Request edit access
Fitzpatrick Collaborative: Community Needs Assessment Survey
Thank you for taking the time to complete this survey. Your feedback helps the Fitzpatrick Collaborative better understand the interests, needs, and priorities of our community so we can continue offering meaningful programs, events, and services for families and individuals of all ages.
Sign in to Google to save your progress. Learn more
What town do you live in? *
How do you usually hear about about the Fitzpatrick Collaborative programs and events? *
Required
Do program costs ever prevent participation for you and your family members? *
What past events have you or a family member participated in at The Fitz?
Check all that apply. 
 *
Required
What past Program(s) have you or a family member participated in at The Fitz?
Please list.
 *
What age group(s) are you interested in programs for?
Check all that apply. 
 *
Required
What types of programs would you or your family be interested in participating in?
Check all that apply. 
 *
Required
What types of community events would you like to see offered?
Check all that apply. 
 *
Required
What days work best for you for programs and events?
Check all that apply. 
 *
Required
What timing works best for you?
Check all that apply. 
 *
Required

Stay Connected!
If you would like to receive emails about future Fitzpatrick Collaborative programs and events, please leave your email in the space provided.

Final Thoughts
Please share any additional ideas, feedback, or suggestions:
Thank you for helping us build stronger, more connected community programs and events!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Fitzpatrick Collaborative.

Does this form look suspicious? Report

Google Forms