Exit UWHC and Mission Granbury Community Needs Assessment General Information Thank you for participating in our survey!Why This Information is Important United Way of Hood County and Mission Granbury have teamed to better help low-income families become independent and improve their quality of life. We are asking you to complete this survey to help us in our research. There are no right or wrong answers. Your thoughts and opinions will help us shape our programs and services for the future. To Learn More About United Way of Hood County and Mission Granbury visit their websites at:www.unitedwayhoodcounty.comwww.missiongranbury.org Question Title * 1. Have you ever received services from any of these agencies. Please check all that apply. Mission Granbury Star Council Ruth's Place Paluxy River Children's Advocacy Center Operation School Supplies Forward Training Center of Hood County Lena Pope Child Study Center Hood County Christmas for Children, Inc. Hood County Children's Charity Fund Cancer Care Services of Hood County Girl Scouts of Texas Oklahoma Plains Hood County Committee on Aging/Meals on Wheels Rainbow Room Camp Fire - Cam El Tesoro Kid's Armor of Hope Other (please specify) Question Title * 2. What is your gender? Female Male Question Title * 3. What is your race or ethnicity? White (Not Hispanic) African-American Hispanic American Indian or Alaskan Native Asian Native Hawaiian or other Pacific Islander From multiple races Other (please specify) Question Title * 4. In what community do you live? Brazos River Acres Oak Trail Shores Rancho Brazos Old Granbury Estates Sandy Beach Montego Bay Carter Court Pods in Cresson Port Ridgely Grand Harbor Canyon Creek Arrowhead Shores Sky Harbor Comanche Harbor Blue Water Shores Other (please specify) Question Title * 5. What is your age? 18-24 25-34 34-44 45-54 55-64 65-74 75 or older Question Title * 6. What is the highest level of education you have completed? 0-8 9-12 GED Graduated from high school Trade School Certificate Some College Associate Degree Bachelor Degree Masters Degree Other (please specify) Question Title * 7. Are you a veteran? Yes No Question Title * 8. Do you have a physical disability? If yes, check all that apply. If no, check NA. Mobility Vision Hearing All of the above. NA - I have no physical disability. Other (please specify) Question Title * 9. Which of the following best describes your household type? Single Adult Female with Children Adult Male with Children Married with Children Married with No Children Two or More Adults with Children Two or More Adults without Children Multi-Generational - Children, Parent(s), Grandparent(s), etc... Children Living with Grandparents Multiple Families Living Together Other (please specify) Question Title * 10. How many people live in your house? 1 2 3 4 5 6 7 8 9 10+ Question Title * 11. Which of the following best describes your employment status? Employed, working full-time Employed, working part-time Employed, working multiple jobs (2 or more) Not employed, looking for work Not employed, not looking for work Retired Disabled, not able to work Other (please specify) Question Title * 12. What are your sources of income? Check all that apply. Work - Full/Part-Time Employment. Disability Benefit - Social Security. Disability Benefit - VA. Retirement - Social Security. Retirement - Pension/Savings. No Income. Other (please specify) Next