2024 Community Needs Assessment
Thank you for taking the time to complete this survey! Your responses will help NACOG better serve communities in Northern Arizona. The survey should take about 10 minutes to complete, and your participation is voluntary and anonymous.
*
1.
What unmet needs exist for you and your family? (Please check all that apply.)
(Required.)
Not a need
Somewhat of a need
Significant need
Caregiving (for children)
Not a need
Somewhat of a need
Significant need
Caregiving (for elders)
Not a need
Somewhat of a need
Significant need
Food/ Nutrition
Not a need
Somewhat of a need
Significant need
Clothing
Not a need
Somewhat of a need
Significant need
Employment
Not a need
Somewhat of a need
Significant need
Housing
Not a need
Somewhat of a need
Significant need
Loans for housing
Not a need
Somewhat of a need
Significant need
ADA housing accommodations
Not a need
Somewhat of a need
Significant need
Paying utility bills
Not a need
Somewhat of a need
Significant need
Housing repairs
Not a need
Somewhat of a need
Significant need
Transportation
Not a need
Somewhat of a need
Significant need
Healthcare
Not a need
Somewhat of a need
Significant need
Prescriptions
Not a need
Somewhat of a need
Significant need
Substance Abuse Care
Not a need
Somewhat of a need
Significant need
Medicare benefits
Not a need
Somewhat of a need
Significant need
Domestic violence services
Not a need
Somewhat of a need
Significant need
Disability assistance
Not a need
Somewhat of a need
Significant need
Senior/ aging services
Not a need
Somewhat of a need
Significant need
Income tax preparation
Not a need
Somewhat of a need
Significant need
Legal Assistance
Not a need
Somewhat of a need
Significant need
Financial mentoring services
Not a need
Somewhat of a need
Significant need
*
2.
What is your employment status?
(Required.)
Employed full-time with benefits
Employed full-time without benefits
Employed part-time with benefits
Employed part-time without benefits
Employed, temporary or seasonal
Self-employed
Retired
Unable to work
Unemployed, looking for work
Unemployed, not looking for work
*
3.
What barriers to employment do you face? (Please check all that apply.)
(Required.)
Not a barrier
Somewhat of a barrier
Significant barrier
Hard to find jobs in my field
Not a barrier
Somewhat of a barrier
Significant barrier
Wages are too low
Not a barrier
Somewhat of a barrier
Significant barrier
I lack training or experience
Not a barrier
Somewhat of a barrier
Significant barrier
I lack dependable transportation
Not a barrier
Somewhat of a barrier
Significant barrier
I have a disability
Not a barrier
Somewhat of a barrier
Significant barrier
I lack information on job opportunities
Not a barrier
Somewhat of a barrier
Significant barrier
Caregiving (for children)
Not a barrier
Somewhat of a barrier
Significant barrier
Caregiving (for elders)
Not a barrier
Somewhat of a barrier
Significant barrier
4.
Which forms of transportation do you use?
Personal vehicle
Public transportation
Private (taxi, Uber, Lyft)
Carpool
Bicycle
Walking
Rides from friends/ family
Church
Government Agency
I do not have reliable transportation
*
5.
What barriers to transportation do you face?
(Required.)
Not a barrier
Somewhat of a barrier
Significant barrier
Limited options in my community
Not a barrier
Somewhat of a barrier
Significant barrier
Cost of owning and operating a car
Not a barrier
Somewhat of a barrier
Significant barrier
Cost of transportation services
Not a barrier
Somewhat of a barrier
Significant barrier
I do not know how to find services
Not a barrier
Somewhat of a barrier
Significant barrier
*
6.
What housing situations have you been in during the last 12 months?
(Required.)
Owning a home
Living in a shelter
Staying with friend/ family
Receiving subsidized rent
Renting
Been evicted
Homeless
Foreclosure
*
7.
Including yourself, how many people currently live in your household?
(Required.)
1-2 people
3-4 people
5-6 people
6-7 people
7-8 people
9-10 people
10-11 people
12-13 people
13-14 people
15 or more people
*
8.
How long have you lived at your current residence?
(Required.)
Less than 6 months
7 months-1 year
2-3 years
4-6 years
7-10 years
10 years or more
*
9.
In which type of home do you live?
(Required.)
Single-family
Duplex/ condominium
Multi-family/apartment
RV/ Camper
Retirement living facility
Pre-Manufactured/ mobile home
Assisted living facility
*
10.
What barriers to housing do you face? (Please check all that apply.)
(Required.)
Not a barrier
Somewhat of a barrier
Significant barrier
Rent is too high
Not a barrier
Somewhat of a barrier
Significant barrier
Utility costs are too high
Not a barrier
Somewhat of a barrier
Significant barrier
Cost to buy a home is too high
Not a barrier
Somewhat of a barrier
Significant barrier
Difficulty qualifying for a mortgage
Not a barrier
Somewhat of a barrier
Significant barrier
Poor credit
Not a barrier
Somewhat of a barrier
Significant barrier
Low inventory/ rental options available
Not a barrier
Somewhat of a barrier
Significant barrier
Homeowner's insurance costs are too high
Not a barrier
Somewhat of a barrier
Significant barrier
Renter's insurance costs are too high
Not a barrier
Somewhat of a barrier
Significant barrier
*
11.
What barriers to receiving healthcare do you face? (Please check all that apply.)
(Required.)
Not a barrier
Somewhat of a barrier
Significant barrier
Cost of healthcare
Not a barrier
Somewhat of a barrier
Significant barrier
Cost of insurance
Not a barrier
Somewhat of a barrier
Significant barrier
Availability of healthcare
Not a barrier
Somewhat of a barrier
Significant barrier
Transportation to healthcare
Not a barrier
Somewhat of a barrier
Significant barrier
Lack of information about healthcare
Not a barrier
Somewhat of a barrier
Significant barrier
*
12.
Since the COVID-19 pandemic, what health and economic impacts are you and your family still experiencing? (Please check all that apply.)
(Required.)
Unable to return to employment
Unable to return to school
Unable to return to day-to-day activities
Increased health conditions
Increased need for healthcare services
Increased healthcare, prescriptions, and insurance costs
*
13.
Which of the following do you have access to?
(Required.)
Telephone
Television
Internet
Social media (Facebook, Instagram, etc.)
*
14.
When you have an unmet need, how do you find services to meet it?
(Required.)
Telephone directory
Friends/ family
Radio
Television
Newspaper
Internet
Social Media
Ask government agencies
Ask at church
Ask social service programs
Other (please specify)
*
15.
How often do you feel lonely?
(Required.)
Always
Sometimes
Rarely
Never
*
16.
How much do you agree or disagree with this statement? "There are people I know who will help me if I really need it."
(Required.)
Strongly agree
Somewhat agree
Somewhat disagree
Strongly disagree
*
17.
In which county do you live?
(Required.)
Apache
Coconino
Navajo
Yavapai
*
18.
Do you live in a rural or urban area?
(Required.)
Rural
Urban
*
19.
Do you live on a Native American reservation?
(Required.)
Yes
No
*
20.
What is your age?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
*
21.
What is your gender?
(Required.)
Female
Male
Non-binary
Prefer not to answer
*
22.
What is your race?
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Another race
*
23.
What is your primary language?
(Required.)
English
Spanish
24.
What is your secondary language
English
Spanish
*
25.
What is your highest level of education?
(Required.)
Less than high school
High school/ GED
Technical school/ Certificate
Some College
Associate Degree
Bachelor's Degree
Graduate Degree
*
26.
What is your marital status?
(Required.)
Married
Living with a partner
Divorced
Separated
Widowed
Never married
27.
Are you a veteran?
Yes
No
*
28.
Do you have a disability?
(Required.)
Yes
No
29.
If you answered yes to having a disability, do you receive Social Security Disability benefits?
Yes
No
30.
Do you or a member of your household haves physical, mental, or emotional condition that limits your ability to do errands/ work or attend school?
Yes
No
*
31.
What was your household income in 2023?
(Required.)
Under $15,000
Between $15,000 and $29,999
Between $30,000 and $49,999
Between $50,000 and $74,999
$75,000+