Community Assessment

SHCPI Community Needs Assessment

1. What is your role in the community? (Please select the best choice which fits your role when completing the survey)

Community Action Client/Low-Income Resident

Faith Based Organization Representative (Church/Faith Based groups, clubs, councils, associations, etc.)

Private Sector Representative/Community Member (for profit, small business, private citizen, etc.)

Community Organization/Partner (local service provider and non-profits)

Educational Institution Faculty/Staff (local schools, colleges and universities)

Health Care Agencies (clinics, health departments, etc.)

Board Member of Community Action Agency

Staff or volunteer of Community Action Agency

Local Politician/ Government /Public Sector Representative (non-profit, government regulated, funding sources, etc.)

2. In which county do you live or represent?

3. In which city do you live in?

4. What is your gender?

Male

Female

Prefer not to answer

Other

5. What is your age?

Under 18

18-24

25-44

45-54

55-59

60-64

65-74

75+

6. What is your race?

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian and Other Pacific Islander

White

Multi-race (two or more of the previous)

Other

7. What is your ethnicity?

Hispanic, Latino or Spanish origin

Not Hispanic, Latino or Spanish origin

8. What is your educational level?

Grades 8 or less

Grades 9-12/Non-Graduate

High School Graduate/Graduate Equivalency Diploma (GED)

12th grade + Some Post-secondary

2 or 4 year college graduate

Graduate of other post-secondary school

9. The amount that best represents your annual household income:

Under $10,000

$10,001 - $15,000

$15,001 - $20,000

$21,001 - $25,000

$25,001 - $30,000

$30,001 - $35,000

$35,001 - $40,000

Above $40,000

10. What best describes your household?

Single Person

Two Adults no children

Single Parent Female

Single Parent Male

Two Parent Household

Non-related Adults with children

Mutigenerational household

Other

11. Including yourself, how many people live in your home?

One (1)

Two (2)

Three (3)

Four (4)

Five (5)

Six (6) or more

12. The number of people in your household between the ages of (Enter the number for each category)

0-5

6-13

14-17

18-24

25-44

45-54

55-59

60-64

65-74

75+

13. Are you disabled?

Yes

14. What is your Military Status?

Veteran

Active Military

No Military Service

15. Do you have health insurance?

Yes

As part of the local Community Action Agency ongoing Community Needs Assessment, we are asking that you assist us by completing the following survey. The results of the survey assist in targeting funding toward the greatest community needs.

16. The following topic areas require that you mark all important needs in each category. Please take the time to review each carefully before making your decision. As always, we value your input and feedback. Please click next.

Education

More accessible counseling to prepare students for tech or college

More certificate/degree programs offered locally

More affordable transportation options to and from school

More affordable high-quality childcare options for parents who would like to further their education

Increasing the community’s knowledge of available education resources (career development, computer skills, and state programs)

More available English as a Second Language (ESL) programs.

More affordable and available internet

Other (please specify)

Employment

More jobs with better pay and benefits

More training for the types of jobs available in the area (i.e. workforce development, welfare to work, or ReSkill Mississippi)

Affordable transportation to and from job

Early reinforcement of the values of entering the workforce

Increasing the community’s knowledge of available employment services

Improve the workforce readiness skills of people who are able to work

Affordable adult daycare during work hours

Other (please specify)

Early Child Care and Education

More affordable childcare providers

More childcare providers for children with special needs

More childcare providers in your area

Preschool activities for child(ren) to develop school readiness skills

Affordable childcare during work hours

More childcare options outside of normal work hours

More emphasis on early childhood nutrition education

Other (please specify)

Civic Engagement

Increasing the community’s skills and knowledge for leadership development

More citizenship classes

More education on how to join neighborhood associations, community boards, advisory groups or similar organizations

More knowledge on civic activities

Other (please specify)

Overall

Based on the prior selected items, please mark the top three (3) main service categories you feel your community needs most.

Education

Employment

Housing

Health

Early Child Care and Education

Income and Asset Building

Civic Engagement

Support Services

Thank you for taking our Community Assessment survey.

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