Annual Community Needs Assessment Survey

Basic Information

Full Name Email Address Address Age Household Size

Community Priorities

What are the most important issues facing your community? (Select up to 3)

Healthcare Education Affordable Housing Employment Opportunities Public Transportation Public Safety Other

Service Access

Which community services have you used in the past year? Are there any services you need but cannot access?

Community Engagement

How often do you participate in community events or activities? Regularly Sometimes Rarely Never

Feedback

What improvements would you like to see in your community? Additional Comments