City of Lakewood Human Services - Community Needs Assessment Survey

	1. Not needed at all	2. Somewhat needed	3. Neutral or Don't Know	4. Needed	5. Very Needed
Opportunities for mentorship	Opportunities for mentorship 1. Not needed at all	Opportunities for mentorship 2. Somewhat needed	Opportunities for mentorship 3. Neutral or Don't Know	Opportunities for mentorship 4. Needed	Opportunities for mentorship 5. Very Needed
Parenting information/ classes	Parenting information/ classes 1. Not needed at all	Parenting information/ classes 2. Somewhat needed	Parenting information/ classes 3. Neutral or Don't Know	Parenting information/ classes 4. Needed	Parenting information/ classes 5. Very Needed
Assistance for victims of domestic violence and assault	Assistance for victims of domestic violence and assault 1. Not needed at all	Assistance for victims of domestic violence and assault 2. Somewhat needed	Assistance for victims of domestic violence and assault 3. Neutral or Don't Know	Assistance for victims of domestic violence and assault 4. Needed	Assistance for victims of domestic violence and assault 5. Very Needed
Substance abuse treatment or education	Substance abuse treatment or education 1. Not needed at all	Substance abuse treatment or education 2. Somewhat needed	Substance abuse treatment or education 3. Neutral or Don't Know	Substance abuse treatment or education 4. Needed	Substance abuse treatment or education 5. Very Needed
Finding affordable housing	Finding affordable housing 1. Not needed at all	Finding affordable housing 2. Somewhat needed	Finding affordable housing 3. Neutral or Don't Know	Finding affordable housing 4. Needed	Finding affordable housing 5. Very Needed
Access to legal services	Access to legal services 1. Not needed at all	Access to legal services 2. Somewhat needed	Access to legal services 3. Neutral or Don't Know	Access to legal services 4. Needed	Access to legal services 5. Very Needed
Utility assistance	Utility assistance 1. Not needed at all	Utility assistance 2. Somewhat needed	Utility assistance 3. Neutral or Don't Know	Utility assistance 4. Needed	Utility assistance 5. Very Needed
Safer communities	Safer communities 1. Not needed at all	Safer communities 2. Somewhat needed	Safer communities 3. Neutral or Don't Know	Safer communities 4. Needed	Safer communities 5. Very Needed
Safe places for youth to play and thrive	Safe places for youth to play and thrive 1. Not needed at all	Safe places for youth to play and thrive 2. Somewhat needed	Safe places for youth to play and thrive 3. Neutral or Don't Know	Safe places for youth to play and thrive 4. Needed	Safe places for youth to play and thrive 5. Very Needed
Opportunities for youth to serve	Opportunities for youth to serve 1. Not needed at all	Opportunities for youth to serve 2. Somewhat needed	Opportunities for youth to serve 3. Neutral or Don't Know	Opportunities for youth to serve 4. Needed	Opportunities for youth to serve 5. Very Needed
Supports for children in school	Supports for children in school 1. Not needed at all	Supports for children in school 2. Somewhat needed	Supports for children in school 3. Neutral or Don't Know	Supports for children in school 4. Needed	Supports for children in school 5. Very Needed
Family wage job case management or training	Family wage job case management or training 1. Not needed at all	Family wage job case management or training 2. Somewhat needed	Family wage job case management or training 3. Neutral or Don't Know	Family wage job case management or training 4. Needed	Family wage job case management or training 5. Very Needed
Access to food	Access to food 1. Not needed at all	Access to food 2. Somewhat needed	Access to food 3. Neutral or Don't Know	Access to food 4. Needed	Access to food 5. Very Needed
Access to health care	Access to health care 1. Not needed at all	Access to health care 2. Somewhat needed	Access to health care 3. Neutral or Don't Know	Access to health care 4. Needed	Access to health care 5. Very Needed
Access to mental health services	Access to mental health services 1. Not needed at all	Access to mental health services 2. Somewhat needed	Access to mental health services 3. Neutral or Don't Know	Access to mental health services 4. Needed	Access to mental health services 5. Very Needed

1. Not needed at all

2. Somewhat needed

3. Neutral or Don't Know

4. Needed

5. Very Needed

Opportunities for mentorship

Opportunities for mentorship 1. Not needed at all

Opportunities for mentorship 2. Somewhat needed

Opportunities for mentorship 3. Neutral or Don't Know

Opportunities for mentorship 4. Needed

Opportunities for mentorship 5. Very Needed

Parenting information/ classes

Parenting information/ classes 1. Not needed at all

Parenting information/ classes 2. Somewhat needed

Parenting information/ classes 3. Neutral or Don't Know

Parenting information/ classes 4. Needed

Parenting information/ classes 5. Very Needed

Assistance for victims of domestic violence and assault

Assistance for victims of domestic violence and assault 1. Not needed at all

Assistance for victims of domestic violence and assault 2. Somewhat needed

Assistance for victims of domestic violence and assault 3. Neutral or Don't Know

Assistance for victims of domestic violence and assault 4. Needed

Assistance for victims of domestic violence and assault 5. Very Needed

Substance abuse treatment or education

Substance abuse treatment or education 1. Not needed at all

Substance abuse treatment or education 2. Somewhat needed

Substance abuse treatment or education 3. Neutral or Don't Know

Substance abuse treatment or education 4. Needed

Substance abuse treatment or education 5. Very Needed

Finding affordable housing

Finding affordable housing 1. Not needed at all

Finding affordable housing 2. Somewhat needed

Finding affordable housing 3. Neutral or Don't Know

Finding affordable housing 4. Needed

Finding affordable housing 5. Very Needed

Access to legal services

Access to legal services 1. Not needed at all

Access to legal services 2. Somewhat needed

Access to legal services 3. Neutral or Don't Know

Access to legal services 4. Needed

Access to legal services 5. Very Needed

Utility assistance

Utility assistance 1. Not needed at all

Utility assistance 2. Somewhat needed

Utility assistance 3. Neutral or Don't Know

Utility assistance 4. Needed

Utility assistance 5. Very Needed

Safer communities

Safer communities 1. Not needed at all

Safer communities 2. Somewhat needed

Safer communities 3. Neutral or Don't Know

Safer communities 4. Needed

Safer communities 5. Very Needed

Safe places for youth to play and thrive

Safe places for youth to play and thrive 1. Not needed at all

Safe places for youth to play and thrive 2. Somewhat needed

Safe places for youth to play and thrive 3. Neutral or Don't Know

Safe places for youth to play and thrive 4. Needed

Safe places for youth to play and thrive 5. Very Needed

Opportunities for youth to serve

Opportunities for youth to serve 1. Not needed at all

Opportunities for youth to serve 2. Somewhat needed

Opportunities for youth to serve 3. Neutral or Don't Know

Opportunities for youth to serve 4. Needed

Opportunities for youth to serve 5. Very Needed

Supports for children in school

Supports for children in school 1. Not needed at all

Supports for children in school 2. Somewhat needed

Supports for children in school 3. Neutral or Don't Know

Supports for children in school 4. Needed

Supports for children in school 5. Very Needed

Family wage job case management or training

Family wage job case management or training 1. Not needed at all

Family wage job case management or training 2. Somewhat needed

Family wage job case management or training 3. Neutral or Don't Know

Family wage job case management or training 4. Needed

Family wage job case management or training 5. Very Needed

Access to food

Access to food 1. Not needed at all

Access to food 2. Somewhat needed

Access to food 3. Neutral or Don't Know

Access to food 4. Needed

Access to food 5. Very Needed

Access to health care

Access to health care 1. Not needed at all

Access to health care 2. Somewhat needed

Access to health care 3. Neutral or Don't Know

Access to health care 4. Needed

Access to health care 5. Very Needed

Access to mental health services

Access to mental health services 1. Not needed at all

Access to mental health services 2. Somewhat needed

Access to mental health services 3. Neutral or Don't Know

Access to mental health services 4. Needed

Access to mental health services 5. Very Needed

Question Title

* 2. List other needs you see as a 4 (Needed) or 5 (Very Needed) that are not listed above:

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* 3. What would it look like for all families in Lakewood to thrive?

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* 4. What would it take for that vision to be realized in your family or community?

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* 5. What is your zip code?

98439

98496

98497

98498

98499

Other (please specify)

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* 6. What is your age?

15 and under

16-18

19-24

25-34

35-44

45-54

55-64

65+

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* 7. I identify my ethnicity as (select all that apply):

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Multiracial

Prefer not to answer

Other (please specify)

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* 8. What is your annual household income?

Less than $10,000

$10,000 to $19,999

$20,000 to $29,999

$30,000 to $39,999

$40,000 to $49,999

$50,000 to $59,999

$60,000 to $69,999

$70,000 to $79,999

$80,000 to $89,999

$90,000 to $99,999

$100,000 to $149,999

More than $150,000

Thank you for your feedback! If you have additional perspective you'd like to provide or questions you'd like to ask, feel free to email Brian Humphreys, the Lakewood Human Services Coordinator: bhumphreys@cityoflakewood.us

City of Lakewood Human Services - Community Needs Assessment Survey

Question Title

* 1. On a scale of 1 to 5 with 1 being “not needed at all” and 5 being “very needed” rank the needs listed below:

Question Title

* 2. List other needs you see as a 4 (Needed) or 5 (Very Needed) that are not listed above:

Question Title

* 3. What would it look like for all families in Lakewood to thrive?

Question Title

* 4. What would it take for that vision to be realized in your family or community?

Question Title

* 5. What is your zip code?

Question Title

* 6. What is your age?

Question Title

* 7. I identify my ethnicity as (select all that apply):

Question Title

* 8. What is your annual household income?