This survey will take you less than 5 minutes to complete, and will help the City of Lakewood figure out how to allocate human services funding for the next 4-6 years.

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* 1. On a scale of 1 to 5 with 1 being “not needed at all” and 5 being “very needed” rank the needs listed below:

  1. Not needed at all 2. Somewhat needed 3. Neutral or Don't Know 4. Needed 5. Very Needed
Opportunities for mentorship
Parenting information/ classes
Assistance for victims of domestic violence and assault
Substance abuse treatment or education
Finding affordable housing
Access to legal services
Utility assistance
Safer communities
Safe places for youth to play and thrive
Opportunities for youth to serve
Supports for children in school
Family wage job case management or training
Access to food
Access to health care
Access to mental health services

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* 2. List other needs you see as a 4 (Needed) or 5 (Very Needed) that are not listed above:

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* 3. What would it look like for all families in Lakewood to thrive?

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* 4. What would it take for that vision to be realized in your family or community?

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* 5. What is your zip code?

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* 6. What is your age?

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* 7. I identify my ethnicity as (select all that apply):

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* 8. What is your annual household income?

Thank you for your feedback! If you have additional perspective you'd like to provide or questions you'd like to ask, feel free to email Brian Humphreys, the Lakewood Human Services Coordinator: bhumphreys@cityoflakewood.us
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