This survey should only take a few minutes to complete. Your responses will help Westbay better understand community needs, strengthen services, and continue providing support and hope to those we serve.

All responses are confidential, and your name is not required. Thank you for taking the time to share your input.

To help ensure accurate results, please answer every question. Surveys with unanswered questions may not be included in the final results.

Please select the answer that best applies to each question.

*1.What is your role in the community?(Required.)

Community Action Client/Low-Income Resident

Faith-Based Organization Representative

Private Sector Representative

Community Member

Community Organization/Partner

Educational Institution Faculty/Staff

Health Care Agency Representative

Board Member of Community Action Agency

Staff or Volunteer of Community Action Agency

Local Politician/Government/Public Sector Representative

*2.In which community do you live or represent?(Required.)

Warwick

West Warwick

East Greenwich

Coventry

Other (please specify)

*3.What is your gender?(Required.)

Male

Female

Prefer to self-describe

Prefer not to answer

*4.What is your age?(Required.)

Under 18

18-24

25-34

35-44

45-59

60-64

65-74

75+

*5.What is your race?(Required.)

American Indian or Alaska Native

Asian or Asian American

Black or African American

Native Hawaiian or other Pacific Islander

White

Multi-race

Other (please specify)

*6.What is your ethnicity?(Required.)

Hispanic, Latino, or Spanish origin

Not Hispanic, Latino, or Spanish origin

*7.What is your education level?(Required.)

Grades 0-8

Grades 9-12/Non-Graduate

High School Graduate/Equivalency Diploma

12th Grade + Some Post-Secondary Education

2- or 4- Year College Graduate

Graduate of Other Post-Secondary School

*8.What is your military status?(Required.)

Veteran

Active Military

None of the above

*9.EDUCATION is a problem in this area because: (select 3)(Required.)

Lack of affordable transportation to and from school

Children are not school ready

Lack of affordable, high-quality childcare

Lack of high school diploma/GED

Lack of post-secondary education, including vocational skills or college education

Lack of education resources in the community

Lack of certificate/degree programs offered locally

Other (please specify)

*10.EMPLOYMENT is a problem in this area because: (select 3)(Required.)

Lack of jobs with better pay and benefits

Lack of skills to obtain jobs

Lack of affordable transportation to and from job

Lack of affordable childcare during work hours

Lack of workforce readiness and employability skills

Lack of employment resources in the community

Lack of affordable adult daycare during work hours

Lack of jobs for ex-offenders reentering the workforce

Other (please specify)

*11.INCOME AND ASSET BUILDING is a problem in this area because: (select 2)(Required.)

Lack of financial education and budgeting skills

Lack of free financial counseling resources/services

Lack of use of Earned Income Tax Credit

Lack of available mainstream financial resources (banking, etc.)

Other (please specify)

*12.HEALTH is a concern in this area because: (select 3)(Required.)

Lack of community focus on preventive healthcare

Lack of affordable transportation to health care services, grocery stores, and/or food pantries

Lack of income to pay for adult dental, hearing and/or vision services

Lack of affordable comprehensive (or primary) health care services

Lack of health resources in the community

Lack of nutrition education

Lack of resources for victims of elderly abuse

Lack of resources for victims of domestic violence

Other (please specify)

*13.HOUSING is a problem in this area because: (select 3)(Required.)

Families need housing they can afford/lack of affordable housing

Lack of enough subsidized housing

High cost of rent/utility deposits

Families need housing repairs that reduce energy cost

Lack of income-based rental housing for seniors and people with disabilities

Lack of community supports for homeless families

Lack of available housing for ex-offenders

Other (please specify)

*14.CIVIC ENGAGEMENT is a problem in this area because: (select 3)(Required.)

Lack of leadership development for volunteer and civic engagement activities for seniors

Lack of leadership development for volunteer and civic engagement for youth

Lack of citizenship classes

Lack of information about how to join neighborhood associations, community boards, advisory groups or similar organizations

Lack of youth programs/activities

Other (please specify)

*15.Support Services / Emergency Supports - Mark the three (3) most important services needed in this area:(Required.)

Child Support Referrals

Legal Services

Youth Programs

In-home Services

Meal Programs

Life Skills (budgeting/bill paying)

Substance Use Resources

Senior Services

Sexual/Emotional/Physical Abuse Services

Transportation Services

Services for People with Disabilities

Senior Centers

Disaster Recovery Services

Emergency Financial Assistance Services

Other (please specify)

*16.Based on the items you selected above, please mark the TOP THREE (3) MAIN CATEGORIES you feel are the biggest needs or concerns in your community:(Required.)

Employment

Education

Income and Asset Building

Housing

Health

Civic Engagement

Support Services / Emergency Supports or Services

*17.What do you think is the most important reason you or your community needs Community Action?(Required.)