Village Engagement Survey

Welcome to the Village Engagement Survey

We welcome you to take part in this survey to help us better understand your interest in our Village movement as we take our next steps. Please complete this survey if you are A) only interested in volunteering B) only interested in receiving Village services, or C) interested in both. Some of the engagement opportunities may begin in the near future, while others will take more time to develop. Additionally, while some of the envisioned Village offerings may not be possible in the current pandemic environment, we hope to have them available in the future, and as such are including them here. Please note that we have also been developing a system aimed at protecting confidentiality and conducting background checks for some volunteer categories. If you have any questions, please contact Andrew Gribbin at msac-americorps@montpelier-vt.org or 262-6287.

Question Title

* 1. Name

Question Title

* 2. Email address

Question Title

* 3. Phone number

Question Title

* 4. Town of residence

Question Title

* 5. Are you a member of the Montpelier Senior Activity Center?

Yes

Unsure

Question Title

* 6. Please indicate your area(s) of interest in the following efforts of Village Planning and Development (choose all that apply)

Strategic planning and committee work

Researching and developing a preferred service provider directory (carpenters, plumbers, electricians, etc.)

Planning home-based services (both in the pandemic environment and beyond)

Publicity/outreach/helping get the word out (letters to editor, Front Porch Forum, etc.)

Fundraising efforts

Not interested in doing anything related to Village Planning and Development

Other (please specify)

Question Title

* 7. Please indicate your area(s) of interest in volunteering for Services Provided to Village Members (choose all that apply)

Provide seasonal chore assistance (wood stacking, raking, light gardening, etc.)

Provide handyperson services (non-professional services such as minor paint jobs, tasks utilizing a ladder, installing/removing air conditioners, etc.)

Engage in socialization opportunities (social visit, walks, book club, etc.)

Offer technology assistance

Make wellness calls to older adults (training and resources provided)

Not interested in volunteering to provide Services to Village Members

Other (please specify)

Question Title

* 8. Please indicate your area(s) of interest in the following efforts of Community Assessment and Collaboration (choose all that apply). Please note the intention for these collaboration efforts is that you would still be in active communication with MSAC/Village staff in order to be able to accurately convey its status and developments

Assisting in the roll out of MyRide by Green Mountain Transit

Capital Area Neighborhoods (CAN) collaboration

Acting as a liaison/ally to subsidized housing (Montpelier Housing Authority and Downstreet Housing buildings)

Outreach to understand the needs of marginalized/underserved communities

Being a liaison with the Montpelier City Council's Social and Economic Justice Advisory Committee

Youth connection and engagement

Connecting and collaborating with faith-based communities

Not interested in doing anything related to Community Assessment and Collaboration

Other (please specify)

Question Title

* 9. Current volunteer engagement level

Ready to volunteer now

Do not want to volunteer now but open to it in the future

Interested in receiving Village services but not in volunteering

Other (please specify)

Village Engagement Survey

Welcome to the Village Engagement Survey

Question Title

* 1. Name

Question Title

* 2. Email address

Question Title

* 3. Phone number

Question Title

* 4. Town of residence

Question Title

* 5. Are you a member of the Montpelier Senior Activity Center?

Question Title

* 6. Please indicate your area(s) of interest in the following efforts of Village Planning and Development (choose all that apply)

Question Title

* 7. Please indicate your area(s) of interest in volunteering for Services Provided to Village Members (choose all that apply)

Question Title

Question Title

* 9. Current volunteer engagement level

Question Title

* 10. Additional questions or comments