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Delaware Nation
Delaware Nation Community Service Block Grant Annual Survey Now Available!

Delaware Nation

Delaware Nation Community Service Block Grant Annual Survey Now Available!

By alenabanvard2 8 months ago

DELAWARE NATION

Community Service Block Grant

Annual Survey

We need your assistance! Please take the survey below!

1. What age group are you? *

18-21
22-30
31-45
46-59
60 +

(Select one)

2. What county in Oklahoma do you reside in? *

3. Annual Income Level *

$0-10,000
$10,001-20,000
$20,001-30,000
$30,001-40,000
above $40,001

(please check one for grant reporting purposes)

4. Household Composition *

Single Person
Single Family
Multi-Family
Multi-Generational

5. Employment Status *

Employed
Unemployed
Self-Employed
Retired
Disabled

6. If employed, how long have you been with your current employer? *

0-1 year
1-2 years
2-5 years
5-10 years
10-25 years
25+ years

7. If unemployed, what has been one of the most challenging barriers to obtaining employment?

8. What has been the biggest hardship in your household in the last 3 years? *

Mortgage/Rent
Utility Cut-offs
Medical Insurance/bills
Employment
Transportation
Substance Use
Nutrition/Food
Education

The post Delaware Nation Community Service Block Grant Annual Survey Now Available! appeared first on Delaware Nation.

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