Community Needs Assessment

1.What County do you live in? 
2.What is your role in the community? 
3.Thinking about education, which of the following resources are either adequate, inadequate or not available to you in your community. Please rate your need.
Adequate
Inadequate
Not Available 
Parenting Skills
Vocational / Education / Certificates 
Affordable Childcare during class time
Financial Aid for School
Adult education / GED Classes
Nutrition / Health Education
Parent Involvement
Adult Literacy Skills Training
Affordable Transportation to School
Affordable Class Tutoring 
4.Thinking about health services, which of the following resources are either adequate, inadequate or not available to you in your community. Please rate.
Adequate
Inadequate
Not available
Caregivers for senior citizens
Child care
Access to health care
Enough food to eat to get through the month 
Health insurance coverage 
Dental Insurance
Help with applying for services and programs
Caregivers for children with disabilities
Community health prevention services
Vision insurance coverage
5.Thinking about housing, which of the following resources are either adequate, inadequate or not available to you in your community. Please rate.
Adequate 
Inadequate
Not Available
Affordable housing
Home repair
Removal / repair of vacant / condemned properties
Homeless shelters and services
Help with rent deposits or moving costs
Emergency shelter
Grants to help reduce energy costs
Help with utility bills
Improve landlord / tenant communication 
6.Thinking about employment, which of the following resources are either, adequate, inadequate or not available to you in your community. Please rate.
Adequate
Inadequate
Not Available
Higher paying jobs
More jobs
On the job training 
Skill building classes
Getting word out about availability jobs
Help with starting a business
Application and interviewing skills training 
7.Thinking about enrichment which of the following resources are either inadequate or not available to you in your community?
Inadequate
Not available
Access to reliable internet
Teen (13-18) programs
Youth (5-12) programs
Community leadership skills
Support groups
Community involvement opportunities
Services for children with special needs
8.Thinking about transportation, which of the following resources are either inadequate or not available to you in your community?
Inadequate
Not Available
Lower gas prices
Affordable transportation opportunities
Additional bus routes and schedules
Affordable auto insurance
Assistance with auto repair and smog certification
Accommodate individuals with disabilities