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* 1. 1. What client population does your agency primarily serve? Please rank the population you most often serve as number 1, the second as number 2, and the least often as number 3.

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* 2. 2. Please select your primary geographical service area:

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* 3. What services does your organization provide? (please select all that apply)

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* 4. 4. What do you see as the top 5 five barriers your clients face in self-sufficiency, aging in place, and youth services?

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* 5. 5. Which barriers in youth services, economic self-sufficiency or aging in place do you consider to be the result of a gap in community resources? (please select all that apply)

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* 6. 6. What services does your organization have in place to help your clients overcome these barriers? (please select all that apply)

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* 7. 7. What milestones must your clients achieve to successfully complete your program? (please select all that apply)

Services, Best Practices, and Metric Narratives

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* 8. 8. What services does your agency provide that help people work towards and attain economic self-sufficiency, aging in place, and youth goals?

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* 9. 9. What do you consider to be your top two best practices that your agency can share?

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* 10. 10. What metrics does your agency use to determine economic self-sufficiency, aging in place goals and youth goals have been met?

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* 11. 11. If applicable, how do you define aging in place?

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* 12. 12. If applicable, how do you define economic self-sufficiency.

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* 13. If applicable, how do you define youth goals?

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