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Community Needs Survey 2022-2023
Please note the responses are confidential
Your responses will be used to help BCAC design or modify our programs to better meet your needs and the future needs of our community
1.
Where do you live?
Town/City
ZIP Code
2.
What is your age?
3.
What is your gender, as you define yourself?
Male
Female
Non-binary
Other (write in how you self-identify if desired)
4.
Which most accurately portrays your race? (Please check one)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Multiracial
5.
Are you Hispanic/Latino?
Yes
No
6.
What is your household’s yearly income before taxes?
Less than $10,000
$10,000-$14,999
$15,000-$24,999
$25,000-$34,999
$35,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$149,999
$150,000-$199,999
$200,000 or more
7.
How many people are in your household
including yourself?
0-17 years old
18 years or older
8.
How many people in your household are:
Under 5 years old
5-9 years old
10-14 years old
15-19 years old
20-24 years old
25-29 years old
30-34 years old
35-39 years old
40-44 years old
45-49 years old
50-54 years old
55-59 years old
60-64 years old
65-69 years old
70-74 years old
75-79 years old
80-84 years old
85+ years old
9.
What is your highest level of education?
Less than 9th grade
Some high school
High school graduate or GED
Some college, no degree
Associate's Degree
Bachelor's Degree
Graduate Degree
10.
What is your employment status?
Full time
Part time
Seasonal
Not working, retired
Not working, unemployed
Not working, disabled
11.
Do you need transportation to get to:
(Check all that apply)
Work
School
Medical Care
Other (please specify)
12.
What transportation is available to you now?
(Check all that apply)
Bus
Family/Friends
I have a car
Taxi
Walk/Bike
13.
What's preventing you from getting where you need to go?
14.
Are you getting housing assistance? (e.g. Section 8, subsidized housing, RAFT)
Yes
No
15.
How much do you pay each month for your rent or mortgage?
16.
Have you been late once or more with your rent or mortgage payment in the last year?
Yes
No
17.
Regarding childcare, check all that apply:
I receive a voucher for daycare/preschool
Family/Friends care for my children
I pay for daycare/preschool for my children
I don't have children under 16
18.
Does anyone in your household access mental health or addiction support services? (e.g. Brien Center, ICP, CSO)
Yes
No
Need services, but cannot find
Need services, but cannot afford
Household member refuses care
On a waiting list
19.
What is your health care status?
I am on Mass Health
I am on Medicaid
I am on Medicare
I have private health insurance
I pay for care without insurance
I do not access health care because costs are too high
20.
Does anyone in your household access adult basic education services? (e.g. ESOL, HiSet or GED, Adult Basic Education)
Yes
No
If not, why?
21.
Does anyone in your household access adult higher education services? (e.g. college, post-secondary school, professional certifications)
Yes
No
If not, why?
22.
How many adults living in your household are currently employed?
23.
To meet my needs:
I have to work a full time job
I have to work more than one full time job
Me and my spouse/partner both have to work full time
I have to work two or more part time jobs
I have to work a part time job
I do not need to work
24.
Do you need access to job training to get a job or a better job?
Yes
No
If you answered yes, what type of training would be most beneficial?
25.
In the past 12 months, did you receive any government assistance? (SNAP, TANF, SSI, etc)
Yes
No
26.
Are you living paycheck to paycheck?
Yes
No
27.
At any time during the past year did you have trouble putting food on the table?
Yes
No
28.
Over the past year have you received any services from BCAC?
Yes
No
29.
What is your household's monthly income before taxes?
Include:
Wages, TANF, Social Security, Disability Benefits, etc.
Do not Include:
Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.
Under $2,000/month (or under $24,000/year)
$2,000-$4,000/month (or $24,000-$48,000/year)
$4,001-$6,000/month (or $48,001-$72,000/year)
Over $6,000/month (or over $72,000/year)
30.
What is your age?
Under 18
18-24
25-44
45-64
65 and older
31.
What do you think are the top needs impacting people in your community?
Please Check ALL that apply!
Child care
After school / summer programs for children and youth
Jobs
English classes
Training or education to get a job or better job
Elder services
Affordable housing
Ability to pay heating or utility bills
Access to food
Health insurance
Mental health services
Drug and alcohol services
Domestic violence services
Safer neighborhood
Transportation
Ability to budget
Legal assistance
Need for clothing
Financial emergencies
Immigration issues
Discrimination issues
Access to technology / internet
32.
Compared to before the COVID-19 pandemic, are you and your family better off, worse off, or about the same?
Better off
Worse off
About the same
33.
Are you able to pay your bills on time each month?
Yes
No
Unsure
34.
Do you currently have at least $500 set aside for emergencies?
Yes
No
Unsure
35.
What keeps you or your family from feeling more financially stable?
Check ALL that apply:
I work full-time but my pay doesn’t cover my expenses.
I can only find part-time work.
I can’t find a job.
I need more education or training to get work or better work.
Child care is too expensive and/or interferes with my ability to work.
My living expenses (rent/mortgage, heat, food) are too high.
I can’t find housing that I can afford.
I’ve had a lot of medical expenses that weren’t covered by my insurance.
I don’t have reliable transportation.
I am on a fixed income (Social Security, pension, etc.), and my income is limited.
I lost eligibility for benefits (i.e., SNAP, MassHealth, DTA)
Someone in my household is spending money on things we don’t need, so there isn’t enough left for other expenses.
Someone else controls the money and makes decisions I don’t agree with.
I or a family member am struggling with addiction.
I or a family member am struggling with mental health issues.
I don’t feel safe in my home.
I don’t feel safe in my community.
Not applicable
Other (please specify)
36.
Do you have any other comments, questions, or concerns?
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