Community Needs Survey

Help us understand what the North Country needs most

J & D Family Services is a 501(c)(3) nonprofit working to reduce barriers and connect individuals and families with resources and support.

This survey is voluntary. You do not need to provide your name. Your responses will help us identify community needs, develop programs, build partnerships, and seek funding to expand services.

About Your Community

What town do you live in?

ZIP Code

Age Range

Which best describes your household?

What Does Our Community Need?

What are the greatest needs in our community? Check all that apply.

Other:

What THREE needs above are the most important?

Housing

Which best describes your current housing situation?

During the past 12 months, have you experienced housing instability or homelessness?

What housing barriers have you or people you know experienced? Check all that apply.

Other:

What Housing Does the North Country Need?

Check all that apply.

Other:

Would a service that helps people locate housing, complete applications, communicate with landlords, obtain documents, and connect with financial/resources assistance be helpful in our community?

Transportation

Do you have reliable transportation?

Has lack of transportation ever made it difficult for you to access any of the following?

Other:

Tell Us What You Think

What service or resource do you wish was more available in the North Country?

What is the biggest challenge facing individuals and families in our community right now?

Is there anything else you would like J & D Family Services to know about the needs of our community?

OPTIONAL — Stay Connected

You may complete the survey without providing your name or contact information.

I would like information about:

Other:

Name

Phone

I give J & D Family Services permission to contact me using the information above.

Your responses are stored securely and reviewed by J & D Family Services staff.