Clayton County CSA Community Needs Survey For Fayette County Residents

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.

Question Title

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

Business Owner

Client

Volunteer

Resident

Local Official

Other (please specify)

Question Title

* 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	Goal Setting to become more self sufficient - Case Management 0 - Don't Know	Goal Setting to become more self sufficient - Case Management 1 - Not Needed	Goal Setting to become more self sufficient - Case Management 2 - Rarely Needed	Goal Setting to become more self sufficient - Case Management 3 - Needed	Goal Setting to become more self sufficient - Case Management 4 - Very Needed
Other (please specify)
Help with applying for Social Security, SSDI, WIC, TANF, etc.	Help with applying for Social Security, SSDI, WIC, TANF, etc. 0 - Don't Know	Help with applying for Social Security, SSDI, WIC, TANF, etc. 1 - Not Needed	Help with applying for Social Security, SSDI, WIC, TANF, etc. 2 - Rarely Needed	Help with applying for Social Security, SSDI, WIC, TANF, etc. 3 - Needed	Help with applying for Social Security, SSDI, WIC, TANF, etc. 4 - Very Needed
Other (please specify)
Help finding resources in the community	Help finding resources in the community 0 - Don't Know	Help finding resources in the community 1 - Not Needed	Help finding resources in the community 2 - Rarely Needed	Help finding resources in the community 3 - Needed	Help finding resources in the community 4 - Very Needed
Other (please specify)
Finding Child Care	Finding Child Care 0 - Don't Know	Finding Child Care 1 - Not Needed	Finding Child Care 2 - Rarely Needed	Finding Child Care 3 - Needed	Finding Child Care 4 - Very Needed
Other (please specify)
Food	Food 0 - Don't Know	Food 1 - Not Needed	Food 2 - Rarely Needed	Food 3 - Needed	Food 4 - Very Needed
Other (please specify)
Transportation	Transportation 0 - Don't Know	Transportation 1 - Not Needed	Transportation 2 - Rarely Needed	Transportation 3 - Needed	Transportation 4 - Very Needed
Other (please specify)
Legal Services	Legal Services 0 - Don't Know	Legal Services 1 - Not Needed	Legal Services 2 - Rarely Needed	Legal Services 3 - Needed	Legal Services 4 - Very Needed
Other (please specify)

Question Title

* 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	Building Trust Between Community and Law Enforcement 0 - Don't Know	Building Trust Between Community and Law Enforcement 1 - Not Needed	Building Trust Between Community and Law Enforcement 2 - Rarely Needed	Building Trust Between Community and Law Enforcement 3 - Needed	Building Trust Between Community and Law Enforcement 4 - Very Needed
Other (please specify)
Crime awareness or crime reduction	Crime awareness or crime reduction 0 - Don't Know	Crime awareness or crime reduction 1 - Not Needed	Crime awareness or crime reduction 2 - Rarely Needed	Crime awareness or crime reduction 3 - Needed	Crime awareness or crime reduction 4 - Very Needed
Other (please specify)
Public parks and facilities	Public parks and facilities 0 - Don't Know	Public parks and facilities 1 - Not Needed	Public parks and facilities 2 - Rarely Needed	Public parks and facilities 3 - Needed	Public parks and facilities 4 - Very Needed
Other (please specify)
Employment opportunities / Job Creation	Employment opportunities / Job Creation 0 - Don't Know	Employment opportunities / Job Creation 1 - Not Needed	Employment opportunities / Job Creation 2 - Rarely Needed	Employment opportunities / Job Creation 3 - Needed	Employment opportunities / Job Creation 4 - Very Needed
Other (please specify)
Awareness around Poverty / Child Poverty	Awareness around Poverty / Child Poverty 0 - Don't Know	Awareness around Poverty / Child Poverty 1 - Not Needed	Awareness around Poverty / Child Poverty 2 - Rarely Needed	Awareness around Poverty / Child Poverty 3 - Needed	Awareness around Poverty / Child Poverty 4 - Very Needed
Other (please specify)

Question Title

* 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	GED Classes 0 - Don't Know	GED Classes 1 - Not Needed	GED Classes 2 - Rarely Needed	GED Classes 3 - Needed	GED Classes 4 - Very Needed
Other (please specify)
English as a Second Language Classes	English as a Second Language Classes 0 - Don't Know	English as a Second Language Classes 1 - Not Needed	English as a Second Language Classes 2 - Rarely Needed	English as a Second Language Classes 3 - Needed	English as a Second Language Classes 4 - Very Needed
Other (please specify)
Adult Education or Night School	Adult Education or Night School 0 - Don't Know	Adult Education or Night School 1 - Not Needed	Adult Education or Night School 2 - Rarely Needed	Adult Education or Night School 3 - Needed	Adult Education or Night School 4 - Very Needed
Other (please specify)
Computer Skills Training	Computer Skills Training 0 - Don't Know	Computer Skills Training 1 - Not Needed	Computer Skills Training 2 - Rarely Needed	Computer Skills Training 3 - Needed	Computer Skills Training 4 - Very Needed
Other (please specify)
Assistance to attend trade or technical school, or college	Assistance to attend trade or technical school, or college 0 - Don't Know	Assistance to attend trade or technical school, or college 1 - Not Needed	Assistance to attend trade or technical school, or college 2 - Rarely Needed	Assistance to attend trade or technical school, or college 3 - Needed	Assistance to attend trade or technical school, or college 4 - Very Needed
Other (please specify)

Question Title

* 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 finding a job 0 - Don't Know	Help finding a job 1 - Not Needed	Help finding a job 2 - Rarely Needed	Help finding a job 3 - Needed	Help finding a job 4 - Very Needed
Other (please specify)
Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,)	Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,) 0 - Don't Know	Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,) 1 - Not Needed	Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,) 2 - Rarely Needed	Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,) 3 - Needed	Help with job skills & training (e.g.- resumes, dress for success, interviewing, etc..,) 4 - Very Needed
Other (please specify)
Job Retention Coaching	Job Retention Coaching 0 - Don't Know	Job Retention Coaching 1 - Not Needed	Job Retention Coaching 2 - Rarely Needed	Job Retention Coaching 3 - Needed	Job Retention Coaching 4 - Very Needed
Other (please specify)

Question Title

* 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	Financial Education/Budgeting Classes/Credit Counseling 0 - Don't Know	Financial Education/Budgeting Classes/Credit Counseling 1 - Not Needed	Financial Education/Budgeting Classes/Credit Counseling 2 - Rarely Needed	Financial Education/Budgeting Classes/Credit Counseling 3 - Needed	Financial Education/Budgeting Classes/Credit Counseling 4 - Very Needed
Other (please specify)
Parenting Classes	Parenting Classes 0 - Don't Know	Parenting Classes 1 - Not Needed	Parenting Classes 2 - Rarely Needed	Parenting Classes 3 - Needed	Parenting Classes 4 - Very Needed
Other (please specify)
Nutrition Education/Healthy Eating Education workshops	Nutrition Education/Healthy Eating Education workshops 0 - Don't Know	Nutrition Education/Healthy Eating Education workshops 1 - Not Needed	Nutrition Education/Healthy Eating Education workshops 2 - Rarely Needed	Nutrition Education/Healthy Eating Education workshops 3 - Needed	Nutrition Education/Healthy Eating Education workshops 4 - Very Needed
Other (please specify)
Classes on healthy relationships, resolving conflicts, etc.	Classes on healthy relationships, resolving conflicts, etc. 0 - Don't Know	Classes on healthy relationships, resolving conflicts, etc. 1 - Not Needed	Classes on healthy relationships, resolving conflicts, etc. 2 - Rarely Needed	Classes on healthy relationships, resolving conflicts, etc. 3 - Needed	Classes on healthy relationships, resolving conflicts, etc. 4 - Very Needed
Other (please specify)
Counseling services	Counseling services 0 - Don't Know	Counseling services 1 - Not Needed	Counseling services 2 - Rarely Needed	Counseling services 3 - Needed	Counseling services 4 - Very Needed
Other (please specify)
Programs and Activities for Youth (ages 12-18)	Programs and Activities for Youth (ages 12-18) 0 - Don't Know	Programs and Activities for Youth (ages 12-18) 1 - Not Needed	Programs and Activities for Youth (ages 12-18) 2 - Rarely Needed	Programs and Activities for Youth (ages 12-18) 3 - Needed	Programs and Activities for Youth (ages 12-18) 4 - Very Needed
Other (please specify)
Assistance with Family Violence	Assistance with Family Violence 0 - Don't Know	Assistance with Family Violence 1 - Not Needed	Assistance with Family Violence 2 - Rarely Needed	Assistance with Family Violence 3 - Needed	Assistance with Family Violence 4 - Very Needed
Other (please specify)

Question Title

* 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	Affordable Housing 0 - Don't Know	Affordable Housing 1 - Not Needed	Affordable Housing 2 - Rarely Needed	Affordable Housing 3 - Needed	Affordable Housing 4 - Very Needed
Other (please specify)
Help paying rent	Help paying rent 0 - Don't Know	Help paying rent 1 - Not Needed	Help paying rent 2 - Rarely Needed	Help paying rent 3 - Needed	Help paying rent 4 - Very Needed
Other (please specify)
Help with utility bills	Help with utility bills 0 - Don't Know	Help with utility bills 1 - Not Needed	Help with utility bills 2 - Rarely Needed	Help with utility bills 3 - Needed	Help with utility bills 4 - Very Needed
Other (please specify)
Help to make my home more energy efficient (weatherization)	Help to make my home more energy efficient (weatherization) 0 - Don't Know	Help to make my home more energy efficient (weatherization) 1 - Not Needed	Help to make my home more energy efficient (weatherization) 2 - Rarely Needed	Help to make my home more energy efficient (weatherization) 3 - Needed	Help to make my home more energy efficient (weatherization) 4 - Very Needed
Other (please specify)
Home repair assistance / restoration (making homes healthy and safe)	Home repair assistance / restoration (making homes healthy and safe) 0 - Don't Know	Home repair assistance / restoration (making homes healthy and safe) 1 - Not Needed	Home repair assistance / restoration (making homes healthy and safe) 2 - Rarely Needed	Home repair assistance / restoration (making homes healthy and safe) 3 - Needed	Home repair assistance / restoration (making homes healthy and safe) 4 - Very Needed
Other (please specify)

Question Title

* 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	Health Insurance/ Affordable Medical Care 0 - Don't Know	Health Insurance/ Affordable Medical Care 1 - Not Needed	Health Insurance/ Affordable Medical Care 2 - Rarely Needed	Health Insurance/ Affordable Medical Care 3 - Needed	Health Insurance/ Affordable Medical Care 4 - Very Needed
Other (please specify)
Prescription Assistance	Prescription Assistance 0 - Don't Know	Prescription Assistance 1 - Not Needed	Prescription Assistance 2 - Rarely Needed	Prescription Assistance 3 - Needed	Prescription Assistance 4 - Very Needed
Other (please specify)