Which of the following best describes you? (Check all that apply)

Question Title

* 1. Which of the following best describes you? (Check all that apply)

Where are you currently employed?

Question Title

* 2. Where are you currently employed?

What is your position with your employer?

Question Title

* 3. What is your position with your employer?

What organization(s)/group(s) are you involved with in your community? Please provide the name below.

Question Title

* 4. What organization(s)/group(s) are you involved with in your community? Please provide the name below.

In what zip code do you reside? (enter the 5-digit zip code)

Question Title

* 5. In what zip code do you reside? (enter the 5-digit zip code)

What communities do you represent as a participant in this survey? (i.e., work, volunteer, civic, or other activities) Please list all communities. If county or area wide, please list the county.

Question Title

* 6. What communities do you represent as a participant in this survey? (i.e., work, volunteer, civic, or other activities) Please list all communities. If county or area wide, please list the county.

Please describe your awareness and knowledge of the needs or
conditions that exist in the community in which you live and/or work. The goal is to use your answers to determine what is most needed in your
community. Please answer following questions

Question Title

* 7. Please describe your awareness and knowledge of the needs or
conditions that exist in the community in which you live and/or work. The goal is to use your answers to determine what is most needed in your
community. Please answer following questions

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient-There is a great need for this resource 5
Helping Individuals Find Full and Part time Jobs
Employment that includes Benefits-Health/Dental, Retirement, Sick Leave
Job Interest Testing and Career Counseling
Help with Resume Writing and Interviewing Skills
Clothes to Wear for Interviewing and/ or On-the-Job Not Sufficient
Information and/or Loan to start a business 
Support to stay on the Job (i.e. Mentors, Employment Counselors, etc.)
Transportation to and from
Regarding the topic of EDUCATION as it relates to your community do
you believe there is sufficient amount of access and availability to
resources that can address the following items?

Question Title

* 8. Regarding the topic of EDUCATION as it relates to your community do
you believe there is sufficient amount of access and availability to
resources that can address the following items?

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient There is a great need for this resource 5
Basic Skills Training
GED/ABE
Computer Skills
English as a Second Language
High School Diploma
Special Trade/ Vocational Training
College Degree
Help Returning to College as an Older Student
Transportation To and From School (Post-Secondary and Vocational Schools
Help Obtaining Financial Aid to Attend College or Vocational Training School
Regarding the topic of FOOD AND NUTRITION  as it relates to your
community, do you believe there is a sufficient amount of access and
availability to resources that can address the following items?

Question Title

* 9. Regarding the topic of FOOD AND NUTRITION  as it relates to your
community, do you believe there is a sufficient amount of access and
availability to resources that can address the following items?

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient There is a great need for this resource 5
Access to a Well Balanced, Nutritious Meal
Tips on How to shop for and Prepare Well- Balanced Nutritious Meals with Limited Income
Access to Food Shelters/ Pantries
Help Obtaining Free or Reduced School Meals
Summer Lunch Programs
Assistance Applying for Food Stamps
Free Community Meals
Access to Grocery Stores
Transportation to Grocery Stores, Food Shelters/ Pantries
Regarding the topic of FINANCIAL AND LEGAL SERVICES  as it relates 
to your community, do you believe there is sufficient amount of access 
and availability to resources that can address the following items?

Question Title

* 10. Regarding the topic of FINANCIAL AND LEGAL SERVICES  as it relates 
to your community, do you believe there is sufficient amount of access 
and availability to resources that can address the following items?

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient-There is a great need for this resource 5
Starting a Savings Plan
Understand and Filling out Taxes
Budgeting and Managing Money
Resolving Bad Debt
Understanding, Establishing, and Restoring Credit
Completing a Will/Estate Planning Document
Understanding Living Willis/Health Care Directives
Information on Custody/Guardian and Visitation Rights
Retirement and Long-Term Care Planning 
Understanding of Applying for Social Security 
Establishing or Collecting Child Support
Accessing Veterans Benefits
Completing Applications for Public Assistance
Knowing Where to Go for Public Assistance
Regarding the topic of HOUSING  as it relates to your community, do you believe there is a sufficient amount of access and availability to 
resources that can address the following items?

Question Title

* 11. Regarding the topic of HOUSING  as it relates to your community, do you believe there is a sufficient amount of access and availability to 
resources that can address the following items?

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient-There is a great need for this resource
Housing for Large Families
Financial Help with Damage/Security Deposits
Advice on How to Purchase a home
Help with Payments for Home Utility Expenses
Help with Household Chores (Mowing, Minor Repairs, Painting)
Help with Making Changes in Home Layout to Better Meet the Needs of Disabled Residents (door widths, grab bars, ramps, 
etc.)
Affordable Housing that is Healthy and Safe
Subsidized Rental Housing
Transitional/ Emergency Housing for Homeless People
Housing with Supportive Services ( Case Manager, Assisted Living, etc.)
Housing for Victims of Domestic Violence
Housing that Accepts People with: Chemical Dependency, Mental Health, Criminal Background, etc.)
Hands on Training for Home Maintenance 
Loans to Fix Existing House
Preventing Mortgage Foreclosure and Counseling  
Education about Rental Costs, Utilities, Deposits, and Lease Terms
Education about Tenants and Landlords Rights and Responsibilities 
Regarding the topi of TRANSPORTATION  as it relates to your 
community, do you believe there is a sufficient amount of access and avavailability  to resources that can address the following items

Question Title

* 12. Regarding the topi of TRANSPORTATION  as it relates to your 
community, do you believe there is a sufficient amount of access and avavailability  to resources that can address the following items

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient- There is a great need for this resource 5
Learning how to drive or obtain a driver's license
Financial Help Buying a Car
Affordable Repairs for a car Already Owned
Help with Transportation costs (i.e. Gas, Car Insurance, Taxi Fare, etc.)
Hands-On Training about Car Repair and Maintenance 
Transportation to look for a Job, or Access Job Training
Transportation to Access Services ( Medical, Shopping, Banking, Daycare, etc.)
Regarding the topic of HEALTH  as it relates to your community, do you believe there is a sufficient amount of access and availability to
resources that can address the following items?

Question Title

* 13. Regarding the topic of HEALTH  as it relates to your community, do you believe there is a sufficient amount of access and availability to
resources that can address the following items?

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient- There is a great need for this resource
Affordable Health Insurance
Assistance Applying for Public or Private Health Insurance Programs (i.e. Affordable Care Act, Medicare, Medicaid, etc.)
Help with Filling out Insurance Forms for Billing and Payments
Dentist in Community who Accept Medical Assistance
Paying for Medical Care
Paying for Prescription Drugs
Access to Low-Cost Birth Control or Family Planning Services
Information on Immunization and General Family Care
Assistance with Finding Mental Health Services
Paying for Mental Health Services
Relief (Respite Care) for Someone Taking Care of an Elderly or Disabled Person
Education about Nutrition, Obesity Prevention and/or Exercise
Regarding the topic of QUALITY OF LIFE, as it relates to your 
community, do you believe there is a sufficient amount of access and 
availability to resources that can address the following items?

Question Title

* 14. Regarding the topic of QUALITY OF LIFE, as it relates to your 
community, do you believe there is a sufficient amount of access and 
availability to resources that can address the following items?

  Sufficient 1 2 Sufficient Somewhat 3 4 Not Sufficient-There is a great need for this resource 5
Affordable Health Insurance
Finding Volunteer Opportunities in the Community 
Dealing with Problems Related to Gambling 
Learning How to be a Better Parent/Find Parenting Programs
Affordable Family Recreation and Community Activities
Support for Family Issues Relating to Issues such as Safety, Divorce, Domestic Violence, etc.)
Learning to Protect Oneself against Fraud, Telephone Scams, and/or Identity Theft
Finding a Group of People to Talk about Problems or Concerns
Obtaining Basic Furniture and Household Items
Obtaining Clothing
Support in Raising Grandchildren or another Relative's Children
Support in Caring for a Senior or Disabled Relative, Friend, or Neighbor
Access to a Computer, E-Mail, Internet, or Other Various Technological and Digital Devices
Voter Education and/or Voter Rights Information
Of the selections provided below, please choose all of the answers you
believe are the services that TCCA currently offer.

Question Title

* 15. Of the selections provided below, please choose all of the answers you
believe are the services that TCCA currently offer.

Does TCCA, Inc. currently have a service center in your area?

Question Title

* 16. Does TCCA, Inc. currently have a service center in your area?

Considering the issues you feel are important in your community and surrounding area, what major barriers do you believe exist that prevent access to help? (choose all that apply)

Question Title

* 17. Considering the issues you feel are important in your community and surrounding area, what major barriers do you believe exist that prevent access to help? (choose all that apply)

What additional services do you feel TCCA, or other organizations, 
should provide to create the highest level of assistance for you or others you may know who have needs in your community? Please list as many items as you'd like.

Question Title

* 18. What additional services do you feel TCCA, or other organizations, 
should provide to create the highest level of assistance for you or others you may know who have needs in your community? Please list as many items as you'd like.

T