

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* 22. If No, do you have access to a computer? (i.e. relative/friends house; library; school)

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* 23. Do you have an internet connection at your home?

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* 24. 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)

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