Engaging Our Community - CCCSA Survey for Residents of Fayette County

This survey will be used to guide Clayton County Community Services Authority, as we plan for ways to better serve our community.  

Please select one of these choices to let us know who completed the survey:

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* 1. Please select one of these choices to let us know who completed the survey:

Select the number that reflects your opinion regarding Assistance Needed:

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* 2. Select the number that reflects your opinion regarding Assistance Needed:

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
Goal Setting to become more self sufficient - Case Management
Help with applying for Social Security, SSDI, WIC, TANF, etc.
Help finding resources in the community
Finding Child Care
Food
Transportation
Legal Services
Select the number that reflects your opinion Community Needs :

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* 3. Select the number that reflects your opinion Community Needs :

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
Building Trust Between Community and Law Enforcement
Crime awareness or crime reduction
Public parks and facilities
Employment opportunities / Job Creation 
Awareness around Poverty / Child Poverty
Select the number that reflects your opinion regarding Educational Needs:

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* 4. Select the number that reflects your opinion regarding Educational Needs:

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
GED Classes
English as a Second Language Classes
Adult Education or Night School
Computer Skills Training
Assistance to attend trade or technical school, or college
Select the number that reflects your opinion regarding Employment Needs:

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* 5. Select the number that reflects your opinion regarding Employment Needs:

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
Help finding a job
Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,)
Job Retention Coaching
Select the number that reflects your opinion regarding Family Support Needs:

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* 6. Select the number that reflects your opinion regarding Family Support Needs:

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
Financial Education/Budgeting Classes/Credit Counseling
Parenting Classes
Nutrition Education/Healthy Eating Education workshops
Classes on healthy relationships, resolving conflicts, etc.
Counseling services
Programs and Activities for Youth (ages 12-18)
Assistance with Family Violence
Select the number that reflects your opinion regarding Housing Needs:

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* 7. Select the number that reflects your opinion regarding Housing Needs:

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
Affordable Housing
Help paying rent
Help with utility bills
Help to make my home more energy efficient (weatherization)
Home repair assistance / restoration (making homes healthy and safe)
Select the number that reflects your opinion regarding Medical Needs:

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* 8. Select the number that reflects your opinion regarding Medical Needs:

  0 - Don't Know 1 - Not Needed 2 - Rarely Needed 3 - Needed 4 - Very Needed
Health Insurance/ Affordable Medical Care
Prescription Assistance

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