2026 Community Needs Assessment Survey

1
If you are a resident of Windham or Tolland Counties please take this survey!

This survey should take about 10 minutes.

To view this survey in Spanish, click the button that says "English" in the upper right corner and change it to "Español."

Esta encuesta tomará alrededor de 10 minutos.

Para ver esta encuesta en español, haga clic en el botón que dice "English" en la esquina superior derecha y cámbielo a "Español".
2
What town do you live in?* This field is required.Scroll down to view all options
Abington
Amston
Andover
Ashford
Ballouville
Bolton
Brooklyn
Canterbury
Central Village
Chaplin
Columbia
Coventry
Danielson
Dayville
East Killingly
East Woodstock
Eastford
Ellington
Hampton
Hebron
Mansfield Center
Moosup
North Grosvenordale
North Windham
Oneco
Plainfield
Pomfret
Pomfret Center
Putnam
Quinebaug
Rogers
Scotland
Somers
South Windham
South Woodstock
Stafford
Stafford Springs
Staffordville
Sterling
Storrs Mansfield
Thompson
Tolland
Vernon Rockville
Wauregan
Willimantic
Willington
Windham
Woodstock
Woodstock Valley
3
What is your age?* This field is required.
4
What is your gender?* This field is required.Scroll down to view all options
Male
Female
5
What is your ethnicity?* This field is required.
Hispanic, Latino or Spanish Origins
Not Hispanic, Latino or Spanish Origins
Do not wish to disclose
6
Which of the following represents your race?* This field is required.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian and Other Pacific Islander
White
Multi-race (two or more of the above)
Other
Do not wish to disclose
7
What is the highest level of education that you have completed?* This field is required.Scroll down to view all options
Kindergarten to 8th grade
9-12 Nongraduate
High School Diploma/GED
Vocational Training
Some College
Associate's Degree
Bachelor's Degree
Master's Degree or higher education
8
What is your marital status?* This field is required.
Single
Married
Widowed
Divorced
Separated
Do not wish to disclose
9
Do you have military experience?* This field is required.
Yes, I have military experience
No, I do not have military experience
10
What is your household size?* This field is required.
11
Do you have dependent children?* This field is required.
Yes
No
Yes, but they don't live with me
12
What is your household type?* This field is required.
Single Person
Two Adults No Children
Single Parent
Two Parent Household
Multiple Generations in Household
Other
13
Do you feel safe sending your child to school?* This field is required.
Yes
No
14
If not, then why?* This field is required.Do you feel safe sending your child to school?
15
Does your child feel safe at school?* This field is required.
Yes
No
16
If not, then why?* This field is required.Does your child feel safe at school?
17
What are your sources of household income?* This field is required.Check all that apply
Employment Income
No Income
Unemployment benefits
TANF (State cash assistance)
Child Support or Alimony
SSDI/SSI
Social Security
Pension or Retirement Income
Self-employment
Other
18
If Other, please explain* This field is required.What are your sources of household income?
19
What is your annual gross household income?* This field is required.Household of 1
under $15,650
$15,651 - $19,563
$19,564 - $20,345
$20,346 - $21,597
$21,598 - $23,475
$23,476 - $28,953
$28,954 - $31,300
$31,301 - $36,778
$36,779 - $39,125
$39,126 - $46,950
$46,951 - $50,550
$50,551 +
20
What is your annual gross household income?* This field is required.Household of 2
under $21,150
$21,151 - $26,438
$26,439 - $27,495
$27,496 - $29,187
$29,188 - $31,725
$31,726 - $39,128
$39,129 - $42,300
$42,301 - $ 49,703
$49,704 - $52,875
$52,876 - $63,450
$63,451 - $68,315
$68,316+
21
What is your annual gross household income?* This field is required.Household of 3
under $26,650
$26,651 - $33,313
$33,314 - $34,645
$34,646 - $36,777
$36,778 - $39,975
$39,976 - $49,303
$49,304 - $53,300
$53,301 - $62,628
$62,629 - $66,625
$66,626 - $79,950
$79,951 - $86,080
$86,081+
22
What is your annual gross household income?* This field is required.Household of 4
under $32,150
$32,151 - $40,188
$40,189 - $41,795
$41,796 - $44,367
$44,368 - $48,225
$48,226 - $59,478
$59,479 - $64,300
$64,301 - $75,552
$75,553 - $80,375
$80,376 - $96,450
$96,451 - $103,845
$103,846+
23
What is your annual gross household income?* This field is required.Household of 5
under $37,650
$37,651 - $47,063
$47,064 - $48,945
$48,946 - $51,957
$51,958 - $56,475
$56,476 - $69,653
$69,654 - $75,300
$75,301 - $88,478
$88,479 - $94,125
$94,126 - $112,950
$112,951 - $121,610
$121,611+
24
What is your annual gross household income?* This field is required.Household of 6
under $43,150
$43,151 - $53,938
$53,939 - $56,095
$56,096 - $59,547
$59,548 - $64,725
$64,726 - $79,828
$79,829 - $86,300
$86,301 - $101,403
$101,404 - $107,875
$107,876 - $129,450
$129,451 - $139,375
$139,376+
25
What is your annual gross household income?* This field is required.Household of 7
under $48,650
$48,651 - $60,813
$60,814 - $63,245
$63,246 - $67,137
$67,138 - $72,975
$72,976 - $90,003
$90,004 - $97,300
$97,301 - $114,328
$114,329 - $121,625
$121,626 - $145,950
$145,951 - $157,140
$157,141+
26
What is your annual gross household income?* This field is required.Household of 8+
under $54,150
$54,151 - $67,688
$67,689 - $70,395
$70,396 - $74,727
$74,728 - $81,225
$81,226 - $100,178
$100,179 - $108,300
$108,301 - $127,253
$127,254 - $135,375
$135,376 - $162,450
$162,451 - $174,905
$174,906+
27
What is your employment status?* This field is required.
Full-time
Part-time
Temporary
Unemployed
Unable to work
Other
28
Are transportation issues affecting your quality of life?* This field is required.
Yes
No
29
Did you have any of the following problems getting or keeping a job within the past 3 years?* This field is required.Scroll down to view all options
I have had no difficulty getting or keeping a job
Jobs were not available
No response to application
Transportation
Lack of required equipment/clothing
Lack of job skills
Language barriers
Lack of childcare
Substance abuse
Criminal background
Domestic violence
Sexual harassment
Lack of a permanent address
Mental health
Health issues
Debilitating disability
Lack of access to cell phone service
Lack of access to the internet
30
What is your current housing status?* This field is required.
Own
Rent
Hotel/Motel
Staying with friends or family
Homeless - Street/Car
Homeless - Shelter/Transitional housing
Nursing/long term care
Assisted living
Group home
Halfway house
Living in a tent
In the process of eviction
31
Have you ever owned a house?* This field is required.
Yes
No
32
Have you ever been foreclosed on?* This field is required.
Yes
No
I am currently in foreclosure
33
Have you ever been evicted?* This field is required.
Yes
No
I am currently being evicted
34
If yes has this affected your ability to secure housing?* This field is required.
Yes
No
35
Do you feel that you have safe, decent, affordable housing?* This field is required.
Yes
No
36
Do you feel safe in your neighborhood?* This field is required.
Yes
No
37
What are the greatest challenges your household is currently facing?* This field is required.
38
Had you previously heard of Access Community Action Agency?* This field is required.
Yes
No
39
Are you a customer of Access Community Action Agency?* This field is required.
Yes
No
40
Have you applied for LIHEAP/CEAP/Energy Assistance?* This field is required.
Yes, I receive energy assistance
Yes, I applied but was over income
I have applied before but do not receive it now
No, I don't think I qualify
I don't need it
I have never heard of the energy assistance program
41
Are there services for the homeless in your area?* This field is required.
Yes
No
Unsure
42
Do you know that if you are homeless the first step in getting help is to dial 211?* This field is required.
Yes
No
Unsure
43
Do you have reliable phone service?* This field is required.
Yes
No
44
Do you have reliable access to the internet?* This field is required.
Yes
No
45
Did you know that Access has volunteering opportunities?* This field is required.
Yes
No
46
Does your household run out of food before the end of the month?* This field is required.
Yes
No
47
If Yes, please explain why?* This field is required.
48
Do you utilize any of the following?* This field is required.
Food Pantries
SNAP/ Food Stamps
Both
Neither
49
Are there things you need but struggle to pay for?* This field is required.
Yes
No
50
If Yes, please explain* This field is required.Are there things you need but struggle to pay for?
51
What do you view as major causes of poverty in your area?* This field is required.Scroll down to view all options
No employment opportunities
Employment that provides insufficient income
Lack of education
Cost of housing
Cost of living
Substance abuse
Affordable childcare
Other
52
If Other, please explain* This field is required.What do you view as major causes of poverty in your area?
53
Have you experienced a stressful event in the last 3 years?* This field is required.
Yes
No
54
If Yes, please explain how it has affected your quality of life* This field is required.Have you experienced a stressful event in the last 3 years?
55
Do you or someone close to you have an addiction?* This field is required.
Yes
No
56
Do you experience chronic illness?* This field is required.
Yes
No
57
Do you experience mental illness?* This field is required.
Yes
No
58
Are you socially active?* This field is required.Scroll down to view all options
Yes, I have an active social life.
Yes, I am involved in my community.
No, I do not have an active social life.
No, I am not involved in my community.
59
If you are not socially active please explain why.
60
Where do you turn when you are in crisis?* This field is required.Scroll down to view all options
Family
Friends
Faith Based Organizations
Community Service Agencies
Physician, therapist, APRN, psychiatrist, or other healthcare professional
I have no one to turn to
Other
61
If Other, please explain* This field is required.Where do you turn when you are in crisis?
62
Within the last 12 months have you utilized a service that has been cut and is no longer available?* This field is required.
Yes
No
63
If Yes, what was the name of the service that was cut?* This field is required.
64
What is the most helpful resource that you are aware of?* This field is required.
65
What do you see as the important needs of the community?* This field is required.
66
What important information do you think we should know?
Should be Empty: