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Resource Assessment
Please answer each question to help us determine what resources might be needed to best assist you.
How would you describe your housing situation?
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Select One
Homeless/Facing Eviction Notice
Rent/Mortgate is greater than 30% of Income
I can usually afford my housing
Housing is ok. May be subsidized. (Rent Controlled or low-income Housing) Not what I would choose.
Housing is what I would desire and choose.
How would you describe your health care needs?
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Select One
I have medical needs with no insurance and no way to pay for care
I am ok for now, but I have no insurance
I have no insurance but I can pay for emergent care
I some Insurance but I am not able to cover all of my healthcare needs
I have adequate insurance that covers all of my health care needs
How would you describe your food situation?
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Select One
I have no food or the means to prepare it
I use SNAP and/or food pantries to have enough food
I need help with food occasionally or have to eat less.
I am have enough food without help, but it isn't what I desire
I can buy the food that I desire when I want
Rate the affordability and reliability of your transportation.
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Select One
I have no access to transportation and it limits my ability to care for myself or family
I have access to transportation but it is unreliable
I have access to transportation but it is inconvenient
I have access to transportation and it is convenient but it is not my preference
I have access to affordable and reliable transportation that I prefer
Describe your employment situation
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Select One
I have no job
I have a temporary job, or part time job, or seasonal job.
I have a full time job but it doesn't pay enough to cover every bill
I have a full time job with ok pay but no benefits
I have a full time job that I desire and covers our expenses
Describe your overall family income
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Select One
I have no income
My income is inadequate and doesn't cover my bills.
I can usually meet my financial needs with some help.
I can meet basic needs without help
My income is sufficient and I am able to save money.
Please describe your education
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Select One
I have no diploma or GED
I am enrolled in a GED Program or educational support program
I have a High School diploma or GED
I have a High School Diploma or GED and I am not seeking more education
I have at least some additional education through a community college or skills training program.
How would you describe your Credit?
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Select One
I have a bankruptcy or foreclosure
I have debt in collection
I have poor credit or more debt than I desire
My debt is manageable but my credit is poor
My debt is manageable or I have no debt and I have good credit (670+)
How would you describe your support among family or friends?
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Select One
My family or friends do not help or I have no family or friends
My family or friends are unable to help
I get some help from family or friends when I need it
I have good support from my family or friends.
I have strong support from family or friends and we help each other as needed
What areas would you consider to be most important in terms of getting assistance
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Housing
Health Care
Food
Transportation
Employment
Income
Education
Credit
Family and Friend Support
What else would you like us to know?
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