Lummi CDFI Community Needs Assessment Survey

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* 2. What is your age?

18-25

26-32

33-40

41-50

51 +

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* 3. What is your gross income? (before taxes)

$1 - $10,000

$10,001 - 25,000

$25,001 - 50,000

$50,001 - $90,000

$90,001 - $150,000

$150,001 - $300,000

Other (please specify), if above $300,000

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* 4. Please check the boxes for all sources of income or assistance your family uses.

Your business.

TANF/AFDC/GA

Food Stamps/Commodities

Side Jobs - Paid in cash.

Employment (Full-time or Part-time)

Vocational Rehabilitation

Lummi Fishers Program

Low Income Energy Assistance Program

Contract Work

Veteran's Benefits

SSI/SSD

Unemployment

Child Support

Retirement

Other

If other, please explain.

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* 5. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

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* 6. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

White

Black or African-American

Asian

Native Hawaiian or other Pacific Islander

Hispanic

From multiple races

American Indian or Alaskan Native

Which Tribe (please specify)

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* 7. Which community do you live in or near (most often)?

Ferndale

Bellingham

Lummi Reservation

Other Tribal Reservation

If other city/town and/or other tribal reservation, please specify.

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* 8. Do you own a home?

Rent

Own

Do not own a home.

Live with relatives.

If you do not own a home, please explain.

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* 9. How many bedrooms are in your home?

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* 10. How many people live in your household (adults and children)?

Adults

Children

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* 11. What are the ages of people who live in your household (male and female)?

Under 18 Male (minor)

Over 18 Male (adult)

Under 18 Female (minor)

Over 18 Female (adult)

	That's me!	Sometimes, but I am working on it.	That's not me at all!
I can’t save because I don’t have enough money to live on now.	I can’t save because I don’t have enough money to live on now. That's me!	I can’t save because I don’t have enough money to live on now. Sometimes, but I am working on it.	I can’t save because I don’t have enough money to live on now. That's not me at all!
I can’t open a checking account (or balance one) because I’m no good at math.	I can’t open a checking account (or balance one) because I’m no good at math. That's me!	I can’t open a checking account (or balance one) because I’m no good at math. Sometimes, but I am working on it.	I can’t open a checking account (or balance one) because I’m no good at math. That's not me at all!
I want to save money so I can help my family, but I don’t know how to deal with the bank.	I want to save money so I can help my family, but I don’t know how to deal with the bank. That's me!	I want to save money so I can help my family, but I don’t know how to deal with the bank. Sometimes, but I am working on it.	I want to save money so I can help my family, but I don’t know how to deal with the bank. That's not me at all!
I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments.	I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments. That's me!	I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments. Sometimes, but I am working on it.	I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments. That's not me at all!

That's me!

Sometimes, but I am working on it.

That's not me at all!

I can’t save because I don’t have enough money to live on now.

I can’t save because I don’t have enough money to live on now. That's me!

I can’t save because I don’t have enough money to live on now. Sometimes, but I am working on it.

I can’t save because I don’t have enough money to live on now. That's not me at all!

I can’t open a checking account (or balance one) because I’m no good at math.

I can’t open a checking account (or balance one) because I’m no good at math. That's me!

I can’t open a checking account (or balance one) because I’m no good at math. Sometimes, but I am working on it.

I can’t open a checking account (or balance one) because I’m no good at math. That's not me at all!

I want to save money so I can help my family, but I don’t know how to deal with the bank.

I want to save money so I can help my family, but I don’t know how to deal with the bank. That's me!

I want to save money so I can help my family, but I don’t know how to deal with the bank. Sometimes, but I am working on it.

I want to save money so I can help my family, but I don’t know how to deal with the bank. That's not me at all!

I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments.

I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments. That's me!

I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments. Sometimes, but I am working on it.

I am worried about making too much money and losing financial assistance from the Tribe, State, and Federal governments. That's not me at all!

Lummi CDFI Community Needs Assessment

About You

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* 1. Are you male or female?

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* 2. What is your age?

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* 3. What is your gross income? (before taxes)

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* 4. Please check the boxes for all sources of income or assistance your family uses.

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* 5. What is the highest level of school you have completed or the highest degree you have received?

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* 6. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

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* 7. Which community do you live in or near (most often)?

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* 8. Do you own a home?

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* 9. How many bedrooms are in your home?

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* 10. How many people live in your household (adults and children)?

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* 11. What are the ages of people who live in your household (male and female)?

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* 12. Circle the number that most relates to the way you feel: (1 – That’s me!; 2 – Sometimes, but I’m working on it.; 3 – That’s not me at all!)