Tell Us About You?

Dear Families,
To remain eligible to receive funding and continue to serve our community, one of the major components is to complete a Community Needs Assessment. We need the Head of Household to be as honest as they can about their home socioeconomic status so that we may better serve the parents and children in Harrison County. By completing this survey, you will be assisting MCH EHS in program planning that will meet the needs of our current and past families over the next five years. Your input is invaluable in developing services for our children and their families in our community. The survey will be available online on Survey Monkey and paper and should take approximately 10 to 15 of your time. All responses will remain anonymous. Thank you for taking the time to support MCH EHS.

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* 1. What zipcode do you live in?

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* 2. What is your age range?

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* 3. What is your gender?

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* 4. What is your ethnicity?

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* 5. Are You of Hispanic, Latino, or Spanish Origin?

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* 6. What language do you speak at home?

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