Community Needs Assessment

We are a newly formed nonprofit committed to helping individuals and families reach their God-given potential - socially, economically, and spiritually. To accomplish this, we need to know the community and its needs. Can you help us by completing the following questions?

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* 1. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 2. Which of the following best describes your current relationship status?

Married

Widowed

Divorced

Separated

Single, but cohabiting with a significant other

Single, never married

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* 3. On a scale from 1 (very Low) to 5 (very high), please rate you view of the following as NEEDS in your community.

	1 - Very low	2	3 - Not sure	4	5 - Very high
Vocational training programs for gainful employment	Vocational training programs for gainful employment 1 - Very low	Vocational training programs for gainful employment 2	Vocational training programs for gainful employment 3 - Not sure	Vocational training programs for gainful employment 4	Vocational training programs for gainful employment 5 - Very high
Adult daycare and respite programs	Adult daycare and respite programs 1 - Very low	Adult daycare and respite programs 2	Adult daycare and respite programs 3 - Not sure	Adult daycare and respite programs 4	Adult daycare and respite programs 5 - Very high
Affordable childcare for lower income families	Affordable childcare for lower income families 1 - Very low	Affordable childcare for lower income families 2	Affordable childcare for lower income families 3 - Not sure	Affordable childcare for lower income families 4	Affordable childcare for lower income families 5 - Very high
Parenting and life skills training	Parenting and life skills training 1 - Very low	Parenting and life skills training 2	Parenting and life skills training 3 - Not sure	Parenting and life skills training 4	Parenting and life skills training 5 - Very high
Affordable home ownership programs	Affordable home ownership programs 1 - Very low	Affordable home ownership programs 2	Affordable home ownership programs 3 - Not sure	Affordable home ownership programs 4	Affordable home ownership programs 5 - Very high

Community Needs Assessment

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* 1. What is your age?

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* 2. Which of the following best describes your current relationship status?

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* 3. On a scale from 1 (very Low) to 5 (very high), please rate you view of the following as NEEDS in your community.

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* 4. If not listed in the previous question, what do you view as the highest need in your community?

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* 5. Will you please share your zip code with us?

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* 6. If you would like to keep up to date with our progress, please provide us with your email address.