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

 

and zip code

 

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

 

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

 

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

 

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

 

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

 

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

 

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

Transportation (check one of the ratings please)

 

Food costs

 

Access to healthy foods

 

Housing / rent costs

 

Homelessness

 

Home repairs

 

Reducing utility costs

 

Increasing income

 

Help with managing money

 

Help paying utility bill(s)

 

Credit card or loan debt

 

Parenting support and education

 

Children's education/tutoring

 

High school drop-outs

 

Affordable daycare or before/after school care

 

Neighborhood Safety and Security

 

Paying for college/higher education

 

Health insurance/ Healthcare Costs

 

Dental and/or Vision Care

 

Programs for youth/teens

 

Juvenile Delinquency/Crime

 

Drug of Alcohol Abuse

 

Domestic Violence

 

Programs and services for Senior Citizens

 

Services for Disabled people

 

Veterans' Services

 

Mental Health Services

 

Language Barrier(s)

 

Immigration/citizenship issues

 

Incarceration/re-integration issues

 

Finding a job

 

Job Training

 

Other: (other concerns)

 

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

 

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

 

Quality Education

 

Affordable Housing

 

Foreclosure Prevention

 

Healthy Food /Grocery Stores

 

Financial Education & Services

 

Medical & Dental Care

 

Programs / Activities for Youth

 

Child Care

 

Transportation

 

Mental Health  Services

 

Veteran's Services

 

Homeless Services

 

Immigration and Citizenship

 

Alcohol & Drug Treatment

 

10.  Any other comments or suggestions.

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Created at 12/21/2021 7:05 AM by ***
Last modified at 12/21/2021 7:05 AM by ***