Community Needs Assessment Survey - Board/Public or Elected Officials/Stakeholders/Community Partner

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* 1. Which best describes you and your relationship with Tri-County Community Action Agency, Inc. (TCCAA)?

TCCAA Board Member

Elected/Public Official

Law Enforcement Personnel

Teacher/Educator

Business Community

Faith Based Organization

Community Partner

Other (please specify)

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* 2. What county do you represent?

Harrison

Jasper

Newton

Panola

Sabine

San Augustine

Shelby

Tyler

Upshur

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* 3. What is the name of your agency?

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* 4. What services and resources does your agency offer?

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* 5. From your observation in the last year, please choose the answer that best describe the following:

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* 6. In your opinion, what are the strengths in your local community

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* 7. What do you believe to be the major challenges and issues facing your local community?

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* 8. In your opinion, what are the strengths of Head Start program?

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* 9. In your opinion, what are the strengths of the Tri-County's Community Services program?

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* 10. What is your dream for your community?

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* 11. If you could change any in regards to where you live or work, what would it be?

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* 12. Please provide any suggestions or ideals that will assist us in making programming decisions to better serve the individuals, children, and families in our communities.

	Increase	Decrease	No Change	Don't Know
Number of low-income individuals or families contacting your agency	Number of low-income individuals or families contacting your agency Increase	Number of low-income individuals or families contacting your agency Decrease	Number of low-income individuals or families contacting your agency No Change	Number of low-income individuals or families contacting your agency Don't Know
Number of individuals or families over the income guidelines	Number of individuals or families over the income guidelines Increase	Number of individuals or families over the income guidelines Decrease	Number of individuals or families over the income guidelines No Change	Number of individuals or families over the income guidelines Don't Know
Need for licensed childcare or early childhood education providers	Need for licensed childcare or early childhood education providers Increase	Need for licensed childcare or early childhood education providers Decrease	Need for licensed childcare or early childhood education providers No Change	Need for licensed childcare or early childhood education providers Don't Know
Job availability in your local community	Job availability in your local community Increase	Job availability in your local community Decrease	Job availability in your local community No Change	Job availability in your local community Don't Know
Number of families with an incarcerated parent or adult	Number of families with an incarcerated parent or adult Increase	Number of families with an incarcerated parent or adult Decrease	Number of families with an incarcerated parent or adult No Change	Number of families with an incarcerated parent or adult Don't Know
Number of teen parents	Number of teen parents Increase	Number of teen parents Decrease	Number of teen parents No Change	Number of teen parents Don't Know
Number of grandparents as the primary caregiver	Number of grandparents as the primary caregiver Increase	Number of grandparents as the primary caregiver Decrease	Number of grandparents as the primary caregiver No Change	Number of grandparents as the primary caregiver Don't Know
Number of children with autism or a severe disability	Number of children with autism or a severe disability Increase	Number of children with autism or a severe disability Decrease	Number of children with autism or a severe disability No Change	Number of children with autism or a severe disability Don't Know
Number of children with health issues	Number of children with health issues Increase	Number of children with health issues Decrease	Number of children with health issues No Change	Number of children with health issues Don't Know
Number of adults with nutrition issues	Number of adults with nutrition issues Increase	Number of adults with nutrition issues Decrease	Number of adults with nutrition issues No Change	Number of adults with nutrition issues Don't Know
Number of adults with mental health issues	Number of adults with mental health issues Increase	Number of adults with mental health issues Decrease	Number of adults with mental health issues No Change	Number of adults with mental health issues Don't Know
Number of individuals or families with social service needs	Number of individuals or families with social service needs Increase	Number of individuals or families with social service needs Decrease	Number of individuals or families with social service needs No Change	Number of individuals or families with social service needs Don't Know
Number of homeless individuals/families in the local community	Number of homeless individuals/families in the local community Increase	Number of homeless individuals/families in the local community Decrease	Number of homeless individuals/families in the local community No Change	Number of homeless individuals/families in the local community Don't Know
Number of veterans requesting/needing services	Number of veterans requesting/needing services Increase	Number of veterans requesting/needing services Decrease	Number of veterans requesting/needing services No Change	Number of veterans requesting/needing services Don't Know
Number of individuals seeking assistance for drug misuse/abuse	Number of individuals seeking assistance for drug misuse/abuse Increase	Number of individuals seeking assistance for drug misuse/abuse Decrease	Number of individuals seeking assistance for drug misuse/abuse No Change	Number of individuals seeking assistance for drug misuse/abuse Don't Know
Number of non-English speaking individuals and families	Number of non-English speaking individuals and families Increase	Number of non-English speaking individuals and families Decrease	Number of non-English speaking individuals and families No Change	Number of non-English speaking individuals and families Don't Know
Number of diverse ethnic groups in the local community	Number of diverse ethnic groups in the local community Increase	Number of diverse ethnic groups in the local community Decrease	Number of diverse ethnic groups in the local community No Change	Number of diverse ethnic groups in the local community Don't Know
Number of individuals needing transportation	Number of individuals needing transportation Increase	Number of individuals needing transportation Decrease	Number of individuals needing transportation No Change	Number of individuals needing transportation Don't Know
Available and accessible modes of transportation	Available and accessible modes of transportation Increase	Available and accessible modes of transportation Decrease	Available and accessible modes of transportation No Change	Available and accessible modes of transportation Don't Know
Number of families that provide transportation to/from Head Start centers	Number of families that provide transportation to/from Head Start centers Increase	Number of families that provide transportation to/from Head Start centers Decrease	Number of families that provide transportation to/from Head Start centers No Change	Number of families that provide transportation to/from Head Start centers Don't Know