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  • Community Needs Survey

  • Welcome,

    Goshen HELP DBA WYO HELP appreciates your participation in this survey as part of our work with the Community Service Block Grant (CSBG) program. The results of this survey will help us prioritize funding areas based on the greatest needs.

    In addition to general questions, we ask you to identify the most important needs of your community based on specific categories. Please take the time to review each question carefully before making your decision. As always, we value your input and your feedback is confidential. The estimated time to complete the survey is approximately ten (10) minutes. 

    You must answer every question. If the question doesn't apply to you please enter a zero or choose the Not Applicable option.

     

    This survery is only for those living in Carbon, Crook, Goshen, Niobrara, Washakie, or Weston Counties.

  • General Questions

  • Employment

  • Housing

  • Education

  • Income and Asset Building

  • Below are the Federal Poverty Level Guidelines for 125% and 200%. Household income includes employment, self-employment, Social Security, retirement, disability, worker's compensation, unemployment, VA benefits, and alimony. Please reference the table below for the questions that follow.

    Persons in Household Annual Income 125% Annual Income 200%
    1 $18,225 $29,160
    2 $24,650 $39,440
    3 $31,075 $49,720
    4 $37,500 $60,000
    5 $43,925 $70,280
    6 $50,350 $80,560
    7 $56,775 $90,840
    8 $63,200 $101,120
  • Health & Social/Behavioral Development

  • Civic Engagement & Community Involvement

  • Support Services

  • Thank you for taking our survey. Please come back next year and fill it out again. We use this information to determine the services and programs of WYO HELP but also share it with community partners and government entities to develop plans to address the needs you have identified.

  • Should be Empty: