Individual Survey

What is your age?*

What is your gender?*

What is your race/ethnicity?*

What is your ZIP code of residence?*

Are you currently employed?*

What is the highest level of education you've completed?*

Do you have any certifications or licenses? If yes, please list them.*

What skills do you have that you believe are valuable in the workplace?*

Are you interested in starting your own business? (Yes/No/Maybe)*

What types of assistance would help you improve your employment or financial situation? (Select all that apply)*

Do you currently access any support services or benefits (SNAP, Medicaid, LIHEAP, etc.)?*

Do you have reliable internet access at home?*

Do you have a smartphone or tablet?*

What’s your preferred way to receive information about resources? (Text, Email, Mail, In-person, Other)*