Community Needs SurveyPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 2LayoutName *Email *Which of the following best describes you and your role in the community? *ResidentPublic sector representativePrivate sector representativeCommunity organization representativeFaith-based organization representativeLocal politicianSchool faculty/staffHealthcare providerBorough/township council or managementCommunity volunteerPlease list your organization.In which municipality do you live? *Rialto CARiverside CountySan Bernardino CountyOtherHow long have you lived here? *Gender *MaleFemaleTransgender maleTransgender femaleNonbinary/nonconformingPrefer not to sayAge *Under 1818-2526-3536-4546-5556-65Over 65Prefer not to sayRace *American Indian or Alaska NativeAsianBlack or African AmericanHawaiian or other Pacific IslanderWhiteOther, including a mixPrefer not to sayAre you Hispanic, Latinx, or of Spanish descent? *YesNoPlease select your highest completed level of education. *Primary school (grades k-6)Secondary school (grades 7-12)High school diploma or GEDSome collegeAssociate's DegreeBachelor's DegreeSome graduate schoolMaster's DegreeSome post-graduate studiesPh.DProfessional certificateAre you currently a student? *YesNoMilitary StatusActive MilitaryVeteranNextIn your opinion, what are the 3 most important needs when it comes to education? *Getting parents involved in their children’s educationAccessible preschoolActivities for preschoolers to build skills and prepare for schoolMore or better guidance to help students prepare for careersMore or better guidance to help students prepare for higher educationMore degree/certificate programs offered locallyMore opportunities for enrichment courses locallyBetter or more affordable transportation to and from schoolBetter or more affordable childcare options so parents can pursue educationMaking the community more aware of the resources available to themIncreased educational programming at the public libraryOtherSelect your top 3.Other (please specify): *In your opinion, what are the 3 most important needs when it comes to employment? *More jobs with better pay and benefitsBetter training programs for local industryBetter or more affordable transportation to and from workBetter or more affordable childcare during working hoursBetter preparation opportunities for those entering the workforceOpportunities to improve workforce readiness skillsCommunity programming for resume and cover letter helpBetter knowledge of workforce resources availableOtherSelect your top 3.Other (please specify): *In your opinion, what are the 3 most important needs when it comes to health? *Community focus on preventative careMore community resources for preventative careBetter or more affordable transportation to and from appointmentsCommunity programs on basic health and hygienePayment assistance for adultsPayment assistance for childrenCommunity programs on nutrition and healthy eating habitsMore or better access to food (including fresh fruits and vegetables)More assistance and resources for victims of domestic violenceAssistance and resources for the homelessCommunity programming and resources on mental healthOtherSelect your top 3.Other (please specify): *In your opinion, what are the 3 most important needs when it comes to housing? *Monthly rental assistance programsSecurity/utility deposit programsCounseling and resources for homeownersCommunity programming for first-time homeownersGrants to make homeownership and necessary house updates possibleBetter or more affordable energy optionsPrograms to provide free or reduced home repair for those who qualifyMore income-based rental housingMore housing for seniorsMore support for homeless familiesOtherSelect your top 3.Other (please specify): *In your opinion, what are the 3 most important needs when it comes to finances? *Access to budget counselingCommunity programming and education on building assetsAccess to free credit counselingAccess to savings counselingAccess to low-interest loansMore awareness of how to access financial resources in the community OtherSelect your top 3.Other (please specify): *In your opinion, what are the 3 most important needs when it comes to civic engagement? *Skill and leadership buildingCitizenship classes and preparationBetter awareness of community groups, advisory boards, and civic organizations that existBetter awareness of how to join community groups, advisory boards, and civic organizations in the communityMore or better voting resourcesMore or better knowledge about civic resourcesOtherSelect your top 3.Other (please specify): *In your opinion, what are the 3 most important needs when it comes to support services? *Childcare servicesMeals servicesLegal servicesYouth servicesLife skills programs and servicesSubstance abuse resourcesElderly servicesAbuse servicesTransportation servicesDisabled servicesVeterans servicesOtherSelect your top 3.Other (please specify): *Which of the following categories from this survey do you feel are the 3 most important?EducationEmploymentHealthHousingFinancesCivic engagementSupport servicesWhich action do you think is the most important? What is the most important reason our community needs action?Any additional comments regarding community needs?Submit
