Thank you for completing this survey for the Community Renewal Team. We will use your responses to better understand how we can serve our community. The information from this survey will be used for program planning purposes but may not result in visible changes to programs.

Question Title

* 1. Please enter today's date:

Date

Question Title

* 2. What town/city are you located in?

Question Title

* 3. What is your relationship with CRT?

Question Title

* 4. How would you describe your experience with CRT?

Question Title

* 5. What are the unmet needs or gaps in services that you observe in the community – please prioritize by rating the following in importance from 1 (most important) through 10 (least important):

Question Title

* 6. Is there any other area in which you believe we need improvements for low-income families in our community? Please describe:

Question Title

* 7. What are the types of services that you think would address these gaps?

Question Title

* 8. What role do you see for CRT in closing these gaps?

Question Title

* 9. In the last year, which of the following programs have you worked in, worked with, or referred people to?

Question Title

* 10. In general, how well does CRT let the community know its purpose, services, and values?

Question Title

* 11. What could CRT do or have done – no matter how small – to be of more value to you?

Question Title

* 12. How well is CRT meeting the needs of low-income families and individuals?

Question Title

* 13. On a scale of 1 (no way) to 10 (definitely), how likely is it that you would refer friends or family to CRT?

Question Title

* 14. May we follow up with you for more information?  If so, please provide:

T