Resource Survey

Question Title

* 1. Would you like assistance with job search or employment placement?

Yes

What is your field of interest?

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* 2. Are you interested in enrolling in career training classes?

Yes

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* 3. Are you over 65 and need assistance with daily living activities such as meals, laundry and housekeeping?

Yes

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* 4. Do you have anyone in your household between the ages of 16 and 24 who dropped out of high school at any time?

Yes

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* 5. If you are under the age of 64 and receiving SSI or SSDI benefits, are you interested in going to work?

NO, I am not receiving SSI/SSDI benefits

YES, I am receiving SSI/SSDI benefits and would like to go to work

NO, I am not interested in going to work while receiving my SSI/SSDI benefits

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* 6. If you have school-age children in your household, what school(s) do they attend?

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* 7. Do you have children in your household that are under the age of 5?

Yes

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* 8. Are you interested in owning your own home?

Yes

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* 9. Is anyone in your household receiving support services such as tutoring, mentoring, counseling, anger management, trauma support services, etc.?

NO, no one in my household is receiving support services

NO, no one in my household is receiving support services, but I am interested in discussing support service needs

YES, either myself and/or a member of my household is receiving support services. (Please list them below.)

Other (please specify)

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* 10. If you are interested in receiving updates from the Office of Resident Services via email or text message, please include your email address and cell phone number in the box below.

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* 11. Do you have internet access in your home?

Yes

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* 12. Do you have a working computer device in your home (such as desktop computer, laptop or tablet)?

Yes

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* 13. Would you be interested in computer literacy classes?

Yes

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* 14. Please select your age group

18-26

27-34

35-54

55-61

62 or older

Question Title

* 15. Tell us where you live.

Brooklyn

Cherry Hill

Douglass

Dukeland

Gilmor

HCVP (Section 8)

Latrobe

McCulloh

O'Donnell Heights

Poe

Rosemont

Scattered Sites (Public Housing)

Westport/Mt. Winans

Resource Survey

Question Title

* 1. Would you like assistance with job search or employment placement?

Question Title

* 2. Are you interested in enrolling in career training classes?

Question Title

* 3. Are you over 65 and need assistance with daily living activities such as meals, laundry and housekeeping?

Question Title

* 4. Do you have anyone in your household between the ages of 16 and 24 who dropped out of high school at any time?

Question Title

* 5. If you are under the age of 64 and receiving SSI or SSDI benefits, are you interested in going to work?

Question Title

* 6. If you have school-age children in your household, what school(s) do they attend?

Question Title

* 7. Do you have children in your household that are under the age of 5?

Question Title

* 8. Are you interested in owning your own home?

Question Title

* 9. Is anyone in your household receiving support services such as tutoring, mentoring, counseling, anger management, trauma support services, etc.?

Question Title

* 10. If you are interested in receiving updates from the Office of Resident Services via email or text message, please include your email address and cell phone number in the box below.

Question Title

* 11. Do you have internet access in your home?

Question Title

* 12. Do you have a working computer device in your home (such as desktop computer, laptop or tablet)?

Question Title

* 13. Would you be interested in computer literacy classes?

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* 14. Please select your age group

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* 15. Tell us where you live.

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* 16. What is your address?