Community Needs Survey
Your feedback will help us understand the needs of our community better. Thank you for taking the time to fill out this survey.
Demographics
Age
Gender
Male
Female
Other
Education Level
High School
Associate Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Other
Employment Status
Employed
Unemployed
Student
Retired
Other
Community Needs
Please indicate the level of need for the following items in our community.
Affordable Housing
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Access to Healthcare
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Education Opportunities
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Job Opportunities
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Public Transportation
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Safety and Security
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Community Programs
Not Important
0
1
2
3
4
Very Important
5
0 is Not Important, 5 is Very Important
Additional Comments
Submit
Should be Empty: