Comprehensive Needs Assessment

The City of Monroe is in the process of completing a Community Needs Assessment with the goal of identifying gaps in accessing services in the Sky Valley area. This assessment will help guide leadership of the City of Monroe and Service Providers in identifying ways to narrow barriers blocking access to services in the area.

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* 1. What's your Gender?

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* 2. What your sexual orientation?

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* 3. What is your age?

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* 4. Please specify your race/ ethnic group?

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* 5. What language is mostly spoken in your home?

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* 6. Zip-Code of Residence

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* 7. Do you have a reliable telephone/cellphone?

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* 8. Do you have access to reliable internet/WIFI?            *If NO  is selected, then SKIP to question 9.

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* 9. Where do you access the internet/WIFI         (Check all that apply)

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* 10. What is your highest level of education?

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* 11. Below is a list of types of agencies. Please select any whom you and your family have used. (Check all that apply)

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* 12. Are you a US Veteran?

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* 13. Do you have stable housing?

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* 14. What is your housing status?

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* 15. What is your annual household income?

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* 16. Based on your income, can you afford your current Apartment/House?

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* 17. Are you satisfied with your current living arrangements?

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* 18. Do you have issues with your current property?

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* 19. Have you been homeless in the last 30 days?

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* 20. Prior to COVID-19, did you experienced any housing instability?

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* 21. Do you have children under 18-years of age?       *If no is selected, SKIP to question 23.

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* 22. Do any of your children live with you more than half of the time?

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* 23. How many children do you have?

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* 24. What is the total number of individuals in your household?

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* 25. Are you currently looking for work?

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* 26. Are you able to work?

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* 27. What is your current employment status?

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* 28. Would you like help with these job-related activities (Check all that apply)

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* 29. Do you have health insurance or other health care coverage?

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* 30. If you have health insurance, who provides your health insurance?

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* 31. Are there others in your household who are uninsured?

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* 32. Can you afford your out-of-pocket costs not covered by your Health Insurance?

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* 33. Tell me if you or a household member receive any of these types of assistance (Check all that apply)

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* 34. Do you have a Primary Care Provider?

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* 35. Do your children have a pediatrician?

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* 36. Do you see a dentist regularly (once or twice a year)?

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* 37. Do your children see a dentist regularly (once or twice a year)?

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* 38. Do you or someone in your household have any of these healthcare needs? (Check all that apply)

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* 39. Who provides your childcare? (or dependent care)? (Check all that apply) *If "SELF" is selected, then SKIP to question 41.

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* 40. Is your childcare (dependent care) provider affordable?

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* 41. What kind of childcare (dependent care) help do you need?

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* 42. Have you accessed a Social Worker through the Justice Department?

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* 43. Do you, or someone in your home have special needs?

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* 44. Are you or your family  in need of help with any of these issues: (Check all that apply)

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* 45. What have we not asked about that you feel is important?

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