Modoc Siskiyou CAA Community Needs Survey - We need your input!

Thank you for participating in this 5-minute survey.  Your feedback will help us identify top poverty issues faced by low-income and vulnerable populations in Siskiyou and Modoc Counties and  assist us in determining what services will be funded through the Community Services Block Grant (CSBG).  Your answers are confidential.  Deadline for the Survey is April 15, 2023.
1.What is the zip code where you reside?
2.What is your gender
3.What is your age range?
4.What is your racial or ethnic idenity
5.What is your total annual household income
6.When you think about your family, neighbors, and community members, what are the most pressing issues they face?  (Check all that apply)
7.What are the top three things you've had trouble with this year (Check three)
Top Need
Second Need
Third Need
Adult Education/GED Programs
Animal Care
Child Care
Dental Care
Documentation Status
Domestic Violence Assistance
Employment
English (ESL) Classes
Food Assistance
Health Care
Housing Assistance
Finding Affordable Housing
Job Training
Mental Health Services
Safety/crime prevention
Senior Citizen Services
Substance Abuse Assistance
Transportation
Veterans services
Utility Assistance
8.Have you experienced any of the following problems related to housing n the past 12 months? (Check all that apply
9.What type of housing best describes here you live now?
10.In the last 12 months, did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food?
11.In the Past 12 Months, Have you or your family used any of the following food resources?  Check all that apply:
12.What challenges do kids in our community face that makes success in school difficult? (Check the the top 3 challenges)
First Challenge
Second Challenge
Third Challenge
Difficulty with reading, math and/or science
Need for positive role models and/or mentors
Better relationships with teachers
Family Stress
Bullying
Lack of parent involvement
Lack of basic needs (food, clothing, shelter)
13.Is any member of your household suffering from an illness or injury (listed below) that is not being treated because of a lack of insurance and/or financial resources?  If yes, please select all that apply.
14.Have any of these things prevented you from getting healthcare in the last year? Check all that apply.