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NW Bronx Needs Assessment

By completing this survey, you will help us and organizations in your community understand what services, opportunities, and programs you would like to see near your home.

This information will help us to work together to address services that are needed the most. There are no risks to you for participating, and no penalty for not participating. 

If you complete a paper survey, please drop off at any of the following locations:

PACT Partner Office at 228 West Tremont Ave, Bronx, NY 10453

Any PACT meeting, or at the PACT Partners Offices:

If you have any questions, please call NWB PACT Partners at 917-733-0022.

This will take about 5 minutes. Let’s begin!

Please provide the following contact information. This information will be used for tracking survey participation. Your survey responses will remain confidential, and your name or unit number will not be connected to your answers.

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Name
Phone Number
Address
Apartment Number
Apartment & Building Questions
How long have you lived in your current building? Choose one:
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Have you been to any tenant meetings about the PACT process? Choose one:
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What are the top issues that you are experiencing with your apartment and building? Choose all that apply:

Do you need assistance with household tasks, such as cooking and cleaning or help getting around your apartment? Choose one:

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Do you have an aid or caregiver that comes to your home on a regular basis? Choose one:

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What is the primary language spoken in your household? Choose one:

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Service & Activities Questions

What kind of spaces would you like to see in or near your building?   Choose all that apply:

What kind of free services would be most useful to you and your neighbors? Choose all that apply:

What kinds of free programs or classes would you like to see at your building?

Choose all that apply:

What, if any, local community organizations would you recommend to your neighbors?

Have you participated in the following NYCHA programs?
Resident Training Academy - Choose one:
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JobsPlus - Choose one:
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Small Business Pathways - Choose one:
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Tech51 - Choose one:
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Is there anything else you want to tell the NWB PACT Partners about what your household or your community would like to see at your building?
Internet & Technology Questions
Do you have internet in your household? Choose one:
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Do you have a computer at home (desktop or laptop)? Choose one:
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Does at least one person in your household have a smartphone or tablet? Choose One:
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Employment & Occupational Questions
What best describes your employment status? Choose one:
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Do you have your own business? Choose one:
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If yes, what kind of business?

Are you interested in new or additional work opportunities? Choose one:

Are you interested in starting your own business? Or (if you already have a business) are you interested in starting another business? Choose one:

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If yes, what kind of business?
About You - Optional Questions

How do you identify yourself? Choose one:

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What is your age? Choose one:

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Which races and/or ethnicities do you most closely identify? Choose all that apply:

What is the highest level of education you have completed? Choose one:


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Are you the head of the household or is someone else the head of the household? Choose one:

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Do any children of the following ages live in your household?
Do you or anyone in your household experience a disability? Choose all that apply:

Thank you for completing this survey. We appreciate your response.

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