United Way of the Titusville Region - Needs Assessment 2018

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1. What Township/City/Borough do you live in? (Check One)

Oil Creek (Crawford)

Troy

Steuben

Rome

Centerville (Borough)

Titusville (City)

Pleasantville (Borough)

Oil Creek (Venango)

Cherrytree

Allegheny

Southwest

Hydetown (Borough)

Townville (Borough)

Sparta

Spartansburg (Borough)

Athens

Other (please specify)

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2. Are you male or female?

Male

Female

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3. What is your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older

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4. How many people currently live in your household?

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5. How many children are you parent or guardian for and live in your household (aged 17 or younger only)?

None

More than 4

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6. How much total combined money did all members of your HOUSEHOLD earn in the past year? This includes money from jobs; net income from business, farm, or rent; pensions; dividends; interest; social security payments; and any other money income received by members of your HOUSEHOLD that are EIGHTEEN (18) years of age or older.

Less than $20,000

$20,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000or more

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7. What is the highest level of education you have completed?

No formal schooling

Elementary School

Graduated from high school

GED

Vocational/Technical Certificate

Associates Degree or other Two Year Progam

Bachelors Degree of other Four Year Program

Completed Graduate School

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8. How would you rate the importance of the of the following education programs or services to you and your family?

	Not Important	Somewhat Important	Neutral	Important	Very Important	N/A
Head Start and Pre-school Education	Head Start and Pre-school Education Not Important	Head Start and Pre-school Education Somewhat Important	Head Start and Pre-school Education Neutral	Head Start and Pre-school Education Important	Head Start and Pre-school Education Very Important	Head Start and Pre-school Education N/A
Primary Education (K through 12)	Primary Education (K through 12) Not Important	Primary Education (K through 12) Somewhat Important	Primary Education (K through 12) Neutral	Primary Education (K through 12) Important	Primary Education (K through 12) Very Important	Primary Education (K through 12) N/A
After School Programming	After School Programming Not Important	After School Programming Somewhat Important	After School Programming Neutral	After School Programming Important	After School Programming Very Important	After School Programming N/A
Vocational, Co-op and/or other Technical Education	Vocational, Co-op and/or other Technical Education Not Important	Vocational, Co-op and/or other Technical Education Somewhat Important	Vocational, Co-op and/or other Technical Education Neutral	Vocational, Co-op and/or other Technical Education Important	Vocational, Co-op and/or other Technical Education Very Important	Vocational, Co-op and/or other Technical Education N/A
Family & Adult Literacy Programs	Family & Adult Literacy Programs Not Important	Family & Adult Literacy Programs Somewhat Important	Family & Adult Literacy Programs Neutral	Family & Adult Literacy Programs Important	Family & Adult Literacy Programs Very Important	Family & Adult Literacy Programs N/A
Computer Usage Training and Literacy	Computer Usage Training and Literacy Not Important	Computer Usage Training and Literacy Somewhat Important	Computer Usage Training and Literacy Neutral	Computer Usage Training and Literacy Important	Computer Usage Training and Literacy Very Important	Computer Usage Training and Literacy N/A
Job Skills Education and Training	Job Skills Education and Training Not Important	Job Skills Education and Training Somewhat Important	Job Skills Education and Training Neutral	Job Skills Education and Training Important	Job Skills Education and Training Very Important	Job Skills Education and Training N/A

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9. How do we enhance education in the Titusville region? Please rank 1 through 10 in order of most important (1) to least important (10). YOU MAY ONLY USE EACH NUMBER ONCE.

Access to programs for obtaining a GED

Affordable child care services during school hours

Adult literacy programs

Computer & technology training

Access to Public Transportation

Scholarships to assist with tuition

Access to programs which teach vocational skills

College educations programs for high school graduates

Violence prevention & anti-bullying programs

Drop-out prevention programs

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10. Which of the following categories best describes your employment status?

Employed; Working full-time earning minimum wage or underemployed

Employed; Working part-time or temporary hours

Employed; Working full-time

Self-Employed

Unemployed

Retired

Disabled; Not able to work

The next several questions are dependent on your employment status. If you are unemployed skip to question 13. If you are retired and/or disabled please advance to question 14.

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11. How do you get to work?

Walk or Ride a Bike

Drive my own Vehicle

Car Pool

Public Transportation

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12. On average, how much money do you spend getting to and from work each week?

less than $20.00

$20.00 - $30.00

$30.00 - $40.00

more that $40.00

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13. Do you believe any of the following negatively effect your employment status or opportunities in the Titusville region? (choose all that apply)

Lack of Job Search Resources (skill assesment, resume creation, etc)

Lack of employment opportunites in the area

Lack of well paying jobs that also offer benefits

Lack of good child care or cost of child care during working hours

Lack of job training or education opportunities required for employment

Lack of transportation or cost of transportation

Other (please specify)

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14. Please select all insurances you currently have.

Health

Dental

Vision

None of the Above

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15. If you have health insurance, do you feel like you can afford to use it?

Yes

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16. Why do you currently not have health insurance? (Check all that apply, skip if you have insurance)

Insurance company refused coverage for health reasons

Cannot afford insurance

Not eligible for employer-paid insurance

Do not need insurance

Dissatisfied with previous insurance plan or provider

Do not know how to sign up for insurance

Other - specify below

Other (please specify)

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17. How would you rate the importance of the following health and human services to you and your family?

	Not Important	Somewhat Important	Neutral	Important	Very Important	N/A
Woman's Health, Prenatal Care and/or Pregnancy Counseling	Woman's Health, Prenatal Care and/or Pregnancy Counseling Not Important	Woman's Health, Prenatal Care and/or Pregnancy Counseling Somewhat Important	Woman's Health, Prenatal Care and/or Pregnancy Counseling Neutral	Woman's Health, Prenatal Care and/or Pregnancy Counseling Important	Woman's Health, Prenatal Care and/or Pregnancy Counseling Very Important	Woman's Health, Prenatal Care and/or Pregnancy Counseling N/A
Nutrition, Obesity Prevention and/or Eating Disorder Programs	Nutrition, Obesity Prevention and/or Eating Disorder Programs Not Important	Nutrition, Obesity Prevention and/or Eating Disorder Programs Somewhat Important	Nutrition, Obesity Prevention and/or Eating Disorder Programs Neutral	Nutrition, Obesity Prevention and/or Eating Disorder Programs Important	Nutrition, Obesity Prevention and/or Eating Disorder Programs Very Important	Nutrition, Obesity Prevention and/or Eating Disorder Programs N/A
Alcohol Abuse Treatment and Counseling	Alcohol Abuse Treatment and Counseling Not Important	Alcohol Abuse Treatment and Counseling Somewhat Important	Alcohol Abuse Treatment and Counseling Neutral	Alcohol Abuse Treatment and Counseling Important	Alcohol Abuse Treatment and Counseling Very Important	Alcohol Abuse Treatment and Counseling N/A
Tobacco Education and Cessation Programs	Tobacco Education and Cessation Programs Not Important	Tobacco Education and Cessation Programs Somewhat Important	Tobacco Education and Cessation Programs Neutral	Tobacco Education and Cessation Programs Important	Tobacco Education and Cessation Programs Very Important	Tobacco Education and Cessation Programs N/A
Services for People with Disabilities	Services for People with Disabilities Not Important	Services for People with Disabilities Somewhat Important	Services for People with Disabilities Neutral	Services for People with Disabilities Important	Services for People with Disabilities Very Important	Services for People with Disabilities N/A
Mental Health Services	Mental Health Services Not Important	Mental Health Services Somewhat Important	Mental Health Services Neutral	Mental Health Services Important	Mental Health Services Very Important	Mental Health Services N/A
Support and Services for People with Long-term or Chronic Conditions	Support and Services for People with Long-term or Chronic Conditions Not Important	Support and Services for People with Long-term or Chronic Conditions Somewhat Important	Support and Services for People with Long-term or Chronic Conditions Neutral	Support and Services for People with Long-term or Chronic Conditions Important	Support and Services for People with Long-term or Chronic Conditions Very Important	Support and Services for People with Long-term or Chronic Conditions N/A
Hospice and Bereavement Services	Hospice and Bereavement Services Not Important	Hospice and Bereavement Services Somewhat Important	Hospice and Bereavement Services Neutral	Hospice and Bereavement Services Important	Hospice and Bereavement Services Very Important	Hospice and Bereavement Services N/A
Health Care Programs for Veterans	Health Care Programs for Veterans Not Important	Health Care Programs for Veterans Somewhat Important	Health Care Programs for Veterans Neutral	Health Care Programs for Veterans Important	Health Care Programs for Veterans Very Important	Health Care Programs for Veterans N/A
Children's Heath Services	Children's Heath Services Not Important	Children's Heath Services Somewhat Important	Children's Heath Services Neutral	Children's Heath Services Important	Children's Heath Services Very Important	Children's Heath Services N/A
Senior Health Services	Senior Health Services Not Important	Senior Health Services Somewhat Important	Senior Health Services Neutral	Senior Health Services Important	Senior Health Services Very Important	Senior Health Services N/A

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18. Do you agree with any of the following statements regarding health care and humans services in the Titusville region? (choose all that apply)

There are no health care providers who accept my insurance.

There are no health care providers who are accepting new patients.

There are no dentists who are accepting new patients.

There are no dentists who accept my insurance.

Transportation or cost of transportation to a health care provider is a problem.

Prescriptions are too expensive.

There is a lack of programs for drug and alcohol treatment.

There is a lack of programs for mental health treatment.

Other (please specify)

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19. Do you have a checking account or other account in which you regularly make money deposits?

yes

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20. Do you have a savings account or other savings separate from your checking account?

yes

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21. In the last year, have you used a credit card to pay for basic needs because of a lack of funds?

yes

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22. In the last year, have you reduced the amount of food you buy due to the increase cost?

yes

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23. Do you regularly receive public assistance for food and other basic needs? (ie. WIC, food stamps, back pack program)

yes

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24. Are you currently using a rental company for household items? (ie. RentWay)

yes

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25. How would you describe your current housing situation?

own my own home

rent my home or apartment

live in public housing

live or occasionally stay with others

live in a shelter

do not have a regular home

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26. Do you use a budget or spending plan to help meet your monthly expenses?

yes

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27. Do you have at least $600 saved in order to cover unexpected expenses?

Yes

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28. If you receive a tax refund how do you typically use it?

Use to pay daily expenses and or pay bills

Use to pay health care related expenses

Use to purchase an item I want but do not necessarily need

Deposit into some form of savings, retirement, etc

I do not usually receive a tax refund

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29. How can housing and income services in the Titusville region be improved? Please rank 1 through 8 in order of most important (1) to least important (8). YOU MAY ONLY USE EACH NUMBER ONCE.

Education about banking and balancing a checking account

Education about how to save money and create a budget/spending plan

More affordable housing options

More apartments or townhouses available for rent other than public housing

Housing large enough to accommodate larger family sizes

Shelters for women and children

Shelters for men and boys

Shelters for families