SCCAA and YCCSC Community Needs Survey 2021
RequiredRequired Question(s)
Required
This survey to be completed by community members who are serving the low-income of Yuba and Sutter counties.

First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

Required

1. Which of the following do you see as the TOP 3 SIGNIFICANT PROBLEMS

in the community for the low-income? 


Unemployment
Low-paying Jobs
Alcohol, Substance or Drug Abuse
Crime, Theft, Homicide or Suicide
Depression/Behavioral Health
Lack of Homeless Prevention Services
Lack of Transportation
Food Insecurity
Violence and or Domestic Violence
Lack of Access to Mental, Behavioral, Substance Abuse Programs/Counseling
Lack of Senior Services
Lack of Youth Services
Lack of Affordable Housing
Lack of Shelters/Transitional Housing
Other  
Required

2. What do you see are the TOP 3 BARRIERS to employment for the low-income in Yuba-Sutter?

No Barriers
Substance Abuse Issues
Disability
Lack of Transportation
Lack of Education, Training or Experience
Childcare Unavailable or Too Costly
Physical Health Issues
Criminal History
Lack of Job Search Skills
Immigration Status
Behavioral Health Issues
English Proficiency
Other  
Required

3. What do you see are the TOP 3 BARRIERS to housing for the low-income in Yuba-Sutter?

No Barriers
Housing Location
Lack of Housing
Lack of Transportation
Pets or Animals
Insufficient Income
Criminal Record
Bad Rental History
Bad Credit History
Substance Abuse Issues
Unemployment
Behavioral Health Issues
Physical Health Issues
Other  
Required

4. What do you see are the TOP 3 BARRIERS to health services for the low-income in Yuba-Sutter?

No Barriers
Lack of Available Services
Lack of Transportation
High Cost
Inadequate or No Insurance Coverage
Lack of Availability of After-Hours Appointments
Not Ready for Treatment
Emotional Barriers or Stigma
Other  
Required

5. What services do the clients you serve most often need that they are UNABLE to obtain?

(CHECK ALL THAT APPLY)
Housing
Advocacy
Access to Food
Money Management
Recreation/Social Activities
Drug & Alcohol Programs
Employment
Job Training
Transportation
Day Programs
Behavioral Health Services
Life Skills Training
Medical Care
Education or Post-Secondary Education
Other  
6. Has your agency changed or added any new services/programs in the last two years? If so, please describe below.
 

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