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2026/2027 Community Survey

2026/2027 Community Survey

This survey is for anyone in our community. Whether you have used services from ERBA before or not. Your answers help us understand what people in our community need and how we can better support individuals and families.
IMPORTANT: This survey is for information only. It is not an application for services. If you need assistance, please contact the ERBA Outreach Office serving your county directly.
Participation is completely voluntary. You may stop at any time.
Your answers are anonymous and will only be used to improve services.
Completing this survey will not affect your eligibility for services.
How to Complete This Survey
For each section, check all boxes that apply to you are anyone in your household at this moment.
About You
1. What county do you currently live in? (Write county name below)
2. What is your Zip Code? (Write Zip Code below)
3. What is your race or racial identity? (Select the option (s) that best describe you)
4. Do you identify as Hispanic or Latino/a/e? (Select one)
5. What is your sex? (Select one)
6. What is your age?
7. How many people live in your household? (Write the number of people in each category below)
8. What languages are spoken in your household? (Select all that apply)
9. What is your household's annual gross income (before taxes)? (Include all sources- wages, Social Security, unemployment, and any other income)