What Village are you near?

Question Title

* 1. What Village are you near?

Age

Question Title

* 2. Age

Housing 

Question Title

* 3. Housing 

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

Question Title

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

Do you need childcare? 

Question Title

* 5. Do you need childcare? 

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

Question Title

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

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

Question Title

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

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

Question Title

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

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

Question Title

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

What is the most needed resource in your area?

Question Title

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

T