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Community Assessment Survey

Your input as a community leader will be used to devise new programs and form new partnerships to be able to create programs addressing areas of concern for counties and/or regions by University of Missouri Extension. Your response to this questionnaire should take about ten minutes (there are 17 questions and most require a sentence or two to answer) but your input is valuable and appreciated.

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* 1. Name of your Community

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* 2. County name

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* 3. What best describes your community role?

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* 4. How do you feel about your community? Why do you feel that way?

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* 5. What do you think or feel is working well in your community and why?

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* 6. What is not working as well as you would like in your community and what makes you feel that way?

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* 7. What kind of support would make a difference?

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* 8. What three things would you like to see happen in your community?

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* 9. How is your community doing in terms of meeting the needs of the citizens?

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* 10. What is the vision or plan for guiding the future development of the community?

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* 11. How does an average citizen get involved in the community?

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* 12. Do people step up to take leadership roles in civic organizations and government? If not, what do you think is preventing the community from developing that kind of support system?

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* 13. How well do people work together?

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* 14. Who are the local leaders in the community? How open are local leaders to new ideas? How often do leadership roles change or turn over?

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* 15. How does the local government respond to the needs of the community?

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* 16. What kind of projects are currently being developed and implemented in the community?

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* 17. What do you think are the most important issues to address in your community? Rank these suggestions in the order of most important to least important.

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