Client-Internal/External Stakeholder Survey

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* 1. How familiar are you with the following JFCAC services? (Mark all that apply)

	Heard of	Used Services	Referred to	Never Heard of	N/A
WIC	WIC Heard of	WIC Used Services	WIC Referred to	WIC Never Heard of	WIC N/A
WIC Breastfeeding Support Classes	WIC Breastfeeding Support Classes Heard of	WIC Breastfeeding Support Classes Used Services	WIC Breastfeeding Support Classes Referred to	WIC Breastfeeding Support Classes Never Heard of	WIC Breastfeeding Support Classes N/A
WIC Peer Counseling	WIC Peer Counseling Heard of	WIC Peer Counseling Used Services	WIC Peer Counseling Referred to	WIC Peer Counseling Never Heard of	WIC Peer Counseling N/A
WIC Mother's Group	WIC Mother's Group Heard of	WIC Mother's Group Used Services	WIC Mother's Group Referred to	WIC Mother's Group Never Heard of	WIC Mother's Group N/A
Weatherization Assistant Program	Weatherization Assistant Program Heard of	Weatherization Assistant Program Used Services	Weatherization Assistant Program Referred to	Weatherization Assistant Program Never Heard of	Weatherization Assistant Program N/A
Housing Program	Housing Program Heard of	Housing Program Used Services	Housing Program Referred to	Housing Program Never Heard of	Housing Program N/A
Housing Program's Family Self Sufficiency Program	Housing Program's Family Self Sufficiency Program Heard of	Housing Program's Family Self Sufficiency Program Used Services	Housing Program's Family Self Sufficiency Program Referred to	Housing Program's Family Self Sufficiency Program Never Heard of	Housing Program's Family Self Sufficiency Program N/A
Housing Program's Home Ownership Program	Housing Program's Home Ownership Program Heard of	Housing Program's Home Ownership Program Used Services	Housing Program's Home Ownership Program Referred to	Housing Program's Home Ownership Program Never Heard of	Housing Program's Home Ownership Program N/A
Head Start Program	Head Start Program Heard of	Head Start Program Used Services	Head Start Program Referred to	Head Start Program Never Heard of	Head Start Program N/A
Early Head Start Program	Early Head Start Program Heard of	Early Head Start Program Used Services	Early Head Start Program Referred to	Early Head Start Program Never Heard of	Early Head Start Program N/A
Head Start Home-Based Services	Head Start Home-Based Services Heard of	Head Start Home-Based Services Used Services	Head Start Home-Based Services Referred to	Head Start Home-Based Services Never Heard of	Head Start Home-Based Services N/A
Early Head Start Home-Based Services	Early Head Start Home-Based Services Heard of	Early Head Start Home-Based Services Used Services	Early Head Start Home-Based Services Referred to	Early Head Start Home-Based Services Never Heard of	Early Head Start Home-Based Services N/A
Head Start Center-Based Services	Head Start Center-Based Services Heard of	Head Start Center-Based Services Used Services	Head Start Center-Based Services Referred to	Head Start Center-Based Services Never Heard of	Head Start Center-Based Services N/A
Early Head Start Center-Based Services	Early Head Start Center-Based Services Heard of	Early Head Start Center-Based Services Used Services	Early Head Start Center-Based Services Referred to	Early Head Start Center-Based Services Never Heard of	Early Head Start Center-Based Services N/A
LIHEAP's Energy Assistance Grant (Energy Program)	LIHEAP's Energy Assistance Grant (Energy Program) Heard of	LIHEAP's Energy Assistance Grant (Energy Program) Used Services	LIHEAP's Energy Assistance Grant (Energy Program) Referred to	LIHEAP's Energy Assistance Grant (Energy Program) Never Heard of	LIHEAP's Energy Assistance Grant (Energy Program) N/A
LIHEAP's Emergency Energy Assistance (Energy Program)	LIHEAP's Emergency Energy Assistance (Energy Program) Heard of	LIHEAP's Emergency Energy Assistance (Energy Program) Used Services	LIHEAP's Emergency Energy Assistance (Energy Program) Referred to	LIHEAP's Emergency Energy Assistance (Energy Program) Never Heard of	LIHEAP's Emergency Energy Assistance (Energy Program) N/A
Community Services' Community Referrals (such as Back-To-School Fair and Toy Distribution)	Community Services' Community Referrals (such as Back-To-School Fair and Toy Distribution) Heard of	Community Services' Community Referrals (such as Back-To-School Fair and Toy Distribution) Used Services	Community Services' Community Referrals (such as Back-To-School Fair and Toy Distribution) Referred to	Community Services' Community Referrals (such as Back-To-School Fair and Toy Distribution) Never Heard of	Community Services' Community Referrals (such as Back-To-School Fair and Toy Distribution) N/A
Community Services' Tax Assistance	Community Services' Tax Assistance Heard of	Community Services' Tax Assistance Used Services	Community Services' Tax Assistance Referred to	Community Services' Tax Assistance Never Heard of	Community Services' Tax Assistance N/A
Community Services' Employment Support/Empowerment Coaching	Community Services' Employment Support/Empowerment Coaching Heard of	Community Services' Employment Support/Empowerment Coaching Used Services	Community Services' Employment Support/Empowerment Coaching Referred to	Community Services' Employment Support/Empowerment Coaching Never Heard of	Community Services' Employment Support/Empowerment Coaching N/A
Community Services' Healthy Homes	Community Services' Healthy Homes Heard of	Community Services' Healthy Homes Used Services	Community Services' Healthy Homes Referred to	Community Services' Healthy Homes Never Heard of	Community Services' Healthy Homes N/A
Community Services' Poverty Simulation	Community Services' Poverty Simulation Heard of	Community Services' Poverty Simulation Used Services	Community Services' Poverty Simulation Referred to	Community Services' Poverty Simulation Never Heard of	Community Services' Poverty Simulation N/A
Community Services' Step Up to Leadership Class	Community Services' Step Up to Leadership Class Heard of	Community Services' Step Up to Leadership Class Used Services	Community Services' Step Up to Leadership Class Referred to	Community Services' Step Up to Leadership Class Never Heard of	Community Services' Step Up to Leadership Class N/A
Community Services' SELF Class (Strength, Empowerment, Lifting, Families)	Community Services' SELF Class (Strength, Empowerment, Lifting, Families) Heard of	Community Services' SELF Class (Strength, Empowerment, Lifting, Families) Used Services	Community Services' SELF Class (Strength, Empowerment, Lifting, Families) Referred to	Community Services' SELF Class (Strength, Empowerment, Lifting, Families) Never Heard of	Community Services' SELF Class (Strength, Empowerment, Lifting, Families) N/A
Community Services' Read from the Start	Community Services' Read from the Start Heard of	Community Services' Read from the Start Used Services	Community Services' Read from the Start Referred to	Community Services' Read from the Start Never Heard of	Community Services' Read from the Start N/A
Community Services' Summer Feeding/Weekend Backpack Program	Community Services' Summer Feeding/Weekend Backpack Program Heard of	Community Services' Summer Feeding/Weekend Backpack Program Used Services	Community Services' Summer Feeding/Weekend Backpack Program Referred to	Community Services' Summer Feeding/Weekend Backpack Program Never Heard of	Community Services' Summer Feeding/Weekend Backpack Program N/A
Community Services' energy Awareness Class	Community Services' energy Awareness Class Heard of	Community Services' energy Awareness Class Used Services	Community Services' energy Awareness Class Referred to	Community Services' energy Awareness Class Never Heard of	Community Services' energy Awareness Class N/A
Community Services' Flood Assistance	Community Services' Flood Assistance Heard of	Community Services' Flood Assistance Used Services	Community Services' Flood Assistance Referred to	Community Services' Flood Assistance Never Heard of	Community Services' Flood Assistance N/A

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* 2. What has been your primary experience with JFCAC in terms of the programs and services?

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* 3. What has been your primary experience with JFCAC in terms of Staff?

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* 4. What do you think are JFCAC's primary weakness or areas for improvements?

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* 5. What do you think are JFCAC's primary strengths?

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* 6. What do you think the greatest challenges are for JFCAC?

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* 7. What do you think have been JFCAC's greatest successes?

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* 8. Are there any programs or services on which you think JFCAC should place more focus on or resources?

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* 9. Are there any programs or services on which you think JFCAC should place less focus on or expend fewer resources?

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* 10. Do you have any other feedback that you want JFCAC to consider as a part of its Strategic Planning work?