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
 
 

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1. Where do you live?

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2. What is your age?

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3. What is your gender, as you define yourself?

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4. Which most accurately portrays your race? (Please check one)

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5. Are you Hispanic/Latino?

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6. What is your household’s yearly income before taxes?

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7. How many people are in your household including yourself?

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8. How many people in your household are:

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9. What is your highest level of education?

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10. What is your employment status?

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11. Do you need transportation to get to: 

(Check all that apply)

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12. What transportation is available to you now?

(Check all that apply)

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13. What's preventing you from getting where you need to go?

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14. Are you getting housing assistance? (e.g. Section 8, subsidized housing, RAFT)

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15. How much do you pay each month for your rent or mortgage?

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16. Have you been late once or more with your rent or mortgage payment in the last year?

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17. Regarding childcare, check all that apply:

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18. Does anyone in your household access mental health or addiction support services? (e.g. Brien Center, ICP, CSO)

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19. What is your health care status?

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20. Does anyone in your household access adult basic education services? (e.g. ESOL, HiSet or GED, Adult Basic Education)

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21. Does anyone in your household access adult higher education services? (e.g. college, post-secondary school, professional certifications)

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22. How many adults living in your household are currently employed?

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23. To meet my needs:

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24. Do you need access to job training to get a job or a better job?

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25. In the past 12 months, did you receive any government assistance? (SNAP, TANF, SSI, etc)

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26. Are you living paycheck to paycheck?

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27. At any time during the past year did you have trouble putting food on the table?

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28. Over the past year have you received any services from BCAC?

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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.

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30. What is your age?

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31. What do you think are the top needs impacting people in your community?

Please Check ALL that apply!

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32. Compared to before the COVID-19 pandemic, are you and your family better off, worse off, or about the same?

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33. Are you able to pay your bills on time each month?

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34. Do you currently have at least $500 set aside for emergencies?

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35. What keeps you or your family from feeling more financially stable?

Check ALL that apply:

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36. Do you have any other comments, questions, or concerns?

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