* 1. What Village are you near?

* 2. Age

* 3. Housing 

* 4. Does your household have enough food for every member of the family to have 3 meals per day?

* 5. Do you need childcare? 

* 6. If yes, do you have access to adequate child care?

* 7. Do you have problems paying your utilities such as gas, water, and electric?

* 8. Do you miss school, work, or medical appointments or community events due to a lack of transportation?

* 9. Are you aware of the Perry County 2-1-1 Information Line?

* 10. What is the most needed resource in your area?

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