TANF Provider Survey

General

Does your agency provide services in Converse County? Yes No

[If yes, please identify those services below]:

During the past 12 months, did your agency receive funding directly or indirectly from: (check all that apply)

Please rate the following barriers insofar as you think they impact Converse County residents’ ability to work and/or attend education/training activities? (Rate 1-8 with 1 being the most significant and 8 the least)

Inadequate housing
No jobs available for me
Lack of education or training
Inadequate Transportation
Inadequate child care
Alcohol or drug use
Physical or sexual abuse
Other:

Does your agency provide any housing services in Converse County? Yes No
[If yes, please identify those services below]:

Are you aware of any other services available in Converse County that could help someone with housing problems? Yes No
[If yes, please identify those services below]:

Employment

Please identify the three most frequent reasons your agency is given by clients as to why they are unable to work: [Rate 1-3 with 1 being the most frequent reason and 3 the least frequent]

Need more education
Need more work experience
No jobs available, or wages too low
Past criminal record
Transportation problems
Paying for or finding child care
Prefer/need to stay home with children
Own ill health or disability
Depressed or overwhelmed
Own drinking or drug problem
Other family responsibilities (like caring for another family member)
Difficulty speaking, reading or writing English
In school or other training
Jobs don’t offer health benefits
Spouse or partner objected
Other:

Education & Training

Please identify the three most important educational or training needs of your agency’s clients: [Rate 1-3 with 1 being the most important and 3 the least important]
Basic reading or math
Job readiness training (resume writing, job interviewing, personal skills, etc.)
Communication
Customer service
Computers
Supervising/management
Specific skill training:
Work experience program
College classes
Other:

Does your agency provide any educational or training services in Converse County? Yes No
[If yes, please identify those services below]:

Are you aware of any other services available in Converse County that could help someone with education or training problems? Yes No
[If yes, please identify those services below]:

Transportation

Please identify the three most frequent methods your agency’s clients usually get to work? [Rate 1-3 with 1 being the most frequent reason and 3 the least frequent]
Drive self
Walk
Get a ride
Company-provided vehicle
Other:

Does your agency provide any transportation services in Converse County? Yes No
[If yes, please identify those services below]:

Are you aware of any other services in Converse County that could help someone with transportation problems?
Yes No
[If yes, please identify those services below]:

Child Care

Please identify the three most frequent problems your clients have had with child care or lack of child care? [Rate 1-3 with 1 being the most frequent reason and 3 the least frequent]
Cost too much
Couldn’t find child care for time I needed
Too far from work or home
Caregiver unavailable or not reliable
Concern about child abuse or unsafe environment
Child sick or disabled
Other:
I haven’t had any problems with child care

Does your agency provide any child care services in Converse County? Yes No
[If yes, please identify those services below]:

Are you aware of any other services available in Converse County that could help someone with child care problems? Yes No
[If yes, please identify those services below]:

Substance Abuse

Please identify the three most frequent substance abuse issues that your agency’s clients have: [Rate 1-3 with 1 being the most frequent reason and 3 the least frequent]
Alcohol
Sedatives
Tranquilizers
Amphetamines, including methamphetamine
Prescription-strength painkillers (does not include normal use of over-the-counter painkillers)
Marijuana
Cocaine, crack or free base
LSD or other hallucinogens
Heroin
Other:

Does your agency provide any substance abuse services in Converse County? Yes No
[If yes, please identify those services below]:

Are you aware of any other services available in Converse County that could help someone with substance abuse problems? Yes No
[If yes, please identify those services below]:

Physical and Sexual Abuse

Does your agency provide any physical or sexual abuse services in Converse County? Yes No
[If yes, please identify those services below]:

Are you aware of any other services available in Converse County that could help someone with abuse problems?
Yes No
[If yes, please identify those services below]:

Other Comments

Does your agency want to participate in a community-wide TANF application to help fund future services?
Yes No
[If yes, please identify below the services for which you would like to be funded]:

Please share any other comments you may have regarding community services in Converse County: