2017 Health and Safety Community Survey
RequiredRequired Question(s)
ABOUT UNITED WAY OF HAMPSHIRE COUNTY

The United Way of Hampshire County (UWHC) is committed to building hope, opportunity and a better quality of life for all people in Hampshire County, through a focus on Children & Youth, Health & Safety and Economic Security. UWHC works to rally resources, advocate for unmet needs and convene problem-solvers to address community challenges. With this comes the responsibility of remaining current, focused and in sync with the community's goals and needs. 


In August we convened panels with community members who are experts in the field of Health and Safety. We created this survey based on their feedback.  Now, we are seeking input from the community on how best to prioritize needs and services in our Health and Safety program area. UWHC understands that Health and Safety can be seen as a continuum spanning immediate needs to long-term solutions. Given that our resources are finite, we seek to ensure maximum impact of our investment. 

We are reaching out to community members and community partners to gather additional perspectives.  Your responses will contribute to our understanding of the issues and will help us structure our upcoming funding opportunity.

The survey should take approximately 5 MINUTES, and is intended for individuals who live, work and/or provide services/support in Hampshire County.
 
1.
Please share your name and contact information so that we can follow-up if necessary to better understand your responses. This is optional.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com

Required 2.
Which statements describe you? Check all that apply.
I I live in Hampshire County
I work in Hampshire County
I provide services in Hampshire County
Other  
Required 3.
Do you have a connection with the United Way of Hampshire County? If yes, please select the statement that best describes your connection to UWHC:
Partner Agency- Employee, Volunteer or Board of Directors
Someone who has used services of a United Way Partner Agency
Board of Directors
Volunteer
Donor
Staff
No connection
Other  
4.

UWHC understands that individuals and families experience health and safety along a continuum from being in CRISIS to reaching STABILIZATION to achieving and maintaining SELF-SUFFICIENCY. If you were to allocate funds across this continuum please indicate where you would focus first, second and last. 


(1 = First)
 
Crisis support
Stabilization
Gaining/maintaining self-sufficiency
5.
Health and Safety can be achieved through a variety of services and programs. Keeping in mind that we know these are all important, please indicate the level of urgency of the following for the United Way to address:
 Very Urgent Somewhat Urgent Not as Urgent   
Access to Mental Health Support for all ages and populations   
Support for those affected by the Opioid Crisis   
Transportation to help isolated and low income individuals   
Ongoing support for individuals in recovery   
Preventing isolation of seniors, youth, non-english speaking communities   
Services to address homelessness   
Health services for individuals or families with low or moderate income   
Support for the LGBTQ Community (with a focus on the Trans Community)   
6.
Keeping in mind that these are all important, please rank the following health and safety needs in order of importance for the UWHC to address:

(1 = Most Important)
 
Access to Mental Health support for all ages and populations
Support for those affected by the Opioid Crisis
Transportation to help isolated and low income individuals
Ongoing support for individuals in recovery
Preventing isolation of seniors, youth and non English speaking communities
Services to address homelessness
Health services for individuals and families with low or moderate income
Support for the LGBTQ Community (with a focus on the Trans Community)
7.
Do you think UWHC dollars are best spent by focusing on one or two particular areas or by supporting a diverse range of services?
Fund just one or two areas
Fund a diverse range of services/programs
No opinion
8.
In addition to its role as a funder, UWHC supports its partners and others in a variety of other ways.  Please indicate the role you feel UWHC should play in each of these areas. 

 Lead- Play a lead role Support- Play a supporting role to other organizations No role   
Promoting innovation   
Training and capacity building   
Advocating on behalf of local nonprofit sector   
Convene local providers in response to community issues   
Promoting outcome-based evaluation   
Promoting collaboration