Community Needs Survey - Online

THANK YOU FOR YOUR HELP!
Fresno County Economic Opportunities Commission (EOC) is conducting this survey to help us gather information on the needs in our community. This data will help us formulate the direction the agency will take over the next few years. We appreciate you taking a few minutes to complete the survey. All the answers are anonymous.

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* 1. What is your zip code?

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* 2. At what location are you filling out this survey?

Head Start conference

Head Start site

WIC site

Employment and Training

Workforce Connection

Sanctuary

Local Conservation Corps (LCC)

Energy Services

Health Services

Fresno Fair

Food Distribution

Energy Assistance (LIHEAP/PG&E)

Fresno State Homecoming

Area Colleges

Internet

Employee

Other (please specify)

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* 3. Please rank your top 5 areas of concern for you and your family. (1 is the highest concern. ONLY SELECT 5 TO RANK.)

	1	2	3	4	5
Housing	Housing 1	Housing 2	Housing 3	Housing 4	Housing 5
Childcare	Childcare 1	Childcare 2	Childcare 3	Childcare 4	Childcare 5
Employment	Employment 1	Employment 2	Employment 3	Employment 4	Employment 5
Health (medical/dental)	Health (medical/dental) 1	Health (medical/dental) 2	Health (medical/dental) 3	Health (medical/dental) 4	Health (medical/dental) 5
Safety	Safety 1	Safety 2	Safety 3	Safety 4	Safety 5
Utilities	Utilities 1	Utilities 2	Utilities 3	Utilities 4	Utilities 5
Transportation (personal or public)	Transportation (personal or public) 1	Transportation (personal or public) 2	Transportation (personal or public) 3	Transportation (personal or public) 4	Transportation (personal or public) 5
Education	Education 1	Education 2	Education 3	Education 4	Education 5
Legal	Legal 1	Legal 2	Legal 3	Legal 4	Legal 5
Small Businesses	Small Businesses 1	Small Businesses 2	Small Businesses 3	Small Businesses 4	Small Businesses 5
Money Management	Money Management 1	Money Management 2	Money Management 3	Money Management 4	Money Management 5
Language Barriers (ESL)	Language Barriers (ESL) 1	Language Barriers (ESL) 2	Language Barriers (ESL) 3	Language Barriers (ESL) 4	Language Barriers (ESL) 5
Aging Population	Aging Population 1	Aging Population 2	Aging Population 3	Aging Population 4	Aging Population 5
Mental Health	Mental Health 1	Mental Health 2	Mental Health 3	Mental Health 4	Mental Health 5
Recreation	Recreation 1	Recreation 2	Recreation 3	Recreation 4	Recreation 5
Gangs	Gangs 1	Gangs 2	Gangs 3	Gangs 4	Gangs 5
Crime	Crime 1	Crime 2	Crime 3	Crime 4	Crime 5
Drugs	Drugs 1	Drugs 2	Drugs 3	Drugs 4	Drugs 5
Food	Food 1	Food 2	Food 3	Food 4	Food 5
Nutrition	Nutrition 1	Nutrition 2	Nutrition 3	Nutrition 4	Nutrition 5
Immigration Services	Immigration Services 1	Immigration Services 2	Immigration Services 3	Immigration Services 4	Immigration Services 5

Other (please specify)

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* 4. If you are not able to get the services you need, what is holding you back?

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* 5. Is there anything else you would like to share?

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* 6. What is your age?

under 21

21-29

30-39

40-49

50-59

60+

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* 7. Which of the following best describes your racial or ethnic background? (Answer one only.)

American Indian or Alaskan Native

Asian

African-American or Black

White or Caucasian

Hispanic or Latino

Native Hawaiian or other Pacific Islander

Two or more races

Prefer not to state

Don't know

Other (please specify)

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* 8. What is your approximate yearly household income?

Under $9,000

$9,000-15,000

$15,000-21,000

$21,000-27,000

$27,000-34,000

$34,000-40,000

$40,000 or more

Prefer not to answer

Don't know

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* 9. What is your highest level of education?

Less than high school graduate

High school graduate/GED

Technical School/Trade School

Some college

Associate's Degree

Bachelor's Degree

Master's Degree

Doctorate

Other (please specify)

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* 10. If needed, would you be willing to be contacted for a personal interview regarding the needs of our community. If so, please provide your contact information below.

Name:

Phone Number: