Request for Basic Needs for Families

The following survey can be altered to fit your organizational needs. This request will be a useful tool to aid in creating a relationship with the family you are serving and identifying their needs.

By completing this survey, you will help towards research of understanding families’ resources and needs. You will be asked to answer survey questions that include education, employment, housing, healthcare and other basic needs. This will take approximately 15 – 20 minutes of your time.

The benefit of this research is that you will be helping the organizations in your community to better understand our community needs, the resources available and the services that are still needed. This information will help us to work together to address services that are needed the most. There are no risks to you for participating in this study, and no penalty for not participating.

Downloadable document
Downloadable document