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CSBG Funding Survey

El Paso County (EPC) wants to hear from YOU!  We would like to hear how we can better serve you.  The feedback you provide will help guide EPC in making decisions in the use of resources that will best benefit our county’s citizens. The more information you can provide, the more useful the results will be.
Thank you for your time in participating in this survey!
1.This survey is open to El Paso County residents, only.  Are you a resident of EPC?
2.What is your annual household gross income?
3.How many people live in your household, including yourself?
4.How many people in your household are:
5.Please rate the following services based on the level of need in El Paso County? 
Not Needed
Rarely Needed
Needed
Very Needed
Employment (including skills training, career counseling, resume development, interview training, job placement etc.)
Education & Cognitive Development (including Head Start, K-12 support services, financial literacy, school supplies, before and after school activities, Summer education programs etc.)
Income, Infrastructure & Asset Development (including financial coaching and counseling, home-buyer counseling, small business start-up and development counseling and classes, child support payments, health issues, TANF, SNAP, micro-loans, business development loans etc.)
Housing (including financial coaching and counseling, rent payments, mortgage payments, deposit payments, utility payments, transitional housing placement, home repairs, weatherization services etc.)
Health and Social/Behavioral Development (including immunizations, physicals, vision and dental screenings, prescription payments, doctor visit payments, maternal/child healthcare, family planning classes, wellness classes, mental health assessments and counseling, domestic violence programs, substance abuse programs, prepared meals, parenting classes etc.)
Multiple Domains (including transportation (bus passes, auto purchase, repair), identification documents (birth certificate, driver’s license), child and elder care, immigration support services, legal assistance etc.)
Civic Engagement and Community Involvement (including voter education and access, leadership training, citizenship classes, volunteer training etc.)
6.Please list other services that you think would be beneficial in our county.
7.Have you applied for assistance from any agency within the last 2 years?  This could include government agencies, non-profit agencies, and faith-based agencies.

(If No, skip to Question #9 below)
8.If Yes to Question #7, please answer the following:
9.Do you feel there are adequate resources to assist low-income individuals in your area?
10.What types of services would assist you to become more self-sufficient?
11.What do you think El Paso County needs to do to provide a better life experience for you and your neighbors?