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1) What is the Town or City of your business? (click the drop-down arrow to select...

z Outside of Cook County

and zip code

55,555

2. Which of the following best describes the organization you represent:

Government Agency

3. Does your organization/business invest in the community where it is located in any of the following ways? (check as many as apply)

Have not done so

4. How long has your organization been in the community? (select one)

More than 20 years

5. Does your organization recruit employees from the community in which it is located?

Don't know

If yes, approximately how many of your employees reside in the community?

 

6. Does your organization currently refer customers or employees to CEDA?

Don't know

7.  Based on the current needs of your community, please rate each of the issues below.

Transportation (check one of the ratings please)

Not at all a concern

Food costs

Not at all a concern

Access to healthy foods

Not at all a concern

Housing / rent costs

Not at all a concern

Homelessness

Not at all a concern

Home repairs

Not at all a concern

Reducing utility costs

Not at all a concern

Increasing income

Not at all a concern

Help with managing money

Not at all a concern

Help paying utility bill(s)

Not at all a concern

Credit card or loan debt

Not at all a concern

Parenting support and education

Not at all a concern

Children's education/tutoring

Not at all a concern

High school drop-outs

Not at all a concern

Affordable daycare or before/after school care

Not at all a concern

Neighborhood Safety and Security

Not at all a concern

Paying for college/higher education

Not at all a concern

Health insurance/ Healthcare Costs

Not at all a concern

Dental and/or Vision Care

Not at all a concern

Programs for youth/teens

Not at all a concern

Juvenile Delinquency/Crime

Not at all a concern

Drug of Alcohol Abuse

Not at all a concern

Domestic Violence

Not at all a concern

Programs and services for Senior Citizens

Not at all a concern

Services for Disabled people

Not at all a concern

Veterans' Services

Not at all a concern

Mental Health Services

Not at all a concern

Language Barrier(s)

Not at all a concern

Immigration/citizenship issues

Not at all a concern

Incarceration/re-integration issues

Not at all a concern

Finding a job

Not at all a concern

Job Training

Not at all a concern

Other: (other concerns)

If you fulfill these conditions then you can get the loan on the same day you apply.

8. Which ONE item of the list above is the MOST important need right now?

Transportation

9. Thinking about the resources and programs that already exist, how would you rate the following services in your community? (Please check one rating per item)

Job Training and Employment

Don’t Know

Quality Education

Don’t Know

Affordable Housing

Don’t Know

Foreclosure Prevention

Don’t Know

Healthy Food /Grocery Stores

Don’t Know

Financial Education & Services

Don’t Know

Medical & Dental Care

Don’t Know

Programs / Activities for Youth

Don’t Know

Child Care

Don’t Know

Transportation

Don’t Know

Mental Health  Services

Don’t Know

Veteran's Services

Don’t Know

Homeless Services

Don’t Know

Immigration and Citizenship

Don’t Know

Alcohol & Drug Treatment

Don’t Know

10.  Any other comments or suggestions.

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Created at 1/21/2020 10:16 AM by ***
Last modified at 1/21/2020 10:16 AM by ***