Copy of Wayne County Action Program, Inc. - Wayne Household Survey - 2018

Thank you for taking part in this Community Survey!

Wayne County Action Program, Inc. is required by the NYS Department of State to conduct a comprehensive Community Needs Assessment every three years. Your responses are completely confidential and the results of this survey will be posted on our agency website early in in 2019, at www.waynecap.org. If you have any questions, please don't hesitate to call us at 315-665-0131. Thanks for taking the time to share your thoughts with us!

Question Title

* 1. With which town are you most closely associated?

Butler

Galen

Huron

Lyons

Macedon

Marion

Newark

Ontario

Palmyra

Rose

Savannah

Sodus

Walworth

Williamson

Wolcott

Question Title

* 2. Please check the choices that most closely describes your household

	Age	Ethnicity	Income	Education Level	Owns a Vehicle	health insurance
Head of Household	Head of Household Age menu	Head of Household Ethnicity menu	Head of Household Income menu	Head of Household Education Level menu	Head of Household Owns a Vehicle menu	Head of Household health insurance menu
Spouse or Significant Other	Spouse or Significant Other Age menu	Spouse or Significant Other Ethnicity menu	Spouse or Significant Other Income menu	Spouse or Significant Other Education Level menu	Spouse or Significant Other Owns a Vehicle menu	Spouse or Significant Other health insurance menu
Dependent Child #1	Dependent Child #1 Age menu	Dependent Child #1 Ethnicity menu	Dependent Child #1 Income menu	Dependent Child #1 Education Level menu	Dependent Child #1 Owns a Vehicle menu	Dependent Child #1 health insurance menu
Dependent Child #2	Dependent Child #2 Age menu	Dependent Child #2 Ethnicity menu	Dependent Child #2 Income menu	Dependent Child #2 Education Level menu	Dependent Child #2 Owns a Vehicle menu	Dependent Child #2 health insurance menu
Dependent Child #3	Dependent Child #3 Age menu	Dependent Child #3 Ethnicity menu	Dependent Child #3 Income menu	Dependent Child #3 Education Level menu	Dependent Child #3 Owns a Vehicle menu	Dependent Child #3 health insurance menu
Dependent Child #4	Dependent Child #4 Age menu	Dependent Child #4 Ethnicity menu	Dependent Child #4 Income menu	Dependent Child #4 Education Level menu	Dependent Child #4 Owns a Vehicle menu	Dependent Child #4 health insurance menu
Dependent Child #5	Dependent Child #5 Age menu	Dependent Child #5 Ethnicity menu	Dependent Child #5 Income menu	Dependent Child #5 Education Level menu	Dependent Child #5 Owns a Vehicle menu	Dependent Child #5 health insurance menu
Dependent Child #6	Dependent Child #6 Age menu	Dependent Child #6 Ethnicity menu	Dependent Child #6 Income menu	Dependent Child #6 Education Level menu	Dependent Child #6 Owns a Vehicle menu	Dependent Child #6 health insurance menu
Other Adult in household	Other Adult in household Age menu	Other Adult in household Ethnicity menu	Other Adult in household Income menu	Other Adult in household Education Level menu	Other Adult in household Owns a Vehicle menu	Other Adult in household health insurance menu