Community Needs Assessment Survey

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Community Needs Assessment Survey

Please help us improve our services for your community by completing this 2023 survey. This survey is anonymous. You do not have to provide your name, and your answers will NOT affect any services you may request from CENTRAL FLORIDA COMMUNITY ACTION AGENCY, INC.
1. Please check the THREE areas where YOUR COMMUNITY has most problems:*

ChildcareEducationEmergency ServicesEmploymentFood and NutritionHealthHousingIncome ManagementTransportationOther
2. Please tell us what you believe is the single most important challenge in each category for your community. (PLEASE CHECK ONLY ONE IN EACH CATEGORY.)
Employment (Check only one)*

Not enough jobs in the areaChildcare issuesNo good paying jobsTransportation problemsPeople lack skills to obtain a jobOther
Education (Check only one)*

No high school diploma or GEDChildcare issuesNo funds for tuitionTransportation problemsLack of computer skillsOther
Housing (Check only one)*

Affordable housing not availableHousing is inadequate or unsafeTemporary housing not availableOther
Emergency Services (Check only one)*

Insufficient info about obtaining servicesLack of funding for the servicesLack of community organization for emergenciesOther
Food and Nutrition (Check only one)*

No nearby grocery storesLack of knowledge about nutritionFunds run out before end of monthNo transportation to grocery storeNot eligible for food stampsOther
Childcare (Check only one)*

Child care is too expensiveLack of providers for special needsLocation of childcare is inaccessibleNot enough childcare providersOther
Transportation (Check only one)*

No funds to purchase gas or bus faresLack of public transportationNo credit or No funds to buy carNo funds for car repair or maintenanceOther
Health (Check only one)*

No health insuranceFew resources for addiction or mental health issuesLong wait for medical appointmentsNo funds for medical emergenciesLack of funds to buy prescriptionsOther
Income Management (Check only one)*

Insufficient knowledge about budgetingLack of use of EIC (Earned Income Tax Credit)Lack of use of savings planOther

3. Please tell us about yourself and your household:
In which county do you live?*

AlachuaLevyMarion
What is your age range?*

Under 1818-2425-4445-6465+
What is your gender?*

FemaleMaleNon-binaryPrefer not to answer
What is your race?*

African American or BlackCaucasian (White)Asian/PacificPrefer not to answerOther
Are you Hispanic?*

YesNoPrefer not to answer
Do you own or rent your home?*

OwnRentOther
How many persons 18 or older live in your home (including yourself)? *
How many persons under 18 live in your home? *
Does your household include any of the following? (Check all that apply)

Child 5 years old or youngerPerson over 55Disabled person
What best describes your employment status?*

Work full timeUnemployedRetiredStudentWork part timeStay home parent (not seeking employment)Unable to work (disability or other reason)
What is the highest level of education you have completed?*

Less than high schoolHigh schoolSome college / UniversityCollege diploma / CertificateUndergraduate degreeMasters / Graduate degreeDoctoratePrefer not to answerOther
What was your annual income range in 2022?*

less than $12,000$12,000-$24,999$25,000-$34,999$35,000-$44,999$45,000-$54,999$55,000 or more
Please share your email address (OPTIONAL)
example@example.com
Should be Empty: