Southwest Community Needs Assessment (2018)

This survey is our way to find out your thoughts about communities across the southwest.
* Please remember that there are no right or wrong answers.
* This survey is voluntary.
* At any time during the survey, you can choose not to complete the survey.
* Your answers on this survey are private and will be kept confidential.

Question Title

* 1. Where do you live?

Cabri

Eastend

Gull Lake

Herbert

Hodgeville

Kyle

Leader

Mankota

Maple Creek

Ponteix

Shaunavon

Swift Current

Vanguard

Other (please specify)

Question Title

* 2. How old are you today?

16-19 years

20-24 years

25- 29 years

30-34 years

35-39 years

40-44 years

45-49 years

50-54 years

55-59 years

60-64 years

65-69 years

70-74 years

75-79 years

80 years and up

Question Title

* 3. What do you identify as?

Male

Female

Trans

Other (please specify)

Question Title

* 4. How important are the following needs/priorities for you?

Other (please specify)

Question Title

* 5. What programs/supports do you know about in the community that can help you?

Question Title

* 6. What stops you from accessing programs/services?

	Never	Sometimes	Often	Always
Transportation (limited/no ride)	Transportation (limited/no ride) Never	Transportation (limited/no ride) Sometimes	Transportation (limited/no ride) Often	Transportation (limited/no ride) Always
Programs cost too much money	Programs cost too much money Never	Programs cost too much money Sometimes	Programs cost too much money Often	Programs cost too much money Always
You're busy	You're busy Never	You're busy Sometimes	You're busy Often	You're busy Always
It's difficult to commit to going all the time (frequency)	It's difficult to commit to going all the time (frequency) Never	It's difficult to commit to going all the time (frequency) Sometimes	It's difficult to commit to going all the time (frequency) Often	It's difficult to commit to going all the time (frequency) Always
Others would judge me	Others would judge me Never	Others would judge me Sometimes	Others would judge me Often	Others would judge me Always
There are no programs that meet my needs	There are no programs that meet my needs Never	There are no programs that meet my needs Sometimes	There are no programs that meet my needs Often	There are no programs that meet my needs Always
It's not going to help (pointless)	It's not going to help (pointless) Never	It's not going to help (pointless) Sometimes	It's not going to help (pointless) Often	It's not going to help (pointless) Always
I'm scared/ don't know what to expect	I'm scared/ don't know what to expect Never	I'm scared/ don't know what to expect Sometimes	I'm scared/ don't know what to expect Often	I'm scared/ don't know what to expect Always
Everyone is going to know I have a problem if I go	Everyone is going to know I have a problem if I go Never	Everyone is going to know I have a problem if I go Sometimes	Everyone is going to know I have a problem if I go Often	Everyone is going to know I have a problem if I go Always
Language barriers (don't understand)	Language barriers (don't understand) Never	Language barriers (don't understand) Sometimes	Language barriers (don't understand) Often	Language barriers (don't understand) Always

Other (please specify)

Question Title

* 7. Is there any thing you think would make the community a better place?

Question Title

* 8. Where do you find out about events, programs and activities?

Friends and Family

Newspaper

Posters

Radio

Schools

Social Media (eg, Facebook, Instagram)

Websites (please comment on the websites you use)

Question Title

* 9. Thank you for taking time to fill out this survey. If you would like your name entered to win 1 of 3 $100.00 Co-op gift cards please provide the information below.

Name

Phone Number

	Not Important	Neutral or N/A	Important	Very Important
Access and availability of programs/services (eg, no wait-lists, 24/7 access)	Access and availability of programs/services (eg, no wait-lists, 24/7 access) Not Important	Access and availability of programs/services (eg, no wait-lists, 24/7 access) Neutral or N/A	Access and availability of programs/services (eg, no wait-lists, 24/7 access) Important	Access and availability of programs/services (eg, no wait-lists, 24/7 access) Very Important
Child and/or family specific programs (eg, daycares, single parent supports)	Child and/or family specific programs (eg, daycares, single parent supports) Not Important	Child and/or family specific programs (eg, daycares, single parent supports) Neutral or N/A	Child and/or family specific programs (eg, daycares, single parent supports) Important	Child and/or family specific programs (eg, daycares, single parent supports) Very Important
Cultural inclusion and diversity (eg, cultural awareness, gender equality)	Cultural inclusion and diversity (eg, cultural awareness, gender equality) Not Important	Cultural inclusion and diversity (eg, cultural awareness, gender equality) Neutral or N/A	Cultural inclusion and diversity (eg, cultural awareness, gender equality) Important	Cultural inclusion and diversity (eg, cultural awareness, gender equality) Very Important
Drugs and Substance Abuse (eg, detox facility, services for substance users)	Drugs and Substance Abuse (eg, detox facility, services for substance users) Not Important	Drugs and Substance Abuse (eg, detox facility, services for substance users) Neutral or N/A	Drugs and Substance Abuse (eg, detox facility, services for substance users) Important	Drugs and Substance Abuse (eg, detox facility, services for substance users) Very Important
Employment support (eg, resumes, job training)	Employment support (eg, resumes, job training) Not Important	Employment support (eg, resumes, job training) Neutral or N/A	Employment support (eg, resumes, job training) Important	Employment support (eg, resumes, job training) Very Important
Economic Support (eg, funding for programs)	Economic Support (eg, funding for programs) Not Important	Economic Support (eg, funding for programs) Neutral or N/A	Economic Support (eg, funding for programs) Important	Economic Support (eg, funding for programs) Very Important
Harm Reduction (eg, safe needle exchange, condom availability program)	Harm Reduction (eg, safe needle exchange, condom availability program) Not Important	Harm Reduction (eg, safe needle exchange, condom availability program) Neutral or N/A	Harm Reduction (eg, safe needle exchange, condom availability program) Important	Harm Reduction (eg, safe needle exchange, condom availability program) Very Important
Housing (eg, affordable housing, emergency shelters)	Housing (eg, affordable housing, emergency shelters) Not Important	Housing (eg, affordable housing, emergency shelters) Neutral or N/A	Housing (eg, affordable housing, emergency shelters) Important	Housing (eg, affordable housing, emergency shelters) Very Important
Language (eg, translation services)	Language (eg, translation services) Not Important	Language (eg, translation services) Neutral or N/A	Language (eg, translation services) Important	Language (eg, translation services) Very Important
Mental Health (eg, anxiety, depression, anger management supports)	Mental Health (eg, anxiety, depression, anger management supports) Not Important	Mental Health (eg, anxiety, depression, anger management supports) Neutral or N/A	Mental Health (eg, anxiety, depression, anger management supports) Important	Mental Health (eg, anxiety, depression, anger management supports) Very Important
Prevention (eg, community preparedness, emergency response)	Prevention (eg, community preparedness, emergency response) Not Important	Prevention (eg, community preparedness, emergency response) Neutral or N/A	Prevention (eg, community preparedness, emergency response) Important	Prevention (eg, community preparedness, emergency response) Very Important
Rural Programs/Services (eg, services available in my community)	Rural Programs/Services (eg, services available in my community) Not Important	Rural Programs/Services (eg, services available in my community) Neutral or N/A	Rural Programs/Services (eg, services available in my community) Important	Rural Programs/Services (eg, services available in my community) Very Important
Sexual Health (eg, sexual education/training, sexual abuse prevention)	Sexual Health (eg, sexual education/training, sexual abuse prevention) Not Important	Sexual Health (eg, sexual education/training, sexual abuse prevention) Neutral or N/A	Sexual Health (eg, sexual education/training, sexual abuse prevention) Important	Sexual Health (eg, sexual education/training, sexual abuse prevention) Very Important
Social Supports (eg, friends, family, peers)	Social Supports (eg, friends, family, peers) Not Important	Social Supports (eg, friends, family, peers) Neutral or N/A	Social Supports (eg, friends, family, peers) Important	Social Supports (eg, friends, family, peers) Very Important
Speciality Services and Programs (eg, cancer treatment, doctors accepting new patients)	Speciality Services and Programs (eg, cancer treatment, doctors accepting new patients) Not Important	Speciality Services and Programs (eg, cancer treatment, doctors accepting new patients) Neutral or N/A	Speciality Services and Programs (eg, cancer treatment, doctors accepting new patients) Important	Speciality Services and Programs (eg, cancer treatment, doctors accepting new patients) Very Important
Transportation (eg, accessible transit, transportation to rural towns)	Transportation (eg, accessible transit, transportation to rural towns) Not Important	Transportation (eg, accessible transit, transportation to rural towns) Neutral or N/A	Transportation (eg, accessible transit, transportation to rural towns) Important	Transportation (eg, accessible transit, transportation to rural towns) Very Important
Wellness (eg, food/nutrition, physical activity)	Wellness (eg, food/nutrition, physical activity) Not Important	Wellness (eg, food/nutrition, physical activity) Neutral or N/A	Wellness (eg, food/nutrition, physical activity) Important	Wellness (eg, food/nutrition, physical activity) Very Important