Community Needs Assessment

Question Title

* 1. In what city do you live or which city is the nearest to your residence?

Ardmore

Lone Grove

Dickson

Marietta

Thackerville

Healdton

Wilson

Greenville

Springer

Burneyville

Other (please specify)

Question Title

* 2. Which of the following describes your position in the community?

Elected official

Parent

Youth

Referring agency

CEO or EO or Board President of a community civic, philanthropic or religious organization

Staff member of a community civic, philanthropic or religious organization

Community member

Other (please specify)

Question Title

* 3. Please rate the following issues with youth (ages 0 to 19) in our community.

	Minor	Emerging	Moderate	Considerable	Major
Academic struggles	Academic struggles Minor	Academic struggles Emerging	Academic struggles Moderate	Academic struggles Considerable	Academic struggles Major
Alcohol/Drug use or abuse	Alcohol/Drug use or abuse Minor	Alcohol/Drug use or abuse Emerging	Alcohol/Drug use or abuse Moderate	Alcohol/Drug use or abuse Considerable	Alcohol/Drug use or abuse Major
Boredom	Boredom Minor	Boredom Emerging	Boredom Moderate	Boredom Considerable	Boredom Major
Bullying, including online or cyber bullying	Bullying, including online or cyber bullying Minor	Bullying, including online or cyber bullying Emerging	Bullying, including online or cyber bullying Moderate	Bullying, including online or cyber bullying Considerable	Bullying, including online or cyber bullying Major
Child Abuse and/or Neglect	Child Abuse and/or Neglect Minor	Child Abuse and/or Neglect Emerging	Child Abuse and/or Neglect Moderate	Child Abuse and/or Neglect Considerable	Child Abuse and/or Neglect Major
Cyber/internet use, abuse or addiction	Cyber/internet use, abuse or addiction Minor	Cyber/internet use, abuse or addiction Emerging	Cyber/internet use, abuse or addiction Moderate	Cyber/internet use, abuse or addiction Considerable	Cyber/internet use, abuse or addiction Major
Delinquency	Delinquency Minor	Delinquency Emerging	Delinquency Moderate	Delinquency Considerable	Delinquency Major
Disregard for Authority/disruptive behavior	Disregard for Authority/disruptive behavior Minor	Disregard for Authority/disruptive behavior Emerging	Disregard for Authority/disruptive behavior Moderate	Disregard for Authority/disruptive behavior Considerable	Disregard for Authority/disruptive behavior Major
Emotional disturbance/depression	Emotional disturbance/depression Minor	Emotional disturbance/depression Emerging	Emotional disturbance/depression Moderate	Emotional disturbance/depression Considerable	Emotional disturbance/depression Major
Family conflict/dysfunction	Family conflict/dysfunction Minor	Family conflict/dysfunction Emerging	Family conflict/dysfunction Moderate	Family conflict/dysfunction Considerable	Family conflict/dysfunction Major
Homelessness	Homelessness Minor	Homelessness Emerging	Homelessness Moderate	Homelessness Considerable	Homelessness Major
Household violence	Household violence Minor	Household violence Emerging	Household violence Moderate	Household violence Considerable	Household violence Major
Issues affecting LGBTQ+ youth	Issues affecting LGBTQ+ youth Minor	Issues affecting LGBTQ+ youth Emerging	Issues affecting LGBTQ+ youth Moderate	Issues affecting LGBTQ+ youth Considerable	Issues affecting LGBTQ+ youth Major
Mental health and other related problems	Mental health and other related problems Minor	Mental health and other related problems Emerging	Mental health and other related problems Moderate	Mental health and other related problems Considerable	Mental health and other related problems Major
Parenting challenges/skills	Parenting challenges/skills Minor	Parenting challenges/skills Emerging	Parenting challenges/skills Moderate	Parenting challenges/skills Considerable	Parenting challenges/skills Major
Poor social and/or life skills	Poor social and/or life skills Minor	Poor social and/or life skills Emerging	Poor social and/or life skills Moderate	Poor social and/or life skills Considerable	Poor social and/or life skills Major
Poverty	Poverty Minor	Poverty Emerging	Poverty Moderate	Poverty Considerable	Poverty Major
Quality Childcare/early childhood education	Quality Childcare/early childhood education Minor	Quality Childcare/early childhood education Emerging	Quality Childcare/early childhood education Moderate	Quality Childcare/early childhood education Considerable	Quality Childcare/early childhood education Major
Racism	Racism Minor	Racism Emerging	Racism Moderate	Racism Considerable	Racism Major
Runaway youth	Runaway youth Minor	Runaway youth Emerging	Runaway youth Moderate	Runaway youth Considerable	Runaway youth Major
Self-esteem/self-efficacy problems	Self-esteem/self-efficacy problems Minor	Self-esteem/self-efficacy problems Emerging	Self-esteem/self-efficacy problems Moderate	Self-esteem/self-efficacy problems Considerable	Self-esteem/self-efficacy problems Major
Services for children and families with special needs	Services for children and families with special needs Minor	Services for children and families with special needs Emerging	Services for children and families with special needs Moderate	Services for children and families with special needs Considerable	Services for children and families with special needs Major
Teen pregnancy	Teen pregnancy Minor	Teen pregnancy Emerging	Teen pregnancy Moderate	Teen pregnancy Considerable	Teen pregnancy Major
Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling	Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling Minor	Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling Emerging	Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling Moderate	Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling Considerable	Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling Major
Truancy	Truancy Minor	Truancy Emerging	Truancy Moderate	Truancy Considerable	Truancy Major
Victims of Crime	Victims of Crime Minor	Victims of Crime Emerging	Victims of Crime Moderate	Victims of Crime Considerable	Victims of Crime Major

Question Title

* 4. Which of these is our community's biggest problem? Select no more than two.

Academic deficiencies

Alcohol/Drug use and abuse

Boredom

Bullying

Child abuse and/or neglect

Cyber use, abuse or addiction

Delinquency

Disregard for authority/disruptive behavior

Emotional disturbance/depression

Family conflict/dysfunction

Homelessness

Household violence

Issues affecting LGBTQ+ youth

Mental health and other related problems

Parenting challenges/skills

Poor social and/or life skills

Poverty

Quality childcare/early childhood education

Racism

Runaway youth

Self-esteem/self-efficacy problems

Services for children and families with special needs

Teen pregnancy

Tobacco use, includes cigarettes, smokeless tobacco, dip, vaping or juuling

Truancy

Victim of crime

Question Title

* 5. Are there any other social problems which were not listed in question 3 and needs focus?

Question Title

* 6. Please rate from least beneficial to highly beneficial the following services in order of benefit to youth (0-19) in our community.

Question Title

* 7. Please identify barriers you experience or have heard about when seeking services or participating in services with the Community Children's Shelter and Family Service Center, Inc.

Cultural barrier/lack of diversity

Did not know about services or resources provided by CCSFSC

Hours offered by CCSFSC

Ineffectual service providers

Transportation

Language barrier

Prior service failure/ bad experience with previous service providers

Stigma associated with seeking help or services

None

I don't know

Other (please specify)

Question Title

* 8. How do you prefer to get information from and about the Community Children's Shelter and Family Service Center, Inc?

Facebook/Social media

Newsletter (email)

Newsletter (mail)

Newspaper

Website

Other (please specify)

Question Title

* 9. If you were to donate to the Community Children's Shelter and Family Service Center, Inc., what is your preferred method of donation?

Online giving through website

Facebook/social media charitable giving

Text-to-Give charitable giving

Check/cash

Monthly pledge

In-kind donations

Bequest

Other (please specify)

Question Title

* 10. What is your age?

Under 12

12-17

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 11. With which race do you identify? (Select all that apply)

Asian or Asian American

Black or African American

Hispanic or of Latin descent

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White or Caucasian

Prefer not to answer

Other (please specify)

Question Title

* 12. What is your current educational level?

Current student

Not a current student with some high school

High school or GED completion

Not a current student with some college

Associate degree

Bachelor degree

Master's degree

Doctoral degree

Other (please specify)

Question Title

* 13. If you would like to participate in additional, in-depth conversations, please leave your email information to be contacted by the Children's Shelter. Your information will be kept private.

Name

Email Address

	Least beneficial	Mildly beneficial	Moderately beneficial	Highly beneficial
After school prevention and diversion program	After school prevention and diversion program Least beneficial	After school prevention and diversion program Mildly beneficial	After school prevention and diversion program Moderately beneficial	After school prevention and diversion program Highly beneficial
Alcohol/drug/tobacco prevention and education	Alcohol/drug/tobacco prevention and education Least beneficial	Alcohol/drug/tobacco prevention and education Mildly beneficial	Alcohol/drug/tobacco prevention and education Moderately beneficial	Alcohol/drug/tobacco prevention and education Highly beneficial
Bullying prevention	Bullying prevention Least beneficial	Bullying prevention Mildly beneficial	Bullying prevention Moderately beneficial	Bullying prevention Highly beneficial
Community service program and opportunities for youth	Community service program and opportunities for youth Least beneficial	Community service program and opportunities for youth Mildly beneficial	Community service program and opportunities for youth Moderately beneficial	Community service program and opportunities for youth Highly beneficial
Educational services about Adverse Childhood Experiences and Trauma related to children	Educational services about Adverse Childhood Experiences and Trauma related to children Least beneficial	Educational services about Adverse Childhood Experiences and Trauma related to children Mildly beneficial	Educational services about Adverse Childhood Experiences and Trauma related to children Moderately beneficial	Educational services about Adverse Childhood Experiences and Trauma related to children Highly beneficial
First Time Offender Program	First Time Offender Program Least beneficial	First Time Offender Program Mildly beneficial	First Time Offender Program Moderately beneficial	First Time Offender Program Highly beneficial
Housing for homeless youth	Housing for homeless youth Least beneficial	Housing for homeless youth Mildly beneficial	Housing for homeless youth Moderately beneficial	Housing for homeless youth Highly beneficial
Individual, family and group counseling services	Individual, family and group counseling services Least beneficial	Individual, family and group counseling services Mildly beneficial	Individual, family and group counseling services Moderately beneficial	Individual, family and group counseling services Highly beneficial
Life skills education	Life skills education Least beneficial	Life skills education Mildly beneficial	Life skills education Moderately beneficial	Life skills education Highly beneficial
Parenting classes and support groups	Parenting classes and support groups Least beneficial	Parenting classes and support groups Mildly beneficial	Parenting classes and support groups Moderately beneficial	Parenting classes and support groups Highly beneficial
Residential parental placement program for youth in need of different housing	Residential parental placement program for youth in need of different housing Least beneficial	Residential parental placement program for youth in need of different housing Mildly beneficial	Residential parental placement program for youth in need of different housing Moderately beneficial	Residential parental placement program for youth in need of different housing Highly beneficial
School based prevention programs	School based prevention programs Least beneficial	School based prevention programs Mildly beneficial	School based prevention programs Moderately beneficial	School based prevention programs Highly beneficial
School based counseling services	School based counseling services Least beneficial	School based counseling services Mildly beneficial	School based counseling services Moderately beneficial	School based counseling services Highly beneficial
Services for children and families with special needs	Services for children and families with special needs Least beneficial	Services for children and families with special needs Mildly beneficial	Services for children and families with special needs Moderately beneficial	Services for children and families with special needs Highly beneficial
Services for child victims of crime	Services for child victims of crime Least beneficial	Services for child victims of crime Mildly beneficial	Services for child victims of crime Moderately beneficial	Services for child victims of crime Highly beneficial
Social and relational skills development and education	Social and relational skills development and education Least beneficial	Social and relational skills development and education Mildly beneficial	Social and relational skills development and education Moderately beneficial	Social and relational skills development and education Highly beneficial
Summer prevention and diversion programs	Summer prevention and diversion programs Least beneficial	Summer prevention and diversion programs Mildly beneficial	Summer prevention and diversion programs Moderately beneficial	Summer prevention and diversion programs Highly beneficial
Trauma informed services	Trauma informed services Least beneficial	Trauma informed services Mildly beneficial	Trauma informed services Moderately beneficial	Trauma informed services Highly beneficial
Youth recreation and activities	Youth recreation and activities Least beneficial	Youth recreation and activities Mildly beneficial	Youth recreation and activities Moderately beneficial	Youth recreation and activities Highly beneficial