BCAP Community Needs Assessment

Thank you for participating in this survey. Your feedback will help BCAP better understand the needs and challenges of low-income families in our community. The survey should take 10-15 minutes to complete. Your responses will remain confidential.

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* 1. What is your age range?

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* 2. What is your gender?

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* 3. What is your household size? (Please include all individuals living in your household, including adults and children.)

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* 4. What is your current employment status?

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* 5. What is your approximate annual household income?

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* 6. What is your ZIP code?

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* 7. What is your marital status?

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* 8. Do you currently have stable housing?

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* 9. What percentage of your income do you spend on housing?

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* 10. What are your primary concerns related to housing? (Select all that apply)

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* 11. In the past 12 months, have you experienced difficulty accessing enough food for your household?

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* 12. What are the main barriers to accessing nutritious food? (Select all that apply)

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* 13. How often do you use Food Pantries and/or Community Kitchens?

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* 14. Do you have children under the age of 18?

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* 15. If you have children, do you have access to affordable and reliable child care?

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* 16. Are you currently seeking better employment opportunities?

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* 17. Do you have more than one job?

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* 18. What resources would help you improve your employment situation? (Select all that apply)

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* 19. Do you have access to affordable healthcare services?

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* 20. What are your primary healthcare needs? (Select all that apply)

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* 21. Do you have reliable transportation to access work, school or services?

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* 22. What transportation challenges do you face? (Select all that apply)

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* 23. Are you aware of community resources available to you?

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* 24. What types of services do you feel are most needed in your community? (Select all that apply)

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* 25. How would you prefer to learn about available resources and community services? (Select all that apply)

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* 26. What is the biggest challenge you and your family currently face?

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* 27. What suggestions do you have for improving services in your community?

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