Community Outreach Service Coordination Survey
Help us assess and improve community outreach services by sharing your organization's experiences and perspectives.
Organization Name
*
Contact Person Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which of the following community outreach services does your organization currently provide? (Select all that apply)
*
Food Distribution
Housing Assistance
Health Services
Job Training/Employment Support
Youth Programs
Elderly Support
Mental Health Services
Legal Aid
Other
Which populations does your organization primarily serve? (Select all that apply)
*
Children/Youth
Families
Seniors
Unhoused/Homeless Individuals
Immigrants/Refugees
People with Disabilities
Other
Please rate the following aspects of current community outreach services in your area.
*
Rows
Availability
Accessibility
Quality
Coordination among organizations
Poor
1
2
3
4
Fair
5
6
7
8
Good
9
10
11
12
Very Good
13
14
15
16
Excellent
17
18
19
20
What are the biggest barriers to effective community outreach in your area? (Select up to 3)
*
Lack of funding/resources
Limited community awareness
Transportation issues
Language/cultural barriers
Staffing shortages
Lack of coordination between organizations
Other
How willing is your organization to collaborate with others to improve community outreach?
*
Not willing
1
2
3
4
Very willing
5
1 is Not willing, 5 is Very willing
What types of support would help your organization improve its outreach efforts? (Select all that apply)
Increased funding
Staff training
Volunteer recruitment
Partnerships with other organizations
Access to transportation
Community awareness campaigns
Other
Please share any suggestions or comments on how community outreach services can be better coordinated or improved.
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