Needs Assessment

The purpose of this assessment will help us achieve our goal of providing better choices, opportunities, and experiences for youth (ages 11-24) and families within your neighborhood. We appreciate your feedback!

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What are the problems in your neighborhood? 

Please rate the severity.

NoneLowHighNot Sure

Would the following events/programs be beneficial to the youth within your neighborhood?

YesNo
Is there a need for mental health resources in your community? (required)
Yes
No
Not Sure
 
Have you had positive experiences with DuCAP in your neighborhood? (required)
Yes
No
Not Involved
 
Has DuCAP positively benefited you or someone you know? (required)
Yes
No
N/A
 
Would you be interested in getting involved or knowing more about DuCAP? (required)
Yes
No
 

Please share your contact information below if you are interested in getting involved or knowing more about DuCAP.

Race (required)
White
Black / African American
Hispanic or Latin American
Asian
Native Hawaiian or Other Pacific Islander
Native-American / Alaska Native
Multicultural
 
 
Ethnicity (required)
Hispanic or Latino or Spanish Origin
Not Hispanic or Latino or Spanish Origin
 
 
Gender (required)
Male
Female
Non-Binary
 
Name
 
 
 
Community /​ Service Area (required)
Bensenville
Bolingbrook
Glendale Heights
Romeoville
Villa Park
Wheaton