Community Needs Assessment Survey

Instructions:
You can help the Elizabeth Fry Society of Greater Vancouver improve the services in the community by completing this anonymous survey. This information will be used to improve our services.

1. Which of the following services is MOST NEEDED in your community?

Adult Education (GED courses etc.) Child Care Drug & Alcohol Services Elderly Services (case management, home care, Meals-on-wheels, etc.) Employment Assistance (job training, job search assistance etc.) Housing Support (rental/mortgage assistance, home repair programs etc.) Mental Health/Group Services (counselling, referrals etc.) Physical Health (clinics, emergency/physician services, etc.) Pregnancy/Parental/Adoption Residential Programs Tangible Assistance (food banks, clothing, utility assistance, etc.) Transportation (public, medical or disabled transit, etc.) Youth (after-school programs, recreation/activities, camps etc.) Other (Please Specify)

2. For the most needed service that you have selected above, briefly explain the need as you see it. For example, what is the accessibility, cost, quality or availability of the service?

3. Which of the following services is SECOND MOST NEEDED in your community?

Adult Education (GED courses etc.) Child Care Drug & Alcohol Services Elderly Services (case management, home care, Meals-on-wheels, etc.) Employment Assistance (job training, job search assistance etc.) Housing Support (rental/mortgage assistance, home repair programs etc.) Mental Health/Group Services (counselling, referrals etc.) Physical Health (clinics, emergency/physician services, etc.) Pregnancy/Parental/Adoption Residential Programs Tangible Assistance (food banks, clothing, utility assistance, etc.) Transportation (public, medical or disabled transit, etc.) Youth (after-school programs, recreation/activities, camps etc.)

4. For the most needed service that you have selected above, briefly explain the need as you see it. For example, what is the accessibility, cost, quality or availability of the service?

5. Which of the following services is THIRD MOST NEEDED in your community?

Adult Education (GED courses etc.) Child Care Drug & Alcohol Services Elderly Services (case management, home care, Meals-on-wheels, etc.) Employment Assistance (job training, job search assistance etc.) Housing Support (rental/mortgage assistance, home repair programs etc.) Mental Health/Group Services (counselling, referrals etc.) Physical Health (clinics, emergency/physician services, etc.) Pregnancy/Parental/Adoption Residential Programs Tangible Assistance (food banks, clothing, utility assistance, etc.) Transportation (public, medical or disabled transit, etc.) Youth (after-school programs, recreation/activities, camps etc.)

6. For the most needed service that you have selected above, briefly explain the need as you see it. For example, what is the accessibility, cost, quality or availability of the service?

7. Please enter your Postal Code