Partner Agencies Survey Question Title * 1. What are the most significant issues facing low to middle-income individuals/families in our community today? Childcare Education Employment/Low Wage Food Insecurity Housing Transportation Other (please specify) Question Title * 2. What do you see as challenges that clients face in accessing services? Funds Knowledge that Resources Exist Mental Health/Physical Issues Transportation Other (please specify) Question Title * 3. Of the following list of help with basic needs, which are requested by the clients you serve? (Choose all that apply) Clothing Crisis/Emergency Assistance Child Care Food Bank/Pantries Food Stamps Housing Rental Assistance Toiletries Transportation Utility Assistance Other (please specify) Question Title * 4. Of the following list of support services, which are requested by the clients you serve? (Choose all that apply) Assistance to families of incarcerated individual’s Child Support Assistance Custody Information Domestic Violence Services Eviction Assistance Foreclosure Assistance Guardianship Immigration services Legal Marriage education/Counseling Mental Health Needs Intervention Social Security Insurance (SSI) Substance Abuse Support Groups Tax Preparation Unemployment Other (please specify) Question Title * 5. What do you see are the challenges to individuals getting adequate wages in our community? Cost of Living Education Livable wage Loss of Employers Seasonal/Service-type jobs Training Other (please specify) Question Title * 6. What types of housing are needed in our community? Apartment Homes/Townhouses Shelter Subsidized Transitional Other (please specify) Question Title * 7. How difficult is it for people to find and buy nutritious food in our community? Good selection Healthy food is expensive Lacking in rural areas Lack of Choices/Options Other (please specify) Question Title * 8. Is quality healthcare available to low-to-middle income individuals/families in our community? If not, what barriers to see that are preventing quality healthcare in our community? Yes, if AHCCCS eligible Cost of insurance coverage Lack of preventative dental care/vision Basic, not quality healthcare offered Educate community about resources Need for behavioral health services Other (please specify) Question Title * 9. How has COVID 19 affected your clients - (Choose all that apply) Increase in substance use Loss of employment Increase in mental health needs Loss of housing Food insecurity Other (please specify) Done
