Community and Partnership Resource Survey

1.What county do you work or live in?
2.Which area do you feel needs most support in your county?
3.How many times in the last month did you feel you could not seek work or health care due to transportation issues?
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?
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
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?
7.Have you faced homelessness in the past month due to lack of housing options in your area?
8.Do you know how to check eligibility for services such as WIC, SNAP, WV Medicaid in your county?
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)
10.Which way would be the best way to reach community members with information about community resources in your county?
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.
12.Please enter your zip code
13.Please enter your email: