The following anonymous survey is sponsored by TEAM - we are in the process of planning how we can best serve individuals and families over the next 4 years.

To help this process, TEAM would like to hear from you. It will take you between 10 and 15 minutes to complete these multiple choice questions.

To say thank you for taking the time to complete this survey, we will be holding a raffle for a $100 gift card to a local grocery store. The winner will be drawing at the beginning of March 2020. To enter the raffle, please type your name and contact information below.

Your contact information will only be used to contact you if you are the raffle winner.

Thank you for your time and valued input.

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* 1. How much would you agree that finding or keeping a good paying job is an issue for you?

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* 2. How much would you agree that finding or keeping a good paying job is an issue for others in your community?

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* 3. Please identify what you believe are the top 4 reasons you or those you know have not been able to find a job.

  Biggest reason 2nd biggest reason 3rd biggest reason 4th biggest reason
Don't have the right skills or education
There's not enough places to go to get trained for the jobs that are around
The good jobs aren't located anywhere near me or those I know
There's no reliable way (bus, car) to get to the good jobs
There's no one to take care of the kids
There's no jobs
Low wage jobs are not worth taking
I have a mark on my record (current or past) that keeps me from being hired
A reason not listed here

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* 4. How much of a challenge has getting affordable, safe housing been for you?

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* 5. How much do you believe getting affordable, safe housing is a challenge for others in your community?

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* 6. What do you believe the top 3 reasons you or someone you know has had trouble finding a place to live?

  Biggest reason 2nd biggest reason 3rd biggest reason
Rent/mortgage payments will be more than all my other monthly expenses combined
Utility (gas, electric, oil, etc.) payments will be too costly
Few places that are affordable have enough space for a bigger family
Available housing is in unsafe neighborhoods
I cannot afford the required security deposit
Bad credit history

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* 7. What is your understanding about whether there are services to assist you or someone you know if told they can't stay in their home or apartment and they have no money

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* 8. How much of a problem is transportation (getting to jobs, shopping, elsewhere) for you?

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* 9. How much of a problem do you believe transportation (getting to jobs, shopping, elsewhere) might be for other people in the community?

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* 10. What are the 3 main reasons you think transportation is a problem for you or those you know?

  Biggest reason 2nd biggest reason 3rd biggest reason
No car or money to buy a car and/or insure it
No driver's license
Have a car but it's broken and there's no money to fix it
Taxis and other public transportation are to expensive
Buses don't go to where I need to go or I'm not on the bus line
Buses go where I need to but their schedules aren't very good for getting to work or doctors etc.
A reason not listed

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* 11. How much of a problem is getting childcare for you or someone you know? If childcare was not a need or you had no difficulty getting a childcare provider, skip to question 16

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* 12. Please rank the top 3 reasons you or someone you know has had difficulty getting a childcare provider when one was needed.

  Biggest reason 2nd biggest reason

Couldn't find a person or place that was affordable
Couldn't find a person or place that was nearby
Couldn't find a person or place that took infant and 2-year olds
Couldn't find a provider that could prove it had quality program
Lack of an accessible route or transportation getting to and from center/caregiver
Caregiver hours conflict with my work schedule

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* 13. How much has accessing services for youth and adolescents been a problem for you?

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* 14. How much has accessing services for youth and adolescents been an issue for others in your community?

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* 15. What do you believe to be the 2 most important services most needed to support youth and adolescents?

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* 16. Please rank from the biggest to smallest the reasons why you believe youth and adolescents may not get services

  Biggest reason 2nd biggest reason 3rd biggest reason 4th biggest reason
Cost
Right fit (matches interest or need)
Transportation
There's a waiting list
Not aware of services

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* 17. Please say whether you think there's enough of the following services for seniors?

  There's enough of these services There could be more These services don't really exist I don't really know
Adult Day Care
Community programs
Getting support to stay in one's own home
Affordable home health care
Assisted living services
Transportation for seniors

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* 18. How accessible do you believe the Senior Center nearest to you is to seniors?

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* 19. How much of a problem do you believe elder abuse is in the community?

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* 20. How much of a problem has getting health care services been for you?

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* 21. How much of a problem has getting health care services been for someone you know?

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* 22. How much do you agree with the following statements?

  I very much agree I sort of agree I don't at all agree I don't know
Health care insurance is too expensive
Prescription medicines are too expensive
Most area doctors do not accept my insurance
Dental services are too expensive
Alcohol and drug treatment services are to expensive
There aren't enough alcohol and drug treatment services
Mental health services are too expensive
There aren't enough mental health services
Home health services are too expensive
Application process is too confusing

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* 23. Have you and/or your family struggled to have enough food to eat in the last 30 days?

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* 24. Are you aware of anyone who has struggled to have enough food to eat in the last 30 days?

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* 25. Which of the following reasons you or someone you know may not have had enough food to eat at least one day in the last three months?

  True False
There wasn't a food pantry in the neighborhood
The food pantry didn't have healthy food
Food stamps (SNAP) ran out before the end of the month
Income was too high to qualify for food stamps (SNAP)
Food was too expensive
Transportation

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* 26. What do you think about your food shopping options? Please check all that apply

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* 27. How true do you believe the following statments describe problems you or someone you know may have with money?

  Never true Sometimes true Always true
Job doesn't pay enough
Don't know how to budget or save
No savings or reserve cash
History of debt
Bad credit history

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* 28. How much do you know about the Earned Income Tax Credit?

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* 29. Below are many identified community needs withing TEAM's region - please select & rank (in order of importance what you believe to be the top 5 needs in your community:

  Most important 2nd most important 3rd most important 4th most important 5th most important
Employment Opportunities
Education & Training
Safe, Affordable Housing
Transportation
Child Care Access
Youth/Adolescent Services
Elderly Services
Healthcare Access
Food Access/Affordability

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* 30. How important has TEAM been in addressing my needs or the needs in my community?

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* 31. Please tell us your age.

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* 32. In which town do you live?

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* 33. Which of the following best describes your living arrangement?

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* 34. Regarding housing arrangements, do you:

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* 35. How many people (total adults & children live in your house/apartment?

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* 36. Which of the following looks most like your whole household's annual income?

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* 37. Check which ethnicity best describes you

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* 38. Check which race describes you

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* 39. Please check what best describes your highest level of education/school

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* 40. Please identify your gender.

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* 41. If you want to add more comments, you can do it in the box below. Otherwise, you are done. Thank you for your information and time in helping to inform TEAM!

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* 42. Would you like to provide your contact information?

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