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Shore Up Community Partner Survey
1.
What is your agency's name?
2.
What is your name?
3.
Please select the choice that best describes your organization:
Nonprofit sector
Local government
Private sector
Other
Other (please specify)
4.
In what county do you provide services? (please check all that apply)
Dorchester
Kent
Queen Anne's
Somerset
Talbot
Wicomico
Worchester
Other (please specify)
5.
Please mark any poverty related services your organization provides (check all that apply):
Emergency food, clothing
Temporary shelter
Service information and referral
Health services (physical/dental)
Employment and/or job training
Housing assistance
Childcare
Preschool
Basic assistance (financial assistance, SNAP, TANF)
Transportation
Economic/Community Development
Education (K-12, vocational, post high school)
Mental Health
Family support services
Domestic violence
Legal aid
Other (please specify)
6.
In your opinion, what are three issues that impact families that live in poverty the most?
Issue 1:
Issue 2:
Issue 3:
7.
What services are missing in your community that could address these issues?
8.
Have you had to eliminate or reduce services in the past year due to reduced funding (excluding reducing services due to the coronavirus pandemic)?
Yes
No
9.
How do you think the need for services in your community might change after the coronavirus pandemic?
10.
Have you added to the slate of services that you provide in the past year?
Yes
No
11.
Have you had to eliminate positions in your agency in the past year due to changes in the availability or need for certain services?
Yes
No
12.
Has your organization collaborated on joint projects or provided services jointly with other agency partners in the past year?
Yes
No
13.
In your opinion, what are the strengths among agencies in your community?
14.
Has your program experienced any barriers to collaborating with partners?
Yes
No
15.
If so, please describe.
16.
Has quality affordable housing service needs changed in the past year?
Increased
No Change
Decreased
17.
Has there been a change in the need for employment opportunities that pay a living wage in the past year?
Increased
No Change
Decreased
18.
How do you think the coronavirus pandemic will impact employment in your area?
19.
Have childcare service needs changed in the past year?
Increased
No Change
Decreased
20.
Have teen pregnancy program service needs changed in the past year?
Increased
No Change
Decreased
21.
Have mental health service needs changed in the past year?
Increased
No Change
Decreased
22.
Have children's mental health service needs changed in the past year?
Increased
No Change
Decreased
23.
Have prenatal education services changed in the past year?
Increased
No Change
Decreased
24.
Have job training service needs changed in the past year?
Increased
No Change
Decreased
25.
Have basic assistance (SNAP, WIC, TANF) needs changed in the past year?
Increased
No Change
Decreased
26.
Have financial literacy service needs changed in the past year?
Increased
No Change
Decreased
27.
Have health and nutrition program service needs changed in the past year?
Increased
No Change
Decreased
28.
Have any other service needs changed in the past year?
29.
What are the gaps in services in your community?
30.
What are three of your community's strengths?
Strength 1:
Strength 2:
Strength 3:
Current Progress,
0 of 30 answered