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Essential Connections Survey
We are currently conducting a county-wide organization assessment survey.  Purpose of Survey: The CWC is conducting this survey in the hopes of getting an accurate picture of what all the active community service groups and non-profits of Valencia County are doing in support of our residents. 

In order to be an effective council, we need to know what is already being done in the community, what needs to be addressed, and how we as a Council can coordinate community needs with the individuals and groups eager to address those needs. Our main function as a Council is becoming the information hub for all this activity, but we can’t do this work alone, we need your help!  

How to Contribute: Take a few minutes to fill out our short survey with as much detail as possible in order for us to get the best picture of what it is that you do-the more information the better!  

If you have questions, please email to CommunityWellnessCouncil@gmail.com  

Essential Connections Survey
Group Name
What is the purpose/focus of your group?
2. What are you missing or needing to fulfill your mission (including data)?
3. If grant funded – Do your deliverables require collaboration?
Yes
No
4. How can the health council assist you in meeting your mission or goals?
Please select all the service sectors or areas of focus that apply to you/your group
Education
Business
Social Service
Government
Faith-based Organization
Law Enforcement/ Emergency Response
Health/Behavioral Health
Advocacy/Policy
Valencia County Community Member
Tribal Member or Employee
Civic Group
Public or Private Funder/Payer
Drug/Alcohol Treatment
Residential Facility
Transportation
Built Enviornment/ Natural Environment
Corrections
Utlities - Public Works
Coaltion
Other
If you checked Other, please describe your sector/population served.
List the partners you work with on a regular basis
Please share your funding sources if appropriate or grants currently being applied for.
Program/Group Strengths
Program/Group Challenges
Contact Email for follow up

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