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* 1. Please rank what you feel is the community's greatest concern. Choices below are based on the highest rank responses received during United Way's 2012 survey:

  Top Second Third Fourth Least
Lack of Parental Involvement/Parental Education
Lack of Literacy/Sufficient Education
Affordable Housing
Good Jobs/Higher Pay
Public Transportation

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* 2. On a scale of 1-5 (1 being low and 5 high), how would you rate the way United Way invests in the community through a structured evaluation process (Community Investment through structured online application, site visit, oral presentations by unbiased volunteer panels)?

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* 3. Have you ever contributed through United Way (including volunteer and donation drive efforts)?

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* 4. Would you recommend others give, advocate or volunteer through United Way?

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* 5. On a scale of 1 to 5 (1 being low and 5 high), how clearly does United Way explain its work and role in the community. Please also select whether your local United Way is getting better or worse in this category.

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* 6. On a scale of 1 to 5 (1 being low and 5 high), please rank the effectiveness of United Way's community work. Please also select whether your local United Way is getting better or worse in this category.

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* 7. On a scale of 1 to 5 (1 being low and 5 high), please rank your trust in United Way of Escambia County. Please also select whether your local United Way is getting better or worse in this category.

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* 8. Please make suggestions on how you would like to see your local United Way improve their local efforts.

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* 9. On a scale of 1 to 5 (1 being low and 5 high), please rank how satisfied you are with your local United Way volunteer efforts. These include VITA, RSVP, MyFreeTaxes, Cram the Van, agency volunteering, loaned executive program, workplace coordination, non-profit training and Day of Caring. Day of Caring is October 10, 2014. Check out our web site at www.unitedwayescambia.org for more volunteer opportunities.

Please also select whether your local United Way is getting better or worse in this category.

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* 10. On a scale of 1 to 5 (1 being low and 5 high), please rank how satisfied you are with United Way's 2-1-1 and advocacy programs. 2-1-1 is the three digit number that individuals with health and human service needs can call to receive information and referrals to local resources available to meet their needs. Over 3,500 resources are available to assist local citizens with their needs. You can visit www.unitedwayescambia.org and click on 2-1-1 to learn more.

Please also select whether your local United Way is getting better or worse in this category.

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* 11. Please make suggestions on how you would like to see your local United Way improve their volunteer efforts.

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* 12. Please enter your contact information if you would like to be added to United Way's Enews and other informational and fundraising distributions.

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