2018 Needs Assessment Survey

Building One Community is conducting research to better understand the current needs of immigrants within our Stamford community. This survey is an important part of a multi-phase needs assessment. The results will help us determine how we can better respond to emerging needs, and how services could be improved or expanded.

We will not ask for your name, address or other identifying information. All answers and comments will be confidential.

Please respond to this survey only once.

Thank you for participating! Your experience and viewpoint is important to us!

* 1. Please select the correct statement

* 2. How many years have you lived in the United States?

* 3. Do you live, work or receive services in Stamford?

* 4. How did you arrive to the United States?

* 6. What is the highest level of school you have completed or the highest degree you have received?

* 7. What was the primary language spoken in your childhood home? (Please choose only one.)

* 8. What is your gender?

* 9. What is your age?

* 10. How many children age 17 or younger live in your household?

* 11. Which best describes your current household structure?

* 12. If you have children or dependents living with you: who is the primary care provider? (Check all that apply)

* 13. Is there a physical or mentally disabled person in your household?

* 14. Which of the following categories best describes your employment status?

* 15. Is it relatively easy for you to get work in the Stamford area (including surrounding towns?

* 16. In the US, have you worked in any of the following areas? (Select all that apply)

* 17. If you want to look for a job, where do you go? (Select all that apply.)

* 18. How much total combined money did all members of your HOUSEHOLD earn last year?

* 19. Which area of Stamford do you live in?

* 20. Do you send money to support family in another country?

* 22. What do you know about the organization Building One Community? (Select one)

* 23. Do you participate in activities such as lectures, classes, programs or social events at Building One Community?

* 24. If you do not participate in any activities at Building One Community it is because:

* 25. Where do you get support services such as English classes, skills training, legal immigration advice, housing questions, parenting help, school support or a sense of community?

* 26. About your English proficiency level. Select all that apply:

* 28. Would you be interested in having classes/training in any of the following areas:

* 29. Would you like help with these job-related activities? (Check all that apply)

* 30. Where do you go when you have immigration questions and/or legal service needs?

* 31. Do you know where you can access low-cost immigration services?

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

* 34. In the last 12 months, do any of these statements apply to you?

* 39. Do you or someone in your household have any immediate healthcare needs for which you do not have health care coverage? Check all that apply.

* 40. What is your primary means of transportation to work, school, or the place where you spend most of your time outside of home?

* 41. Do you have transportation needs?

* 45. Do you need any of the following transportation related help? (Check all that apply)

* 47. Which of these devices do you have and regularly use? (Check all that apply)

* 49. Please choose a maximum of FIVE items from the following list that you feel are the most pressing needs of community members like yourself

* 50. What do you like about the Stamford community?

100% of survey complete.