2023 Community Needs Assessment - Participant Question Title * 1. Please select the County you represent: Allen Clark Erie Hancock Henry Huron Lucas Ottawa Putnam Sandusky Seneca Wood Other (please specify) Question Title * 2. What is your gender? Male Female Other Question Title * 3. What is your age group? 18-25 26-35 36-45 46-55 55+ Question Title * 4. What is your marital status? Single Married Separated Divorced Widowed Living with Partner Question Title * 5. What is your race? Asian/Pacific Islander Black/African American Multiracial Native American/American Indian White/Caucasian Alaskan Other (please specify) Question Title * 6. Are you Hispanic Latino N/A Question Title * 7. What is your highest level of education completed? Elementary Middle School High School GED Vocational/Technical Associate Degree Bachelor Degree Master Degree Doctoral Degree Question Title * 8. Employment Status (Check all that apply)? Employed Self-Employed Unemployed Retired Other (please specify) Question Title * 9. Are you Active Military/Spouse Veteran/Spouse N/A Question Title * 10. Are you Migrant Farm Worker Seasonal Farm Worker N/A Question Title * 11. Are you Ex-Offender/Paroled N/A Question Title * 12. Annual household income? Less than $10,000 $10,000 to $29,999 $30,000 to $49,999 $50,000 to $69,999 $70,000+ The following survey questions were created to better understand community needs and issues. Question Title * 13. Which of the following do you see as the major problems in your community? (Check all that apply.) Access to Healthy Food Options Alcohol/Substance Abuse (Opioids) Crime Depression/Mental Health Issues Homelessness/Lack of Affordable Housing Illiteracy Incarceration Lack of Diversity and Inclusion Lack of Education Lack of Recreational Activities Lack of Skilled Labor Low Paying Jobs Obesity Poor Nutrition Public Health Issues Single Parent Households Suicide Teen Pregnancy Unemployment Violence/Domestic Violence N/A Other (please specify) Question Title * 14. Which of the following EMPLOYMENT needs do you feel should be addressed in your community? (Check all that apply.) Employment Supplies (Tools, clothing) Job Readiness (Interview Skills, Resume Development, Coaching) Job Referrals and/or Placement Assistance Pre-employment physical or background check financial assistance Self-Employment Skills Training Training (Vocational, On-the-Job, Apprenticeship/Internship) N/A Other (please specify) Question Title * 15. Which of the following EDUCATION needs do you feel should be addressed in your community? (Check all that apply.) Before and After School Activities Behavior Improvement Programs Child Care College Readiness Preparation and Support/College application assistance Early Childhood Education for birth-3 year olds Early Childhood Education for 3-5 year olds Early Childhood Education for birth-5 year olds for children of migrant and seasonal farm workers Education & Support Services for K-12 Children Financial Literacy Education High School Equivalency Classes Home Visit Services Leadership Training Literacy/English Language Educational Classes Mentoring Parenting Supports Post-Secondary Preparation/Support Scholarships School supplies, text books, computer assistance and financial resources Summer Youth Recreational and Education Activities N/A Other (please specify) Question Title * 16. Which of the following FINANCIAL needs do you feel should be addressed in your community? (Check all that apply.) Financial Management Programs (Budgeting/Credit Management/Credit Repair and Counseling) First-time Homebuyer Counseling Foreclosure Prevention Counseling Obtaining and/or maintaining Child Support Payments Obtaining and/or maintaining Health Insurance Obtaining public assistance benefits (Social Security/SSI, Veterans, TANF/SNAP Payments) Retirement Planning Saving Accounts/Individual Development Account/Other Asset Building Accounts Small Business Start-Up and Development Counseling and/or financial assistance VITA (Volunteer Income Tax Assistance), EITC (Earned Income Tax Credit) or Other Tax Preparation Programs N/A Other (please specify) Question Title * 17. Which of the following HOUSING needs do you feel should be addressed in your community? (Check all that apply.) Energy Efficiency Improvements (insulation, furnace repair, air sealing) Financial Coaching/Counseling Healthy Homes Services (elimination of lead, radon, carbon dioxide, fire hazard, electrical issues Home Improvements to Remain Independent (handicap accessible modifications) Home Repairs Landlord/Tenant Mediation or Rights Education Rent/Deposit/Mortgage Payments Rental/Eviction Counseling Temporary/Transitional/Permanent Housing Utility Payments/Deposit N/A Other (please specify) Question Title * 18. Which of the following HEALTH needs do you feel should be addressed in your community? (Check all that apply.) Adult Dental Screenings/Exams/Services Child Dental Screenings/Exams/Services Crisis or Call-in Response Service Developmental Delay Screening Domestic Violence Programs/Support Family Mentoring and/or Parenting Sessions Family Planning Classes/ Contraceptives Food Distribution (food boxes, grocery vouchers) Health Insurance Option Counseling HIV Screenings/Prevention Counseling Home delivered meals for the elderly and disabled Hygiene Facility Utilization (showers, toilets, sinks) Immunizations and/or Physicals In-Home Care (Nursing, Chores, Personal Care) Mental Health Assessments/Counseling/Support Group Nursing Care Prenatal Health Care Prescription and/or Doctor Visit Payments Skills Classes (Gardening, cooking, nutrition) Wellness/Exercise/Fitness Classes (stress reduction, medication management) Substance Abuse Screenings/Counseling and/or Detoxification Services Visual Screening N/A Other (please specify) Question Title * 19. Which of the following COMMUNITY INVOLVEMENT needs do you feel should be addressed in your community? (Check all that apply.) Citizenship Classes Getting Ahead Classes Leadership Training Volunteer Training Voter Education and Access N/A Other (please specify) Question Title * 20. Which of the following TRANSPORTATION needs do you feel should be addressed in your community? (Check all that apply.) Work School (K-12) Higher Education Medical Appointments (Within Sandusky County) Medical Appointments (Outside of Sandusky County) Senior Centers Shopping Government Offices N/A Other (please specify) Question Title * 21. Which of the following OTHER needs do you feel should be addressed in your community? (Check all that apply.) Adult Daycare Centers Assistance Acquiring Birth Certificate/Social Security Card/Driver’s License/Criminal Record Expungement Case Management Child Care Subsidies/Payments Digital Divide Emergency Clothing Assistance Information and Referrals to community resources Immigration Support Services (relocation, food, clothing) Legal Assistance Mediation/Customer Advocacy Intervention Services Transportation Services (bus/taxi passes, auto purchase/repair assistance) N/A Other (please specify) Question Title * 22. If you have additional comments, please provide them in the space below. We appreciate and value your input. GLCAP would like to thank you for taking the time to give us your input. Your input and comments provide valuable information for planning our programs and services. Done