• Calaveras County Community Needs Survey

  • About this survey

    The Calaveras County Family Wellness Coalition is asking adults who live or work in Calaveras County to share what their community needs. The survey takes about 10 minutes. Your answers will help decide where programs and funding are needed most. 

    Your participation is voluntary. You may skip any question or stop at any time. Choosing not to take part in the survey will not affect any services you receive.

    Your answers are anonymous. Do not write your name on this survey. 

    Questions? Contact Rochelle Sweet at rsweet@calaverascounty.gov or 209-754-6914

    By completing this survey, you agree to take part and confirm that you are 18 or older. 

  • ABOUT YOU

  • What is your age?*
  • What is the highest level of education you have completed?*
  • What is your race and/or ethnicity? Select all that apply.*
  • In the past 12 months, what was the approximate combined income of everyone in your household, before taxes? (Include all sources, such as wages, self-employment, social security, disability, CalWORKs, child support and unemployment.)*
  • Including yourself, how many family members live with you? Write a number in each blank.*

  • COMMUNITY NEEDS

  • In the past 12 months, has your household had trouble with any of the following? Select all that apply.*

  • PROGRAMS & SERVICES

  • In the past 12 months, has anyone in your household used any of these programs or services?*
  • If your household needed a program or service in the past 12 months, but did not get it, what got in the way? Select all that apply.*

  • LOOKING AHEAD

  • Which of these would most improve life for families in Calaveras County? Please select up to 3.*
  • Where do you get most of your information about community programs, services, and resources? Select up to 3.*

  • THANK YOU FOR SHARING YOUR VOICE!

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