Family and Community Support Services (FCSS) Needs Assessment Community Survey

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* 1. Are you a current resident of the Town of Strathmore?

Yes

No

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* 2. Where did you hear about this survey?

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* 3. What is your age group?

18-25

26-35

36-55

56-65

66+

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* 4. What level of understanding do you feel you have on what FCSS offers the community?

Totally understand all services offered

Understand overall what the concept of FCSS is

Don’t understand what FCSS offers

Don’t know what FCSS is

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* 5. Where do you currently obtain information about support programs in the community?

Town Office

Websites

Newspaper

Friends

Social Media

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* 6. What do you feel are the biggest social issues facing the Town of Strathmore?

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* 7. What are the top 5 services you believe the Town of Strathmore’s FCSS should offer?

Choice 1

Choice 2

Choice 3

Choice 4

Choice 5

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* 8. What do you believe is the biggest void in services delivered by the Town of Strathmore?

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* 9. Have you ever been in a situation where you required a support service that wasn’t available in the Town of Strathmore? If yes, what was that service? (All responses are completely confidential and anonymous).

Yes (type the service)

No (type no)

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* 10. Do you or any members of your family volunteer in the community?

Yes (say which organization)

No (why not?)