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Community and Partnership Resource Survey
1.
What county do you work or live in?
Boone
Kanawha
Putnam
2.
Which area do you feel needs most support in your county?
Transportation
Access to income-based housing
Access to health care
Access to child care
Food Services- Food Pantries
Social Service groups or groups that help with financial hardship
3.
How many times in the last month did you feel you could not seek work or health care due to transportation issues?
0 times
1-5 times
more than 5 times
4.
How many times in the last month did you feel you could not make it to work or health care due to a lack of child care?
0 times
0-5 times
more than 5 times
5.
How many times in the past month did you feel you could not access health care in your area due to limited Health Care facilities / options
0 times
0-5 times
More than 5 times
6.
How many times in the past month did you feel that you did not have enough food and could not find a pantry to provide food support?
0 times
0-5 times
More than 5 times
7.
Have you faced homelessness in the past month due to lack of housing options in your area?
Yes
No
8.
Do you know how to check eligibility for services such as WIC, SNAP, WV Medicaid in your county?
Yes
No
9.
Do you feel like there are supports in your area to address the importance in infants and toddlers meeting their milestones ( Walking, talking, gripping etc)
not at all
somewhat
There are good support programs that are well known and accessible in my area.
No comment
10.
Which way would be the best way to reach community members with information about community resources in your county?
Facebook
Newspaper
Flyers at the post office
Emails
11.
Would you like to be added to an email list for your county's Family Resource Network that shares resources and collaborates with other groups.
Yes
No
12.
Please enter your zip code
13.
Please enter your email: