EightCAP Community Needs Assessment
Every three years, EightCAP surveys the community to learn more about issues affecting area residents. We use this information to guide the implementation of programming to help alleviate the causes of poverty and help our communities become self-sufficient. Your responses are confidential and anonymous.
What is your county of residence
Please Select
Gratiot
Ionia
Isabella
Montcalm
Other
What is your Zip Code
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Gender
Female
Male
Non-binary
Prefer not to answer
Marital Status
Single
Married
Separated
Divorced
Widowed
Living with a partner
Highest level of education completed
Some school
High School Graduate
GED
Some College
Associates Degree
Bachelors Degree
Masters Degree
Trade or Technical Certificate
Race (check as many as apply)
White or Caucasian
Black or African American
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Some other race
Ethinicity
Hispanic or Latino
Not Hispanic or Latino
What is your annual household income
No income
Under $15,000
Between $15,000 and $29,999
Between $30,000 and $49,999
Between $50,000 and $74,999
Between $75,000 and $99,999
Over $100,000
How many people live in your household?
1
2
3
4
5
More than 5
What is your employment status?
Part-time
Full-time
Retired
Disabled
Self-employed
Unemployed
Seasonal
What is your current housing status?
Own
Rent
Staying with friends or family
Nursing home or assisted living facility
Hotel/motel/shelter
Homeless
Camper/Tent
Pick the one that best describes the condition of your home?
Good shape, no repairs needed
Needs minor repairs
Needs major repairs
Poor condition and is not safe
Needs weatherization measures (insulation, air sealing, weatherstripping)
Needs disability access improvements (wheelchair ramp, wider doorways, etc.)
Have you ever been behind more than 30 days on your rent or mortgage payments?
Yes
No
Have you ever lost a job or not been able to accept a job because of transportation issues?
Yes
No
Do you have running water in your home?
Yes
No
If you have a septic tank, is it working?
Yes
No
Not Applicable
Do you have children under the age of 5?
Yes
No
If you have children, who provides childcare most of the time?
Self
Daycare
Family/Friends
School/Pre-School
Do not have children in daycare
Do not have reliable daycare
Have you ever lost a job or been unable to accept a job because you did not have reliable daycare?
Yes
No
How do you normally receive medical care?
Primary Care Physician
Urgent Care
Emergency Room
I don't normally seek medical care
What type of insurance do you have
Employer provided plan
Self-paid health insurance
Marketplace (Obamacare)
Medicaid
Medicare
I don't have health insurance
In the last year, have you or anyone in your household not been able to afford to receive medical care because of the cost?
Yes
No
In the last year, have you or anyone in your household not been able to afford a prescription because of the cost?
Yes
No
Do you visit the dentist?
Yes, routinely
Yes, for emergencies
No
If you have been pregnant in the last five years, did you receive regular pre-natal care?
Yes
No
Not applicable
If you did not receive regular pre-natal care, why not?
In the last year, have you or anyone in your household had to choose between buying food or paying a bill to meet other basic needs (housing, heat, electricity, water, etc.)
Yes
No
What are the most important community concerns right now for you and your family or friends? (may choose multiple options)
Affordable/Obtainable Housing
Available Rental Units
Affordable Childcare
Cost of Food
Low paying jobs
Reliable or available transportation
Services for Veterans
Services for Seniors
Homelessness
Mental Health
Drug or Alcohol Abuse
Health insurance
Domestic Violence
Affordable Assisted Living centers
Unemployment
Access help or services (unsure where to go to get help)
Homes are in need of repairs
High Utility Bills
Cost of Medical Care
Cost of Prescriptions
Other
Submit
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