Lesson 8: Project—Assessing the Need (The)
Handout 2

Sample of Community Needs Survey

Directions: Please consider each issue and rate its importance in the community. Place a number from 1 to 15 on the line next to the issue with #1 representing the most critical and
#15 representing the least critical need to address in the community. You may add to the list, if you wish.

_____ Alcohol/drug use/drunk driving
_____ Community clean-up
_____ Homelessness
_____ Child abuse and or domestic violence
_____ Juvenile crime
_____ Teen pregnancy
_____ Adolescent suicide
_____ Shortage of after school/and or recreation programs
_____ Hunger
_____ Racial, ethnic, and/or gender discrimination
_____ Illiteracy
_____ Care for the elderly
_____ Improper health care/safety
_____ Transportation/road conditions
_____ Meeting the needs of the mentally or physically handicapped (including facilities like ramps, etc. and/or programs)