Community Services Survey - STAKEHOLDERS

DESCRIPTION OF ORGANIZATION

Mid Central Community Action, Inc. would like to obtain a wide range of opinions from various stakeholders regarding residents’ challenges and needs. You have been selected for this survey based on your organization’s knowledge of and experience with McLean and Livingston county residents. The information from this survey, along with other data being collected, will be used to determine the services and assistance the McLean and Livingston counties should provide to residents in the future. All survey responses will be kept confidential.

Question Title

* What is the name of your organization?

Question Title

* What is your position in the organization?

Question Title

* Which of the following best describes the organization?

Human/social service

Medical

Behavioral health

Education

Local government

Law enforcement

Judicial

Housing

Faith-based

Other (PLEASE SPECIFY)

Question Title

* Which geographic region does the organization serve?

All of McLean or Livingston County

Northern part of McLean or Livingston County

Southern part of McLean or Livingston County

A specific town(s)

Other (PLEASE SPECIFY)