L’ANSE CREUSE PUBLIC SCHOOLS

COMMUNITY NEEDS QUESTIONNAIRE

Service to the needs of others is a personal act of sensitivity to the interdependency we share as human beings. While the goal of the L’Anse Creuse Community Service Learning program is to effect positive change in the lives of persons served, it is a method by which young people learn and develop through active participation in thoughtfully organized service experiences. In an effort to assure that our students are addressing “true” community needs, we are asking you to complete this brief questionnaire.

Please indicate how problematic you feel the following issues are for our community:

(1= no problem, 2= minor problem, 3= moderate problem, 4= serious problem)

_____Child Abuse _____Runaway Youth _____Hunger

_____Juvenile Crime _____Adolescent Suicide _____Teen Pregnancy

_____Drunk Driving _____Alcohol/Drug Use _____Sexual Assault

_____Homelessness _____Illiteracy _____Education

_____Gambling _____Transportation _____Shortage of daycare

_____Family/Domestic Violence _____Improper Healthcare/Safety

_____Lack of after school care _____Racial, ethnic, gender discrimination

_____Inadequate Housing _____Shortage of Recreational Program

_____Lack of help and/or special care for the elderly

_____Children/Teenagers with behavior and/or emotional problems

_____Lack of programs for the mentally ill and/or physically handicapped

_____Uncertainty of where to call or go for help

1.  What do you believe are the 2-3 most important issues that must be addressed to improve the health and quality of life in our community?

______

2.  What do you believe is keeping our community from doing what needs to be done to improve health and quality of life?

______

3. What is our community currently doing to address these issues?

______

4. What actions, policy or funding priorities would you support to build a healthier community?

______

5. Would you support the priorities if they meant an increase in taxes?______

6. What is the best way to get youth, parents, organizations, businesses, the faith community, schools, media, etc involved?

______

7. What are some specific examples of people or groups working together to improve the health and quality of life of our community?

______

8. If you could improve one thing in your community right now, what would it be?

______

Optional information:

Your name Date

Your Organization