Human Development Commission
2008 Community Needs Assessment Survey
Transportation Issues
How much to you typically spend on transportation in one week? $25 or less $51 - $100 $26 - $50 $101 or more
Do you have trouble affording transportation (ie. fuel, public transportation)? Yes No
Do you have a valid driver’s license? Yes No
If yes, does it meet your current needs? Yes No Not Applicable
If no, why does it not meet your needs? (check all that apply): Too expensive Limited availability/hours of service Long wait times Scheduling conflicts Other
Employment and Job Skills
Have you been employed continuously for the last two years? Yes No
Have you been laid off in the past two years? Yes No
Number of jobs held in the last two years?
Number of jobs currently held?
Has a lack of job skills prevented you or another member of your household from getting a better paying job in the past two years? Yes No
Do any adult members of your household need training in basic reading skills? Yes No
Does any adult member of your household need computer skills to help get a better paying job? Yes No
Do you have a computer at home? Yes No
Do you have internet connection at home? Yes No
If no, do you have internet access outside of the home (ex: public library or school)? Yes No Don't Know
Health and Healthcare
Is everyone in your household currently covered by health insurance? Yes No
If yes, where do members of your household get health insurance (check all that apply)? Employer, union, school Bought directly Medicare (government pay) Medicaid Other
At any time during the past 12 months, was anyone in the household without any health plan or medical insurance coverage? Yes No
Where do you typically go to receive healthcare or medical attention: Primary care physician Friend/Family Emergency Room Free Clinic Urgent care clinic Other
Health and Healthcare (continued)
In the past year, was there any time when someone in your household needed medical care but did not get it? Yes No
If yes, what were the primary reasons you were unable to get the medical care needed? It cost too much Not covered by insurance Managed care hassles No one to take care of children Could not get an appointment Don’t know or have a doctor/clinic Too nervous or afraid No transportation Could not get off work Couldn’t find doctor who accepts Medicaid Wait too long at doctor’s office/clinic Other
In the past year, did any member of your household go without a prescription because you could not afford to pay for it? Yes No
Have you been able to receive immunizations for your child(ren) for childhood diseases? Yes No Chose not to N/A
Has your household had problems paying medical bills during the past year? Yes No
In the past year, was there a time when anyone in your household needed dental care but did not get it? Yes No
If yes, what were the primary reasons this person was unable to get the dental care needed? It cost too much Not covered by insurance Managed care hassles No one to take care of children Could not get an appointment Don’t know or have a dentist/clinic Too nervous or afraid No transportation Could not get off work Couldn’t find dentist who accepts Medicaid Wait too long at dentist’s office/clinic Other
How would you rate your overall health? Excellent Good Average Poor Very Poor Don’t Know
Housing and Basic Needs
How are you currently heating your home
(check all that apply)? Electric Heater Wood Fuel Oil/Kerosene Utility Gas Bottled, Tank or LP Other
Do you have a washer/dryer at home? Washer Dryer
Have you been denied housing, a car or home loan, or a job because of poor credit? Yes No
Individual and Household Un-Met Needs
Personal or emotional crisis Severe mental health problems Depression or anxiety Need for suicide prevention services Serious physical illness or condition Serious injury Alcohol or drug abuse Family violence Sexual assault Severe financial problems/crisis Child with social/behavioral problems Child with developmental disabilities Homelessness Need for adult caregiver (in home) Need for adult caregiver (outside home) Need for assistance with home repairs Need for legal assistance/mediator Other None of the Above
Parenting/Childcare Issues Please indicate whether the following is a concern in your household:
Having enough food to feed my family………………………………… Yes No Not Applicable
Having someone available I can trust with my children when I need to work/be out of the home…………………………………………….. Yes No Not Applicable
Getting information to gain skills to help me be a better parent……….. Yes No Not Applicable
Getting health care or medicine for my child when he/she is sick:…….. Yes No Not Applicable
Getting my child to attend school on a daily basis……………………… Yes No Not Applicable
Getting help with my child’s behavioral problems……………………… Yes No Not Applicable
Getting tutoring services for my child………………............................... Yes No Not Applicable
Finding quality child care……………………………………………… Yes No Not Applicable
Finding child care for children with special needs……………………… Yes No Not Applicable
Finding affordable child care…………………………………………… Yes No Not Applicable
Finding child care during the hours you need it………………………… Yes No Not Applicable
Finding child care convenient to your work or home…………………… Yes No Not Applicable
Finding child care when your child is sick……………………………… Yes No Not Applicable
Understanding the new school readiness expectations………………….. Yes No Not Applicable
Assisting your child with his/her homework……………………………. Yes No Not Applicable
Caregiving Issues
Are you or another member of your household the full-time caregiver and/or legal guardian for a person who is 60 years or older? Yes No
Are you or another member of your household the caregiver of a person with Alzheimer’s or other form of dementia? Yes No
Are you or another member of your household the full-time caregiver and/or legal guardian for a person who is younger than 60 but mentally or physically impaired? Yes No
If you are a caregiver, do you help another member of your household with daily living activities such as bathing, dressing, and/or eating? Yes No Not Applicable
Personal/Community Involvement
Are you a registered voter? Yes No
Do you vote on a regular basis? Yes No
Are you a member or involved in any of the following groups? (Check all that apply)
Church/temple/mosque Other charitable organization Civic organization Neighborhood based group Other Not a member of any organized group
Have you volunteered in the last year? Yes No
If yes, where do you volunteer (check all that apply):
Church/temple/mosque Schools Service organizations Red Cross Hospital/medically needed group Soup kitchen/food pantry Special Olympics Community Action Agency Foster Grandparent Program Retired and Senior Volunteer Program Other Overall Ratings of Your Community Do you agree or disagree with the following statements regarding your community?
There is available, affordable housing………………………. Agree Disagree Don't Know
There are ample new housing developments……………….. Agree Disagree Don't Know
I feel safe in my neighborhood/community............................ Agree Disagree Don't Know
There is ample local police service…………………………. Agree Disagree Don't Know
I am satisfied with the overall local school district…………. Agree Disagree Don't Know
There are affordable, available health care centers………… Agree Disagree Don't Know
Overall, my community is a good place to live…………….. Agree Disagree Don't Know
Overall, my community is a good place to visit/vacation….. Agree Disagree Don't Know
Overall, my community is a good place to raise child(ren)… Agree Disagree Don't Know
Overall, my community is a good place to work…………… Agree Disagree Don't Know
Overall, my community is a good place to retire…………… Agree Disagree Don't Know
County in which you reside:
Huron Lapeer Sanilac Tuscola
Your residence location:
Within city/village In rural area
Your gender: Male Female
Your ethnicity/race: Black/Not Hispanic White/Not Hispanic Hispanic Origin Native American Asian/Pacific Islander Other Your Age Group (check one only): Age 6 - 11 Age 45 - 54 Age 12 - 17 Age 55 - 69 Age 18 - 23 Age 70+ Age 24 - 44
Family Type: Single parent / female Two adults (no children) Single parent / male Other Single person Two parent household
How many members of your household, counting yourself, are there? (enter # of each) Age 0 - 5 Age 24 - 44 Age 6 - 11 Age 45 - 54 Age 12 - 17 Age 55 - 69 Age 18 - 23 Age 70+
Your level of education: Grade 0 – 8 9 – 12 (non-graduate) High School graduate/GED 12+ some post secondary 2 – 4 yr. college graduate
Do you currently live in subsidized housing? Yes No
Do you currently……? Own Homeless Rent Live with Relatives
Are you presently……? Employed full-time Employed part-time Unemployed Ill (temporarily unable to work) Student Homemaker Retired Self-employed Disabled
What is your level of annual family income? Under $15,000 $75,000 - $99,999 $15,000 - $24,999 $100,000 - $124,999 $25,000 - $49,999 $125,000 - $149,999 $50,000 - $74,999 $150,000 and Above What are the sources of your family income? No income Pension TANF Unemployment SSI Employment only Social Security Employment + other General Assistance/ Interest income SDA/SFA Other Demographics/Personal Needs (continued) How many times have you moved in the past two years?
If you are not yet retired, have you put money into a retirement plan, IRA, 401(k), or work pension Yes No
Do you currently have investments? Yes No Do you receive any form of public assistance? (food stamps, etc.) Yes No
Do you have a bank account? Checking Savings None
Are you a migrant worker? Yes No
Are you a farm worker (regular, migrant, or seasonal)? Yes No
Quality Of Life
1. Of the following items, check the three most important to you right now: Having health insurance Further education Getting training for a new job Moving to a better neighborhood Buying a home Reliable transportation Child care Getting a job with better wages Getting a job with benefits Having affordable housing Keeping kids in school Alcohol or drug addiction assistance Having enough food Keeping utility bills current Having good credit Parenting skills Domestic abuse assistance Reading, writing and math Other None of the above
In your opinion, which three of the following are most important to having a good community? Good neighborhood schools Affordable housing Neighborhood convenience stores Recycling available Building in good repair Good public transportation Good local libraries Parks/play areas Neighborhood associations Good paying local jobs Necessary infrastructure (ie. streets, sidewalks, water, sewer)
In your opinion, which three of the following are missing from your community? Good neighborhood schools Affordable housing Neighborhood convenience stores Recycling available Building in good repair Good public transportation Good local libraries Parks/play areas Neighborhood associations Good paying local jobs Necessary infrastructure (ie. streets, sidewalks, water, sewer) Nothing is missing from my community
General Comments Please provide any additional information or comments to help us better understand the needs of people in our communities.
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