2014 COMMUNITY SURVEY

2014 Community Survey

You are invited by Council on Rural Services to take part in this survey!

Council on Rural Services (CORS) is a private non-profit organization who embodies a commitment to increasing the life chances of people of all ages. It is our intention to use innovative learning experiences to open the possibilities that exist in all of us to live an enriched life of purpose. Our programs support our belief that the vitality and creativity of the learning experience is the essential element in achieving our missions.

CORS offers early childhood programs, youth development programs, and volunteer and social programs for adults and seniors in nine counties in west-central Ohio: Auglaize, Champaign, Darke, Greene, Logan, Miami, Preble, Shelby, and Van Wert.

The information received through this survey is extremely valuable to us, and will be used in helping the organization understand the current perception about community needs and resident experiences. The information will also be useful in determining your familiarity with our organization, while giving us ideas for our organization's future.

Your participation in this survey is voluntary. Your answers will be kept confidential, and analyzed as a group by county.

The survey will take about 10 to 15 minutes to complete.

For questions regarding this survey, please contact Cristina Gonzalez at cgonzalez@councilonruralservices.org. To learn more about our organization visit us at www.councilonruralservices.org.

Thank you in advance for your time and feedback. Please have your responses posted by December 18, 2013

Question Title

* 1. Please check the box if there is a critical need for the following programs in each age group:

	0-3	3-5	5-12	12-18	18-54	55 and over
Health and wellness	Health and wellness 0-3	Health and wellness 3-5	Health and wellness 5-12	Health and wellness 12-18	Health and wellness 18-54	Health and wellness 55 and over
Nutrition education	Nutrition education 0-3	Nutrition education 3-5	Nutrition education 5-12	Nutrition education 12-18	Nutrition education 18-54	Nutrition education 55 and over
Educational	Educational 0-3	Educational 3-5	Educational 5-12	Educational 12-18	Educational 18-54	Educational 55 and over
Mental health	Mental health 0-3	Mental health 3-5	Mental health 5-12	Mental health 12-18	Mental health 18-54	Mental health 55 and over
Employment training	Employment training 0-3	Employment training 3-5	Employment training 5-12	Employment training 12-18	Employment training 18-54	Employment training 55 and over
Personal financial training	Personal financial training 0-3	Personal financial training 3-5	Personal financial training 5-12	Personal financial training 12-18	Personal financial training 18-54	Personal financial training 55 and over
Youth related	Youth related 0-3	Youth related 3-5	Youth related 5-12	Youth related 12-18	Youth related 18-54	Youth related 55 and over
Teen related	Teen related 0-3	Teen related 3-5	Teen related 5-12	Teen related 12-18	Teen related 18-54	Teen related 55 and over
Juvenile delinquency	Juvenile delinquency 0-3	Juvenile delinquency 3-5	Juvenile delinquency 5-12	Juvenile delinquency 12-18	Juvenile delinquency 18-54	Juvenile delinquency 55 and over
Parent education	Parent education 0-3	Parent education 3-5	Parent education 5-12	Parent education 12-18	Parent education 18-54	Parent education 55 and over
Adult education	Adult education 0-3	Adult education 3-5	Adult education 5-12	Adult education 12-18	Adult education 18-54	Adult education 55 and over
Affordable housing	Affordable housing 0-3	Affordable housing 3-5	Affordable housing 5-12	Affordable housing 12-18	Affordable housing 18-54	Affordable housing 55 and over
Domestic violence	Domestic violence 0-3	Domestic violence 3-5	Domestic violence 5-12	Domestic violence 12-18	Domestic violence 18-54	Domestic violence 55 and over
Life management	Life management 0-3	Life management 3-5	Life management 5-12	Life management 12-18	Life management 18-54	Life management 55 and over
Public transportation	Public transportation 0-3	Public transportation 3-5	Public transportation 5-12	Public transportation 12-18	Public transportation 18-54	Public transportation 55 and over
Self-sufficiency	Self-sufficiency 0-3	Self-sufficiency 3-5	Self-sufficiency 5-12	Self-sufficiency 12-18	Self-sufficiency 18-54	Self-sufficiency 55 and over
Volunteerism	Volunteerism 0-3	Volunteerism 3-5	Volunteerism 5-12	Volunteerism 12-18	Volunteerism 18-54	Volunteerism 55 and over
Disabilities	Disabilities 0-3	Disabilities 3-5	Disabilities 5-12	Disabilities 12-18	Disabilities 18-54	Disabilities 55 and over
Cultural competence	Cultural competence 0-3	Cultural competence 3-5	Cultural competence 5-12	Cultural competence 12-18	Cultural competence 18-54	Cultural competence 55 and over

Question Title

* 2. Please check the box if there is a critical neef for the following programs in each age group (part 2)

	0-3	3-5	5-12	12-18	18-54	55 and over
English as a second language	English as a second language 0-3	English as a second language 3-5	English as a second language 5-12	English as a second language 12-18	English as a second language 18-54	English as a second language 55 and over
Daycare	Daycare 0-3	Daycare 3-5	Daycare 5-12	Daycare 12-18	Daycare 18-54	Daycare 55 and over
After school	After school 0-3	After school 3-5	After school 5-12	After school 12-18	After school 18-54	After school 55 and over
Early childhood education	Early childhood education 0-3	Early childhood education 3-5	Early childhood education 5-12	Early childhood education 12-18	Early childhood education 18-54	Early childhood education 55 and over
Elementary education	Elementary education 0-3	Elementary education 3-5	Elementary education 5-12	Elementary education 12-18	Elementary education 18-54	Elementary education 55 and over
Secondary education	Secondary education 0-3	Secondary education 3-5	Secondary education 5-12	Secondary education 12-18	Secondary education 18-54	Secondary education 55 and over
Higher education	Higher education 0-3	Higher education 3-5	Higher education 5-12	Higher education 12-18	Higher education 18-54	Higher education 55 and over
Alternative education	Alternative education 0-3	Alternative education 3-5	Alternative education 5-12	Alternative education 12-18	Alternative education 18-54	Alternative education 55 and over
Drug abuse prevention	Drug abuse prevention 0-3	Drug abuse prevention 3-5	Drug abuse prevention 5-12	Drug abuse prevention 12-18	Drug abuse prevention 18-54	Drug abuse prevention 55 and over
Food pantry	Food pantry 0-3	Food pantry 3-5	Food pantry 5-12	Food pantry 12-18	Food pantry 18-54	Food pantry 55 and over
Utility assistance	Utility assistance 0-3	Utility assistance 3-5	Utility assistance 5-12	Utility assistance 12-18	Utility assistance 18-54	Utility assistance 55 and over
Senior services	Senior services 0-3	Senior services 3-5	Senior services 5-12	Senior services 12-18	Senior services 18-54	Senior services 55 and over
Access to technology	Access to technology 0-3	Access to technology 3-5	Access to technology 5-12	Access to technology 12-18	Access to technology 18-54	Access to technology 55 and over
Community amenities	Community amenities 0-3	Community amenities 3-5	Community amenities 5-12	Community amenities 12-18	Community amenities 18-54	Community amenities 55 and over
Literacy	Literacy 0-3	Literacy 3-5	Literacy 5-12	Literacy 12-18	Literacy 18-54	Literacy 55 and over
Retail/commercial business	Retail/commercial business 0-3	Retail/commercial business 3-5	Retail/commercial business 5-12	Retail/commercial business 12-18	Retail/commercial business 18-54	Retail/commercial business 55 and over
Job development/creation	Job development/creation 0-3	Job development/creation 3-5	Job development/creation 5-12	Job development/creation 12-18	Job development/creation 18-54	Job development/creation 55 and over

Other (describe)

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* 3. Please tell us about services and/or programs in your community that have been eliminated or severely cut back.

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* 4. How serious are the following problems in your community:

	Not serious	2	3	4	Extremely serious
Quality education	Quality education Not serious	Quality education 2	Quality education 3	Quality education 4	Quality education Extremely serious
Access to technology	Access to technology Not serious	Access to technology 2	Access to technology 3	Access to technology 4	Access to technology Extremely serious
Criminal activity	Criminal activity Not serious	Criminal activity 2	Criminal activity 3	Criminal activity 4	Criminal activity Extremely serious
Teen pregnancy	Teen pregnancy Not serious	Teen pregnancy 2	Teen pregnancy 3	Teen pregnancy 4	Teen pregnancy Extremely serious
Nutrition and fitness	Nutrition and fitness Not serious	Nutrition and fitness 2	Nutrition and fitness 3	Nutrition and fitness 4	Nutrition and fitness Extremely serious
Accessible medical health	Accessible medical health Not serious	Accessible medical health 2	Accessible medical health 3	Accessible medical health 4	Accessible medical health Extremely serious
Affordable recreational activities	Affordable recreational activities Not serious	Affordable recreational activities 2	Affordable recreational activities 3	Affordable recreational activities 4	Affordable recreational activities Extremely serious
Organized after school activities	Organized after school activities Not serious	Organized after school activities 2	Organized after school activities 3	Organized after school activities 4	Organized after school activities Extremely serious
Life skill development	Life skill development Not serious	Life skill development 2	Life skill development 3	Life skill development 4	Life skill development Extremely serious
Accessible mental health services	Accessible mental health services Not serious	Accessible mental health services 2	Accessible mental health services 3	Accessible mental health services 4	Accessible mental health services Extremely serious
Illegal drug use	Illegal drug use Not serious	Illegal drug use 2	Illegal drug use 3	Illegal drug use 4	Illegal drug use Extremely serious
Violence	Violence Not serious	Violence 2	Violence 3	Violence 4	Violence Extremely serious
Job opportunities	Job opportunities Not serious	Job opportunities 2	Job opportunities 3	Job opportunities 4	Job opportunities Extremely serious
Human trafficking	Human trafficking Not serious	Human trafficking 2	Human trafficking 3	Human trafficking 4	Human trafficking Extremely serious

Other (describe)

Question Title

* 5. Rank only the top five services to you and/or your family in order of importance, 1 being the most important.

	1	2	3	4	5
Affordable daycare	Affordable daycare 1	Affordable daycare 2	Affordable daycare 3	Affordable daycare 4	Affordable daycare 5
Quality early childhood education	Quality early childhood education 1	Quality early childhood education 2	Quality early childhood education 3	Quality early childhood education 4	Quality early childhood education 5
Quality elementary education	Quality elementary education 1	Quality elementary education 2	Quality elementary education 3	Quality elementary education 4	Quality elementary education 5
Quality secondary education	Quality secondary education 1	Quality secondary education 2	Quality secondary education 3	Quality secondary education 4	Quality secondary education 5
Adult education	Adult education 1	Adult education 2	Adult education 3	Adult education 4	Adult education 5
Medical services	Medical services 1	Medical services 2	Medical services 3	Medical services 4	Medical services 5
Health and nutrition services	Health and nutrition services 1	Health and nutrition services 2	Health and nutrition services 3	Health and nutrition services 4	Health and nutrition services 5
Mental health services	Mental health services 1	Mental health services 2	Mental health services 3	Mental health services 4	Mental health services 5
Disabilities services	Disabilities services 1	Disabilities services 2	Disabilities services 3	Disabilities services 4	Disabilities services 5
Job training	Job training 1	Job training 2	Job training 3	Job training 4	Job training 5
Job opportunities	Job opportunities 1	Job opportunities 2	Job opportunities 3	Job opportunities 4	Job opportunities 5
Youth employment	Youth employment 1	Youth employment 2	Youth employment 3	Youth employment 4	Youth employment 5
Adult care	Adult care 1	Adult care 2	Adult care 3	Adult care 4	Adult care 5
Adequate transportation	Adequate transportation 1	Adequate transportation 2	Adequate transportation 3	Adequate transportation 4	Adequate transportation 5
School safety	School safety 1	School safety 2	School safety 3	School safety 4	School safety 5
Public safety	Public safety 1	Public safety 2	Public safety 3	Public safety 4	Public safety 5
Afterschool activities	Afterschool activities 1	Afterschool activities 2	Afterschool activities 3	Afterschool activities 4	Afterschool activities 5
Affordable healthcare	Affordable healthcare 1	Affordable healthcare 2	Affordable healthcare 3	Affordable healthcare 4	Affordable healthcare 5
Access to technology	Access to technology 1	Access to technology 2	Access to technology 3	Access to technology 4	Access to technology 5

Other (describe)

Question Title

* 6. As a community partner, what type of organization would you say you are? (Select one response that best describes your organization)

Community coalition/Community action

Advocacy organization

Faith-based organization

School district

Law enforcement

College/university

Government agency

Local healthcare facility/provider

Local media

Non-profit

Other (describe)

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* 7. Describe your clients' obstacles when accessing your services.

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* 8. Describe your organization's obstacles when working with clients.

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* 9. What projects or initiatives are you (or your organization) working to implement (new) or expand (existing) during the next three to five years?

The following questions are aimed at learning more about your familiarity with Council on Rural Services as an agency, and its programs. Council on Rural Services is a private, non-profit organization who embodies a commitment to increasing the life changes of people of all ages. We provide comprehensive education and support services to individuals and families. Currently, most of our programs, including, early childhood education, and youth development, as well as volunteer and social programs for adults and seniors, are offered in nine counties in west-central Ohio.

Question Title

* 10. Before today, how familiar were you with:

	Not familiar	2	3	4	Very familiar
Council on Rural Services (the agency)	Council on Rural Services (the agency) Not familiar	Council on Rural Services (the agency) 2	Council on Rural Services (the agency) 3	Council on Rural Services (the agency) 4	Council on Rural Services (the agency) Very familiar

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* 11. Before today, how familiar were you with our programs, and have you used them?

	Not familiar	2	3	4	Very familiar	Use(d)
A Kids Learning Place (KLP)	A Kids Learning Place (KLP) Not familiar	A Kids Learning Place (KLP) 2	A Kids Learning Place (KLP) 3	A Kids Learning Place (KLP) 4	A Kids Learning Place (KLP) Very familiar	A Kids Learning Place (KLP) Use(d)
KLP (Center-based)	KLP (Center-based) Not familiar	KLP (Center-based) 2	KLP (Center-based) 3	KLP (Center-based) 4	KLP (Center-based) Very familiar	KLP (Center-based) Use(d)
KLP (Home-based)	KLP (Home-based) Not familiar	KLP (Home-based) 2	KLP (Home-based) 3	KLP (Home-based) 4	KLP (Home-based) Very familiar	KLP (Home-based) Use(d)
KLP (School-age)	KLP (School-age) Not familiar	KLP (School-age) 2	KLP (School-age) 3	KLP (School-age) 4	KLP (School-age) Very familiar	KLP (School-age) Use(d)
Achievement Center for Educational Success (ACES)	Achievement Center for Educational Success (ACES) Not familiar	Achievement Center for Educational Success (ACES) 2	Achievement Center for Educational Success (ACES) 3	Achievement Center for Educational Success (ACES) 4	Achievement Center for Educational Success (ACES) Very familiar	Achievement Center for Educational Success (ACES) Use(d)
Gateway Youth Programs	Gateway Youth Programs Not familiar	Gateway Youth Programs 2	Gateway Youth Programs 3	Gateway Youth Programs 4	Gateway Youth Programs Very familiar	Gateway Youth Programs Use(d)
Retired Seniors Volunteer Program (RSVP)	Retired Seniors Volunteer Program (RSVP) Not familiar	Retired Seniors Volunteer Program (RSVP) 2	Retired Seniors Volunteer Program (RSVP) 3	Retired Seniors Volunteer Program (RSVP) 4	Retired Seniors Volunteer Program (RSVP) Very familiar	Retired Seniors Volunteer Program (RSVP) Use(d)

Council on Rural Services' mission is to provide comprehensive education and support services to individuals and families. Our dedicated and knowledgeable staff members build partnerships with people of all ages, and inspire them to seek new opportunities which increase their potential for growth.

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* 12. Based on this mission statement, how does CORS mission and services fit into your organization's mission and goals?

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* 13. How could Council on Rural Services collaborate or partner with your organization to better meet the needs of your community.

These questions are for classification purposes only.

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* 14. Please select the option that best describes your highest level of education completed.

Some elementary

Some secondary education

Some high school

High school diploma

GED

Some college

Associate Degree or Credential

2 year college

Bachelor's degree

Some postgraduate

Master's degree

Doctorate degree

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* 15. Please select the option that best describes your marital status.

Single

Married or domestic partnership

Divorced

Widowed

Cohabitating

Separated

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* 16. What is your gender?

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* 17. Please list the age of all your children (e.g.0, 4, and 12) Skip if you do not have children.

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* 18. Please select the option that best describes your employment status.

Employed (full-time)

Employed (part-time)

Self-employed

Unemployed and looking

Unemployed but not looking

A homemaker

Military

Retired

Unable to work

Not applicable

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* 19. Please select the option that best describes your student status.

Enrolled (part-time)

Enrolled (full-time)

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* 20. Please select the option that best describes your total household income.

Less than $30,000

$30,001 - $50,000

$50,001 - $70,000

$70,001 - $100,000

$100,001 or more

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* 21. Please select the option that best describes your ethnicity.

Hispanic or Latino

Non-Hispanic

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* 22. Please select the option that best describes your race.

White

Black, African American

American Indian or Alaska Native

Asian

Native Hawaiian or Pacific Islander

Bi-or multi-racial

Other (describe)

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* 23. What county do you ...?

	Auglaize	Champaign	Darke	Greene	Logan	Miami	Preble	Shelby	Van Wert
Reside in	Reside in Auglaize	Reside in Champaign	Reside in Darke	Reside in Greene	Reside in Logan	Reside in Miami	Reside in Preble	Reside in Shelby	Reside in Van Wert
Work at	Work at Auglaize	Work at Champaign	Work at Darke	Work at Greene	Work at Logan	Work at Miami	Work at Preble	Work at Shelby	Work at Van Wert

Other (describe)

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* 24. Do you have reliable transportation?

Yes

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* 25. What is the primary language used in your home?

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* 26. Please select all social media sites that you use.

Facebook

Twitter

Instagram

Foursquare

My Space

Tumblr

Google+

Do not use social media

Other (describe)

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* 1. Please check the box if there is a critical need for the following programs in each age group:

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* 2. Please check the box if there is a critical neef for the following programs in each age group (part 2)

Question Title

* 3. Please tell us about services and/or programs in your community that have been eliminated or severely cut back.

Question Title

* 4. How serious are the following problems in your community:

Question Title

* 5. Rank only the top five services to you and/or your family in order of importance, 1 being the most important.

Question Title

* 6. As a community partner, what type of organization would you say you are? (Select one response that best describes your organization)

Question Title

* 7. Describe your clients' obstacles when accessing your services.

Question Title

* 8. Describe your organization's obstacles when working with clients.

Question Title

* 9. What projects or initiatives are you (or your organization) working to implement (new) or expand (existing) during the next three to five years?

Question Title

* 10. Before today, how familiar were you with:

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* 11. Before today, how familiar were you with our programs, and have you used them?

Question Title

* 12. Based on this mission statement, how does CORS mission and services fit into your organization's mission and goals?

Question Title

* 13. How could Council on Rural Services collaborate or partner with your organization to better meet the needs of your community.

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* 14. Please select the option that best describes your highest level of education completed.

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* 15. Please select the option that best describes your marital status.

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* 16. What is your gender?

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* 17. Please list the age of all your children (e.g.0, 4, and 12) Skip if you do not have children.

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* 18. Please select the option that best describes your employment status.

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* 19. Please select the option that best describes your student status.

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* 20. Please select the option that best describes your total household income.

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* 21. Please select the option that best describes your ethnicity.

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* 22. Please select the option that best describes your race.

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* 23. What county do you ...?

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* 24. Do you have reliable transportation?

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* 25. What is the primary language used in your home?

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* 26. Please select all social media sites that you use.

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* 27. Who Referred you to this survey?