Community Center Interest and Initial Data Collection Survey
Thank you so much for helping us to know how to best serve our community - which is has you and your family at the heart of our decision making. We appreciate your time with this survey. If you need assistance, please reach out to Lynne Hardy at lenhardyny@gmail.com. Your responses are anonymous. We appreciate your support with our data collection for this project.
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Do you live in the Hoosic Valley School District? *
Do you think Schaghticoke could benefit from having a community center?  *
Which services/activities would you or your family potentially use? (Select all that apply) *
Required
Do you know of any organizations, departments, or offices that would be interested in renting or accessing space in a community center in Schaghticoke? If yes, please specify. 
Are you a veteran or active-duty military?  *
What age range do you fall in?  *
How many people of each age group currently live in your household? Please include yourself. 
0
1
2
3
4
5
6
7
more than 7
Under 5
5-14
15-18
19-24
25-64
65+
Clear selection
What is your annual household income? 
This question is to help ensure that we have all voices heard in our community across all socioeconomic status. 
 *
In the past 12 months, have you had a problem getting enough food to eat?  *
Required
In the past 12 months have you had utilities disconnected or were under threat of disconnection?  *
Required
In the past 12 months have you experienced or were on the verge of experiencing homelessness?
 *
Do you have difficulty accessing social services? This could include waiting lists, inconsistent service, or other difficulties you may face. 
 *
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