Thank you for taking a few minutes to complete this survey. Your input will help us better understand the needs of our community and build programs that reflect what matters most to you. All responses are confidential.

Full Name *

Phone *

Email *

What ward do you live in? *

Southeast

Southwest

Northeast

Northwest

1. Which of the following areas do you believe are most important to support and improve in your community? (Check all that apply) *

Mental Health & Wellness

Food Security & Nutrition

Reentry Support for Returning Citizens

Financial Literacy & Wealth Building

Childcare & Early Childhood Education

Technology & Digital Access

Disability & Accessibility Advocacy

Community-Based Public Health Initiatives

Substance Abuse Prevention & Recovery

Civic Engagement & Leadership Development

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2. Which of these areas have you personally accessed or participated in during the past 12 months? (Check all that apply)

Mental Health Services

Food Banks or Meal Services

Reentry or Returning Citizen Services

Financial Coaching or Workshops

Childcare or Early Learning Programs

Technology Access Programs (e.g., free Wi-Fi, digital skills training)

Disability Support Services

Health Screenings or Health Education Events

Recovery or Substance Abuse Programs

Leadership or Community Engagement Programs

None of the above

3. How would you rate access to services in your community in the following areas? (Rate each from 1 = Very Poor to 5 = Excellent or check N/A if not applicable)

Service Area:

Mental Health & Wellness *

1
2
3
4
5
N/A
No elements found. Consider changing the search query.
List is empty.

Food Security *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Financial Literacy *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Childcare/Early Education *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Technology Access *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Disability/Accessibility Advocacy *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Community Health Resources *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Substance Abuse Support *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

Civic Engagement/Leadership Opportunities *

1 - Very Poor
2 - Poor
3 - It's Ok
4 - Good
5 - Excellent
N/A
No elements found. Consider changing the search query.
List is empty.

4. What would you like to see more of in your community? *

5. What is your strongest personal need right now? (Select one or add your own) *

Housing

Employment

Mental Health Services

Food Assistance

Substance Abuse Recovery

Transportation

Childcare

Legal Assistance

Reentry Support (for returning citizens)