Community Input Survey Form

Transparency and Accountability

Dear Community Member,

Thank you for participating in our efforts to enhance transparency and accountability.
Your input is invaluable as we work to ensure that information reflects the needs
and aspirations of our diverse community.

Please take a few moments to complete this survey to share your preferences,
suggestions, and priorities for the future of the community. Your responses will
help us better understand the services, programs, languages, and events that are most
important to you.

Demographic Information

Age *

Gender *

Ethnicity *

Length of residency in Uniondale *

Services and Programs

Service Name *

What types of services or programs would you like to see offered at the community center? (e.g., tutoring, educational workshops, fitness classes, counseling services, etc.)

Preferred Language *

Arethere specific languages in which you would like these services or programs to be offered?

Suggestions

Do you have any suggestions for specific programs or initiatives that would benefit the community?

Events and Activities

Type of Activity *

Whattypesofevents or activities would you like to attend at the community center? (e.g., cultural celebrations, health fairs, job fairs, community festivals, etc.)

Events you want to see *

Are there any cultural or religious events that you would like to see celebrated or recognized at the community center?

Ideas for Events

Do you have any ideas for special events or activities that would promote community engagement and unity?

Accessibility and Inclusivity

Service Improvement suggestion *

How can the community center better serve individuals and children with disabilities or special needs?

Barriers Observed *

Arethere any barriers to participation in center activities or events that you have experienced or observed?

Accessibility and Inclusion Feedback *

Whatstepscanbetaken to ensure that the community center is inclusive and accessible to all residents?

Additional Comments

Additional Comments and Feedback

Pleaseusethis space to provide any additional comments, suggestions, or feedback related to the transparency and accountability of 925 Jerusalem Ave, Uniondale NY 11553.

Thank you for your participation! Your input is vital to shaping the future of our community center. Please help us in choosing a name for our local community center.

Uniondale Empowerment Community CenterJohn J.Byrne Community CenterUniondale Empowerment Resource Center

We are the Oversight Board elected by the Uniondale Residents to bring accountability and transparency to the Community affairs as a Whole

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