Community Teamwork, Inc. Community Needs Assessment Survey
2022-2023

Question Title

* 1. What are the TOP needs impacting you and the people in the community where you live? Check all that apply.

Child Care

After School / Summer Programs for Children and Youth

Jobs

English classes

Training or Education to get a job or a better job

Elder Services

Affordable Housing

Ability to pay Heating or Utility bills

Access to food

Health Insurance

Mental Health & Counseling Services

Drug and Alcohol Services

Domestic Violence Services

Safer Neighborhood (Neighborhood Safety / Crime)

Transportation

Ability to Budget

Legal Assistance

Need for Clothing

Financial Emergencies

Immigration Issues

Discrimination Issues

Access to Technology / Internet

Other (please specify)

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* 2. Compared with three years ago, before the COVID-19 pandemic, has your household's finances improved, worsened, or remained the same?

Improved

Worsened

Remained the Same

OPTIONAL: In What Way?

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* 3. Are you able to pay your bills on time each month?

Yes

Unsure

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* 4. Do you currently have at least $500 set aside for emergencies?

Yes

Unsure

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* 5. What keeps you or your household from feeling financially stable? Check ALL that apply:

I work full-time but my pay doesn't cover my expenses.

I can only find part-time work.

I can't find a job.

I need more education or training to get work or better work.

Child care is too expensive and/or interferes with my ability to work.

My living expenses (rent/mortgage, heat, food) are too high.

I can't find housing that I can afford.

I've had a lot of medical expenses that weren't covered by my insurance.

I don't have reliable transportation.

I am on a fixed income (Social Security, pension, etc.), and my income is limited.

I lost eligibility for benefits (i.e., SNAP, MassHealth, DTA)

Someone in my household is spending money on things we don't need, so there isn't enough left for other expenses.

Someone else controls the money and makes decisions I don't agree with.

I or a family member am/is struggling with addiction.

I or a family member am/is struggling with mental health issues.

I don't feel safe in my home.

I don't feel safe in my community.

Not Applicable.

Other (please specify)

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* 6. Where do you live?

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* 7. What is your zip code?

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* 8. What is your age?

Under 18

18-24

25-44

45-64

65 and older

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* 9. What is your gender, as you define yourself?

Male

Female

Non-Binary

Other (please specify)

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* 10. Are you Hispanic/Latino?

Yes

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* 11. What is your Race? (Please check one)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian / Other Pacific Islander

White

Multi-Race (More than one race)

Other (please specify)

Question Title

* 12. What is your household's monthly income before taxes? Include: Wages, TANF, Social Security, Disability Benefits, etc. Do not include: Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.

Under $2,000/month (or under $24,000/year)

$2,000 - $4,000/month (or $24,000 - $48,000/year)

$4,001 - $6,000/month (or $48,001 - $72,000/year)

Over $6,000/month (or Over $72,000/year)

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* 13. How many people are in your household including yourself?

0-17 years

18 years or older

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* 14. Have you noticed any major changes in the past three years in the Greater Lowell Area as pertains to poverty or community needs?

Yes

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* 15. If you answered "yes" to question 14, please describe the changes you have observed.

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* 16. Are you or a member of your household currently a staff member at CTI?

Yes

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* 17. Are you or a member of your household currently a CTI client or have you been a CTI client within the past year?

Yes

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* 18. How did you hear about the Community Needs Assessment?

CTI's Social Media/Email

Press Release, Newspaper, Television, or Radio

Workplace - Business/Private Sector

Religious Community

School or PTA

Human services organization

Health Center or Health-Related Field

Town Hall, Library, or Public Office

Focus Group

Other (please specify)

Question Title

* 19. Thank you for completing CTI's Community Survey! If you'd like to be entered in a raffle for a $100 Visa gift card, please enter your contact information below. You are NOT required to participate in the raffle.

Name

Email Address

Phone Number

Community Teamwork, Inc. Community Needs Assessment Survey 2022-2023

Question Title

* 1. What are the TOP needs impacting you and the people in the community where you live? Check all that apply.

Question Title

* 2. Compared with three years ago, before the COVID-19 pandemic, has your household's finances improved, worsened, or remained the same?

Question Title

* 3. Are you able to pay your bills on time each month?

Question Title

* 4. Do you currently have at least $500 set aside for emergencies?

Question Title

* 5. What keeps you or your household from feeling financially stable? Check ALL that apply:

Question Title

* 6. Where do you live?

Question Title

* 7. What is your zip code?

Question Title

* 8. What is your age?

Question Title

* 9. What is your gender, as you define yourself?

Question Title

* 10. Are you Hispanic/Latino?

Question Title

* 11. What is your Race? (Please check one)

Question Title

* 12. What is your household's monthly income before taxes? Include: Wages, TANF, Social Security, Disability Benefits, etc. Do not include: Food Stamps (SNAP), WIC, MassHealth, Other Public Health Insurance, Fuel Assistance, etc.

Question Title

* 13. How many people are in your household including yourself?

Question Title

* 14. Have you noticed any major changes in the past three years in the Greater Lowell Area as pertains to poverty or community needs?

Question Title

* 15. If you answered "yes" to question 14, please describe the changes you have observed.

Question Title

* 16. Are you or a member of your household currently a staff member at CTI?

Question Title

* 17. Are you or a member of your household currently a CTI client or have you been a CTI client within the past year?

Question Title

* 18. How did you hear about the Community Needs Assessment?

Question Title

* 19. Thank you for completing CTI's Community Survey! If you'd like to be entered in a raffle for a $100 Visa gift card, please enter your contact information below. You are NOT required to participate in the raffle.

Community Teamwork, Inc. Community Needs Assessment Survey
2022-2023