Community Needs Survey

Community Wellness Survey

Levadeh is a nonprofit started by neighbors that live right in Detroit that want to improve life for people that live in Detroit! You can help us find out if what we are doing is wanted by answering this seven question survey!
How old are you?*

Under 2930-4950-69Over 70
Please provide your Zip code*
How is your Overall Health?*

GreatNot so greatAverageI’m trying to improveI’m not very healthy
Does the Education that you received in your youth help you to create the life that you want to live, now?*

Yes, I learned more than enough.Yes, I learned enoughI don’t knowNot reallyNo, I don’t use much of what I learned in school
How do you feel about the Relationships in your life?*

They are not healthy, but I want them to beI don’t think about that too muchI have all the love, support, and presence that I needMy relationships could use some work
What is your level of Ownership?*

I rent or lease my homeI own my homeI live with someone that pays rentI live with someone that owns their homeI don’t know
Are you interested in receiving support to develop in any of the areas mentioned above - Health, Education, Relationships, or Ownership?*

HealthEducationRelationshipOwnershipI don’t want to change or improve
Your email
example@example.com
Feel free to leave an optional comment:
Should be Empty:

Community Wellness Survey