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!

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* 1. This survey is open to El Paso County residents, only. Are you a resident of EPC?

Yes

Please provide your zip code.

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* 2. What is your annual household gross income?

Up to $10,000

10,001 to 20,000

20,001 to 30,000

30,001 to 40,000

40,001 to 50,000

50,001 to 60,000

Over 60,000

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* 3. How many people live in your household, including yourself?

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* 4. How many people in your household are:

American Indian

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Multiracial

Hispanic, Latino, or Spanish Origin

Other race or ethnicity

Prefer not to answer

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* 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.)	Employment (including skills training, career counseling, resume development, interview training, job placement etc.) Not Needed	Employment (including skills training, career counseling, resume development, interview training, job placement etc.) Rarely Needed	Employment (including skills training, career counseling, resume development, interview training, job placement etc.) Needed	Employment (including skills training, career counseling, resume development, interview training, job placement etc.) Very Needed
Education & Cognitive Development (including Head Start, K-12 support services, financial literacy, school supplies, before and after school activities, Summer education programs etc.)	Education & Cognitive Development (including Head Start, K-12 support services, financial literacy, school supplies, before and after school activities, Summer education programs etc.) Not Needed	Education & Cognitive Development (including Head Start, K-12 support services, financial literacy, school supplies, before and after school activities, Summer education programs etc.) Rarely Needed	Education & Cognitive Development (including Head Start, K-12 support services, financial literacy, school supplies, before and after school activities, Summer education programs etc.) Needed	Education & Cognitive Development (including Head Start, K-12 support services, financial literacy, school supplies, before and after school activities, Summer education programs etc.) Very Needed
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.)	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.) Not Needed	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.) Rarely Needed	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.) Needed	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.) Very Needed
Housing (including financial coaching and counseling, rent payments, mortgage payments, deposit payments, utility payments, transitional housing placement, home repairs, weatherization services etc.)	Housing (including financial coaching and counseling, rent payments, mortgage payments, deposit payments, utility payments, transitional housing placement, home repairs, weatherization services etc.) Not Needed	Housing (including financial coaching and counseling, rent payments, mortgage payments, deposit payments, utility payments, transitional housing placement, home repairs, weatherization services etc.) Rarely Needed	Housing (including financial coaching and counseling, rent payments, mortgage payments, deposit payments, utility payments, transitional housing placement, home repairs, weatherization services etc.) Needed	Housing (including financial coaching and counseling, rent payments, mortgage payments, deposit payments, utility payments, transitional housing placement, home repairs, weatherization services etc.) Very Needed
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.)	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.) Not Needed	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.) Rarely Needed	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.) Needed	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.) Very Needed
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.)	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.) Not Needed	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.) Rarely Needed	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.) Needed	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.) Very Needed
Civic Engagement and Community Involvement (including voter education and access, leadership training, citizenship classes, volunteer training etc.)	Civic Engagement and Community Involvement (including voter education and access, leadership training, citizenship classes, volunteer training etc.) Not Needed	Civic Engagement and Community Involvement (including voter education and access, leadership training, citizenship classes, volunteer training etc.) Rarely Needed	Civic Engagement and Community Involvement (including voter education and access, leadership training, citizenship classes, volunteer training etc.) Needed	Civic Engagement and Community Involvement (including voter education and access, leadership training, citizenship classes, volunteer training etc.) Very Needed

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* 6. Please list other services that you think would be beneficial in our county.

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* 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)

Yes

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* 8. If Yes to Question #7, please answer the following:

Did you receive the services for which you applied?

If not, please provide the reason(s) you were given for not receiving services:

If yes, what type of assistance did you receive? Food, financial, educational, housing, etc.

What barriers have you faced when attempting to access services?

With which agencies have you worked?

Did the services received provide long term or short term assistance?

Where you satisfied with the service you received?

What could have been better?

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* 9. Do you feel there are adequate resources to assist low-income individuals in your area?

Yes

CSBG Funding Survey

Question Title

* 1. This survey is open to El Paso County residents, only. Are you a resident of EPC?

Question Title

* 2. What is your annual household gross income?

Question Title

* 3. How many people live in your household, including yourself?

Question Title

* 4. How many people in your household are:

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* 5. Please rate the following services based on the level of need in El Paso County?

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* 6. Please list other services that you think would be beneficial in our county.

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* 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)

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* 8. If Yes to Question #7, please answer the following:

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* 9. Do you feel there are adequate resources to assist low-income individuals in your area?

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* 10. What types of services would assist you to become more self-sufficient?

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* 11. What do you think El Paso County needs to do to provide a better life experience for you and your neighbors?

CSBG Funding Survey

Question Title

* 1. This survey is open to El Paso County residents, only. Are you a resident of EPC?

Question Title

* 2. What is your annual household gross income?

Question Title

* 3. How many people live in your household, including yourself?

Question Title

* 4. How many people in your household are:

Question Title

* 5. Please rate the following services based on the level of need in El Paso County?

Question Title

* 6. Please list other services that you think would be beneficial in our county.

Question Title

* 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)

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* 8. If Yes to Question #7, please answer the following:

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* 9. Do you feel there are adequate resources to assist low-income individuals in your area?

Question Title

* 10. What types of services would assist you to become more self-sufficient?

Question Title

* 11. What do you think El Paso County needs to do to provide a better life experience for you and your neighbors?

* 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)