Community Needs Assessment

In an effort to encourage community feedback, Proteus, Inc. is inviting community members to complete the attached survey and give offer opinions on needed services for their neighborhoods. The survey results will be used as a guide to help Proteus bring new services to communities.

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* 1. Which county do you reside in?

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* 2. Which best describes you?

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* 3. Age:

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* 4. Gender:

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* 5. Number of people in your home:

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* 6. Total Annual Household Income:

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* 7. What is your current employment status?

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* 8. What is your highest education level?

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* 9. Sources of Income:

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* 10. Marital Status:

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* 11. Housing Status:

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* 12. Household arrangement:

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* 13. Do you have health insurance?

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* 14. Have you or anyone in your family utilized any of the following Proteus programs? Check all that apply:

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* 15. Rate your satisfaction with the following community programs:

  Satisfied Neutral Unsatisfied N/A
On-the-job training
DACA
Drought services
Healthcare
Transportation
Childcare
Public Safety
Vocational training
Employment services
Government assistance
Youth services
Mental health

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* 16. What causes do you feel prevent people from working?

  More likely Less likely
Reliable transportation to and from work
Lack of education
Lack of motivation
Lack of on-the-job training
Language barrier
Lack of skills
Daycare expenses
Discrimination
Criminal background
Mental health issues
Single parent households without family support

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* 17. Which of the following services would you like to see MORE in your community?

  High Priority Low Priority Not Needed
Job training programs
Drought emergency services
Affordable care act information
Daycare
Tutoring for students
Drug & alcohol addiction services
Obesity prevention
Immigration reform
Gang prevention
Career & leadership for youth
Short term trainings
Pregnancy prevention
Mental health
Homelessness
Domestic violence
Youth summer jobs
Business advice
Employment assistance

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