• Community Survey

    The Community Survey will help EightCAP, Inc. learn about the four counties we serve. Your answers will help us understand what is going well and where people may need more support. The survey has six parts: Housing, Pregnancy and Childcare, Transportation, Health, Community Concerns, and Basic Information. Thank you for taking the time to share your thoughts with us—we truly appreciate it! This survey will take 5-10 minutes and remain confidential.

  • Housing

  • Which county do you live in?
  • What is your current housing status?
  • How many people live in your household?
  • What is your current employment status?
  • What is your household income?
  • Pick the one that best describes the condition of your home:
  • Have you ever been behind more than 30 days on your rent or mortgage payments?
  • Do you have running water in your home?
  • If you have a septic tank, is it working?
  • In the last year, has anyone in your household had to choose between buying food and paying a bill to meet other basic needs (housing, heat, electricity, water, etc.)?

  • Pregnancy and Childcare

  • If you have been pregnant in the last 5 years, did you receive regular pre-natal care?
  • Do you have children under the age of 5?
  • If you have children, who is your primary childcare provider?
  • Have you ever lost a job or been unable to keep a job due to unreliable childcare?

  • Transportation

  • Have you ever lost a job or not been able to accept a job due to transportation issues?
  • What transportation challenges do you face? (Check all that apply)

  • Health and Wellbeing

  • How do you normally receive medical care?
  • What type of insurance do you have?
  • In the last year, has anyone in your household NOT been able to receive medical care because of the cost?
  • In the last year, has anyone in your household NOT been able to get a prescription because of the cost?
  • Do you visit the dentist?
  • In the past year, have you struggled with mental health?
  • If yes, how did you cope? (check all that apply)

  • Community Concerns

  • What are the most important community concerns for you and your family or friends? (check all that apply)
  • Have you ever needed help but did not seek services?
  • If yes, why not? (check all that apply)
  • What services or resources have you used in your community? (check all that apply)
  • If you had an unexpected $500 expense, could you cover it?
  • What do you think will be the biggest challenge for your household in the next 1-2 years?
  • Have you received services from EightCAP in the past 2 years?

  • Demographics

  • What is your age?
  • Gender
  • Marital Status
  • Are you a veteran?
  • Highest level of education completed
  • Race (check all that apply)
  • Ethnicity
  • Should be Empty: