ACS Needs Assessment Survey

ACS is conducting a needs assessment on all of its programs. The responses will help ACS develop programs that meet the needs of the Pine Bluff Arsenal community.

Status:
Active Retiree Family Member Civilian Contractor

Gender:
Male Female

Military Rank: Military Branch:

Marital Status:

1. Do the operating hours 0700-1630, M-F, meet your needs? Yes No

2. Is the ACS office easy to find? Yes No

3. What type of program/workshop/training are you interest in? (Check all that apply).

Employment Readiness:	Job Search	Resumes	Resumix	Career Development
Financial Readiness:	Credit/Money Issues	Investment Seminars	Consumer Issues	Budget Management
Financial Readiness:	Scholarship Searches	Retirement Planning	Tax Planning
Volunteer Program:	Army Family Team Bldg (AFTB)	AFAP	Volunteering
Relocation Assistance:	Lending Closet	Welcome Packets	Newcomers Orientation	Sponsorship Training
Relocation Assistance:	Classes on Moving
Family Advocacy Program:	Parent Education	Stress Mgmt	Communication Class	Book/Video loan
Family Advocacy Program:	Couple Enrichment	Conflict Resolution	Child Management
Exceptional Family Member Program:	Advocacy	Information & Referral	Special Needs Classes	Eldercare Material
Exceptional Family Member Program:	School IEP Assistance	Resource Files
Families First New Parent Program:	Home Visits	Child Mgmt Info	Book/Video Loan	Parent/Child Playgroup
Information, Referral & Follow-up:	InfoLINK (Community Resources
Mobilization and Deployment:	Briefings	Family Readiness Group Assistance	Video Teleconferencing
Army Emergency Relief:	Loans/Grants	Scholarships	Campaign
Other:

4. What is the best method for ACS to get information into the community? (check all that apply)
Email Flyers Bulletin Board Website Military mailings Marquee
Other:

5. What is the best time for you to attend workshops? (check all that apply)
Mornings Lunchtime Afternoons Evenings Weekends

6.   What support groups would you use? (check all that apply)
Single Parent Group        Parents Support Group   Widowed Support Group
        Multicultural Spouses Group   Job Search/Networking Group   Waiting Spouse
        Family Readiness   Grandparents Support Group
Exceptional Family Member Program Parent Group
Other:


If you would like to be contacted regarding any of the above programs, please list your name, phone number, and email address below:
Name:    Phone:
Email:

Form Complete (Y):