2023 Community Assessment
Missouri Valley Community Action Agency is surveying residents of our seven county service area to gather information that will help us plan for future programs that address the causes and conditions of people living in poverty.  Our mission is to engage communities and coordinate resources to improve the lives of people experiencing poverty. 

Your input is vital in helping us understand the real-life experience in the communities we serve.  We appreciate your time and honest feedback.
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THE FOLLOWING QUESTIONS ARE ABOUT YOU AND YOUR HOUSEHOLD.  Please choose the response that shows how serious each of the following concerns is for you and your household, not how you perceive these issues for others in the community.

All responses are anonymous.    
EMPLOYMENT *
Not a problem
Slight problem
Serious problem
N/A
Getting a better paying job
Getting a job with more hours
Getting a full-time, year-round job
Getting a job with health insurance benefits
Getting a loan and/or help to start a business
Please use this space to elaborate on any of your previous responses about employment.
 *
Do existing programs or resources adequately address employment issues in your community?   *
If no, what changes should be made to improve programs or services related to employment?
EDUCATION AND TRAINING *
Not a problem
Slight problem
Serious problem
N/A
Getting a high school diploma/GED
Getting education or training so I can get a better job
Getting training to start/expand my own business
Paying for higher education (college or technical school)
Paying for childcare so I can go to school
Paying for transportation so I can go to school
Please use this space to elaborate on any of your previous responses about education/training.
 *
Do existing programs or resources adequately address education and training issues in your community? *
If no, what changes should be made to improve programs or services related to education and training?
HOUSING *
Not a problem
Slight problem
Serious problem
N/A
Finding safe, affordable housing
Cost of rent
Making a monthly mortgage payment
Cost of heating/cooling
Housing needs insulation or weatherization
I cannot afford to buy a decent house
Finding housing that allows pets
Available rental houses/units in my community
I have been homeless sometime in the last two years. *
Please use this space to elaborate on any of your previous responses about housing.
 *
Do existing programs or resources adequately address housing issues in your community?   *
If no, what changes should be made to improve programs or services related to housing issues?
HEALTH *
Not a problem
Slight problem
Serious problem
N/A
Medical costs
Dental costs
Prescription costs
Medical/dental insurance costs
Finding a dentist who accepts MO Healthnet/Medicaid patients
Counseling/treatment for drug or alcohol abuse
Professional diagnosis of mental health concerns
Counseling/treatment for mental illness
Getting enough food for my household
Getting information on preparing nutritious food
Please use this space to elaborate on any of your previous responses about health.
 *
Do existing programs or resources adequately address health issues in your community? *
If no, what changes should be made to improve programs or services related to health?
TRANSPORTATION *
Not a problem
Slight problem
Serious problem
N/A
Obtaining reliable transportation to work, school, daycare, etc.
Cost of vehicle repairs
Cost of vehicle maintenance (insurance, gas, oil change, etc.)
Car is often not available for me/a family member to use
Obtaining a valid driver's license
Please use this space to elaborate on any of your previous responses about transportation.
 *
Do existing programs or services adequately address transportation issues? *
If no, what changes should be made to improve programs or services related to transportation?
FAMILY *
Not a problem
Slight problem
Serious problem
N/A
Affordable childcare
Childcare for nights/weekends
Childcare for when my child is sick
Cost of childcare keeps me from working
Guiding challenging behaviors for teenage child
Handling challenging behaviors for a young child
There is use of force (kicking, pushing, hitting) in the relationship with my partner/spouse
Concern about children witnessing violence in the home
Ability to keep children in/attending school
Ability to assist children with school work
Please check any of the below services needed for you, or someone in your household: *
Required
Briefly explain why you are currently NOT receiving needed services. (Ex. do not qualify, not available near me, not sure how to access or apply, etc.) 
Please use this space to elaborate on any of your previous responses about family.
 *
Do existing programs or resources adequately address family issues?   *
If no, what changes should be made to improve programs or services?  
FINANCIAL AND LEGAL MATTERS *
Not a problem
Slight problem
Serious problem
N/A
Lack of savings
Having enough money to pay all the monthly bills
Use check advance or payday loan places too often
Have enough money to respond to unexpected emergencies
Opening a checking or savings account
Accessing a copy of my credit report
Getting affordable legal services
Do you experience high household debt in the following: *
Required
Please use this space to elaborate on any of your previous responses about financial or legal matters.
 *
Do existing programs or resources adequately address these issues? *
If no, what changes should be made to improve programs or services related to financial or legal issues?
ENVIRONMENT/CLIMATE CONCERNS *
Not a problem
Slight problem
Serious problem
The cost of household electricity
Extreme heat in the summers
Extreme cold in the winters
Flooding from extreme rainfall
Health impact from air pollution
Are there any other environment/climate concerns you have for your community? *
HOUSEHOLD INFORMATION
The following section asks demographic questions and are required before submitting your responses.  
In what county do you reside in Missouri? *
What is your zip code? *
Select the option below that indicates your household size, then in the following question mark whether the dollar amount listed next to your household size is ABOVE or BELOW your household's actual annual income.   *
In the above question, is the dollar amount listed for your household size above or below your household's annual income?   *
*If you indicated more than 8 individuals live in your household, please use this space to tell us how many people live in your home, and your household's total annual income.  
What is your gender? *
What is your age range? *
Household Race (check all that apply): *
Required
Is anyone in your household Hispanic or Latino? *
Please mark the answers that best describe your household (mark all that apply): *
Required
*How many children ages 0-5 live in your household? *
Please indicate the employment situation in your household: *
Full-time
Part-time
Unemployed
Retired
Unable to work
Self-employed
Other
N/A
Yourself
Adult #2
Adult #3
Adult #4
Are you currently receiving public assistance?  *
Please mark the answer(s) that best describe your employment (mark all that apply) *
Required
Please tell us what, if any, form of health insurance you have for people in your household: *
Medicaid
Medicare
Employer provided
Parent's insurance
No insurance
Marketplace/Subsidized
N/A (no children under 18)
Adults
Children under 18
Please choose the response that best describes your housing situation: *
What is the highest grade or diploma/degree completed by adults (over 18) in your household? (Mark N/A if the additional adults listed don't apply to your household) *
Degree + (Masters or Doctorate)
2 or 4 year degree or certification
Some college or tech training
High school/HiSet/GED
Less than high school
N/A
Yourself
Adult 2
Adult 3
Adult 4
Does your household have a child or adult with a (documented) disability?   *
Required
If you marked a child with a disability, is the child 4 years or younger?   *
Please use this space to share anything else you think is important for us to know about the needs and strengths in your community.   *
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