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* 1. How would you rate access to EDUCATION in your community?

  Poor Fair Excellent
Access to Early Childhood Education (Birth to Age 5)
Access to Higher Education (College/University)
Access to English as a Second Language Classes
Access to Parenting Classes

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* 2. How would you rate the following EDUCATION concern in your community?

  Low Medium High
Level of High School Drop Outs

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* 3. How would you rate access to HEALTH care in your community?

  Poor Fair Excellent
Access to Health Coverage/insurance
Access to Medical Care/ Providers
Access to Dental Care/ Providers
Access to Mental Health Care/ Providers
Access to Hospital/Emergency Care

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* 4. How would you rate the following HEALTH concerns in your community?

  Low Medium High
Level of Obesity
Level of Chronic Illnesses
Level of Teen Pregnancy
Level of Substance Misuse

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* 5. How would you rate access to NUTRITION services in your community?

  Poor Fair Excellent
Access to food purchasing assistance (food stamps, commodities, food banks, etc.)
Access to a variety of foods for proper nutrition

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* 6. How would you rate access to the following SOCIAL SERVICES in your community?

  Poor Fair Excellent
Access to child care (infants to age 3)
Access to child care (ages 3-5)
Access to financial assistance for child care
Access to affordable housing
Access to social services for support (LIHEAP, Income Support Division, Salvation Army, etc.)

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* 7. How would you rate the following SOCIAL concerns in your community?

  Low Medium High
Level of Poverty
Level of Unemployment
Level of Child Abuse/Neglect
Level of Domestic Abuse/Neglect
Level of Crime/Violence
Level of Pollution/Hazardous Wastes

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* 8. How has the pandemic impacted you or your family?

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