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Health and Human Services Survey
.
Name
*
First
Last
Please Choose Your Top Four Highest Needs From The Dropdown Below
First Highest Need
*
Adult Literacy Services
Basic Sustenance (Clothing, Food, Shelter, etc.)
Behavioral Risk Factors (Smoking, Diet, Exercise, etc)
Community Engagement/Volunteerism
Diversity Equity and Inclusion
Effective Alternatives to Incarceration
Effective Judicial System
Housing (Affordability, Emergency/Temporary, Homelessness, etc)
Employment Training
Environmental Issues (Clean Air, Water, Recycling, etc)
Family Violence Protection (Child Abuse/ Sexual Abuse)
High School Dropout Prevention
Juvenile Justice
Land/Growth Issues
Mental Health Services/Advocacy
Parenting Education
Physical Wellness
Prevention of Infectious/Contagious Diseases
Primary and Preventative Health Services
Quality Childcare
Quality Public Education
Quality Public Transportation
Safe Neighborhoods/Crime Prevention
Services For Elderly
Services For Special Needs Children and Adults
Social/Personal Development of Youth
Substance Abuse Treatment and Prevention
Women's Health
Workforce Development
Second Highest Need
*
Adult Literacy Services
Basic Sustenance (Clothing, Food, Shelter, etc.)
Behavioral Risk Factors (Smoking, Diet, Exercise, etc)
Community Engagement/Volunteerism
Diversity Equity and Inclusion
Effective Alternatives to Incarceration
Effective Judicial System
Housing (Affordability, Emergency/Temporary, Homelessness, etc)
Employment Training
Environmental Issues (Clean Air, Water, Recycling, etc)
Family Violence Protection (Child Abuse/ Sexual Abuse)
High School Dropout Prevention
Juvenile Justice
Land/Growth Issues
Mental Health Services/Advocacy
Parenting Education
Physical Wellness
Prevention of Infectious/Contagious Diseases
Primary and Preventative Health Services
Quality Childcare
Quality Public Education
Quality Public Transportation
Safe Neighborhoods/Crime Prevention
Services For Elderly
Services For Special Needs Children and Adults
Social/Personal Development of Youth
Substance Abuse Treatment and Prevention
Women's Health
Workforce Development
Third Highest Need
*
Adult Literacy Services
Basic Sustenance (Clothing, Food, Shelter, etc.)
Behavioral Risk Factors (Smoking, Diet, Exercise, etc)
Community Engagement/Volunteerism
Diversity Equity and Inclusion
Effective Alternatives to Incarceration
Effective Judicial System
Housing (Affordability, Emergency/Temporary, Homelessness, etc)
Employment Training
Environmental Issues (Clean Air, Water, Recycling, etc)
Family Violence Protection (Child Abuse/ Sexual Abuse)
High School Dropout Prevention
Juvenile Justice
Land/Growth Issues
Mental Health Services/Advocacy
Parenting Education
Physical Wellness
Prevention of Infectious/Contagious Diseases
Primary and Preventative Health Services
Quality Childcare
Quality Public Education
Quality Public Transportation
Safe Neighborhoods/Crime Prevention
Services For Elderly
Services For Special Needs Children and Adults
Social/Personal Development of Youth
Substance Abuse Treatment and Prevention
Women's Health
Workforce Development
Fourth Highest Need
*
Adult Literacy Services
Basic Sustenance (Clothing, Food, Shelter, etc.)
Behavioral Risk Factors (Smoking, Diet, Exercise, etc)
Community Engagement/Volunteerism
Diversity Equity and Inclusion
Effective Alternatives to Incarceration
Effective Judicial System
Housing (Affordability, Emergency/Temporary, Homelessness, etc)
Employment Training
Environmental Issues (Clean Air, Water, Recycling, etc)
Family Violence Protection (Child Abuse/ Sexual Abuse)
High School Dropout Prevention
Juvenile Justice
Land/Growth Issues
Mental Health Services/Advocacy
Parenting Education
Physical Wellness
Prevention of Infectious/Contagious Diseases
Primary and Preventative Health Services
Quality Childcare
Quality Public Education
Quality Public Transportation
Safe Neighborhoods/Crime Prevention
Services For Elderly
Services For Special Needs Children and Adults
Social/Personal Development of Youth
Substance Abuse Treatment and Prevention
Women's Health
Workforce Development
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