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Community Survey

***This survey is completely confidential and voluntary. *** 

1.  This survey is to assess the needs and awareness of available resources for the Ontario County community.

2.  This 19 question survey has an average completion time of 3 minutes. 

3.  If you have any questions regarding this survey, contact Tracey at the Partnership for Ontario County at (585) 396-4554.

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* 1. What is your race? (Please select all that apply.)

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* 2. What is your ethnicity? (Please select all that apply.)

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* 3. What is your age?

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* 4. What is your gender identity?

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* 5. What is your sexual orientation?

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* 6. Do you live or work in Ontario County?

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* 7. What is your current Zip Code?

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* 8. What is the size of your household (those currently living in your home)?

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* 9. Are you a community member or a service provider (i.e. social worker, counselor, advocate, case manager, Ontario County employee, non-profit employee, etc.)?  You may choose multiple answers if applicable.

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* 10. What needs have you identified within your community? (check all that apply)

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* 11. Do you feel the services that are offered are adequate to meet your needs?

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* 12. How often have you interacted with social/human services in the last year on a personal level (such as law enforcement, county services, substance use services, crime victim advocacy, etc.)?

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* 13. How willing would you be to interact with or refer someone to a comprehensive community service liaison, which is someone who will connect folks to community services?

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* 14. Do you have a reliable source of transportation?

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* 15. If you answered “No,” or “Somewhat” to having a reliable source of transportation, how has a lack of transportation impacted your ability to receive services of any kind? (check all that apply)

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* 16. Are you aware of any already-existing resources/services in Ontario County? (ex:  domestic violence services, substance use services, employment, support groups, etc.)

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* 17. Are you aware of any already-existing emergency hotlines besides 911?

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* 18. How did you access this survey?

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* 19. Is there anything additional you would like us to know?

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