Community Needs Assessment Survey – Staff

Your responses to this survey are important to us. Among other things, your input will help us determine: 1) the most pressing needs in the area; 2) what programs should be added or revised to best meet those needs; and 3) ways we can improve.  Responses won’t be attributed to you by name; the name is to avoid duplication. However, if you are concerned, leave “name” blank. 

As you read the next few sections, answer the questions based on our participant's needs.

A. What do you think of the current state of the following in the community where you work?

Please check the appropriate box for each of the following (Please include for all services provided)

B. How big of a problem are the following in the community where you work?

Please check the appropriate box for each of the following (Please include for all services provided)