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1. Do you work, live or access services in Kitsap County?
Yes
No
2. Please enter the ZIP code of your primary home. If you don't see your ZIP code, please select “Other.”
98061 Rollingbay 98110 Bainbridge Island 98310 Bremerton 98311 Bremerton 98312 Bremerton 98314 Bremerton 98315 Silverdale 98322 Burley 98337 Bremerton 98340 Hansville 98342 Indianola 98345 Keyport 98346 Kingston 98353 Manchester 98359 Olalla 98364 Port Gamble 98366 Port Orchard 98367 Port Orchard 98370 Poulsbo 98378 Retsil 98380 Seabeck 98383 Silverdale 98384 South Colby 98386 Southworth 98392 Suquamish 98393 Tracyton Other
Please enter a 5-digit ZIP code:
3. Please enter the ZIP code of your primary work location. If you don't see your ZIP code, please select “Other.”
I work in multiple locations or travel around I work remotely 98061 Rollingbay 98110 Bainbridge Island 98310 Bremerton 98311 Bremerton 98312 Bremerton 98314 Bremerton 98315 Silverdale 98322 Burley 98337 Bremerton 98340 Hansville 98342 Indianola 98345 Keyport 98346 Kingston 98353 Manchester 98359 Olalla 98364 Port Gamble 98366 Port Orchard 98367 Port Orchard 98370 Poulsbo 98378 Retsil 98380 Seabeck 98383 Silverdale 98384 South Colby 98386 Southworth 98392 Suquamish 98393 Tracyton Other
Please enter a 5-digit ZIP code:
4. What age group are you in?
Younger than 18
18-24
25-34
35-44
45-54
55-64
65-74
75 or older
Prefer not to answer
5. Please select the gender that best describes you.
Female
Male
Transgender
Non-binary
None of the above
Prefer not to answer
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6. Please select all racial and/or ethnic identities that best describe you. (Select all that apply)
6.a. If you are Asian or Asian American, please select your ethnicity(ies):
6.b. If you are Pacific Islander, please select your ethnicity(ies):
6.c. If you are Hispanic or Latino/x, please select your ethnicity(ies):
7. What is the primary language spoken in your home? (Select all that apply)
Please specify Indigenous language:
Please specify other language:
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8. Do you currently have or have you had in the past year any of the following disabilities or conditions?
Physical disability or mobility limitation
Vision impairment or blindness
Hearing impairment or deafness
Cognitive or intellectual disability
Mental health condition (e.g., anxiety, depression, PTSD)
Heart Condition (High Blood Pressure, High Cholesterol, Heart Disease)
Stroke
Cancer
Diabetes
limited Independence / difficulty with daily living activities
Neurodivergence (e.g., autism, ADHD, learning differences)
Temporary condition (injury, recovery, short-term limitation)
Other condition
None of these disabilities or conditions
Prefer not to answer
8.a. Do your disability(ies) or condition(s) impact how you access services or facilities?
Yes
No
Unsure / don’t know
9. Have you ever served in the United States Armed Forces?
No, I have not served
Yes, currently serving (Active Duty)
Yes, served in the past (Veteran / No longer active duty)
Yes, serving in the Reserves, National Guard, or other branch
Prefer not to answer
Including yourself, how many people live in your household?
10.a. Total # of people ages 18 or older?
10.b. Total # of people ages 17 or younger ?
11. During the past year, what was your total household income before taxes?
Less than $15,000
$15,000 to $29,999
$30,000 to $44,999
$45,000 to $64,999
$65,000 to $99,999
$100,000 to $149,000
$150,000 to $199,000
$200,000 to $249,000
$250,000 or more
Unsure / don’t know
Prefer not to answer
12. What type of housing do you currently live in?
Detached single-family home
Attached single-family home (e.g., townhouse, duplex, row house)
Apartment, condominium, or other multifamily housing
Manufactured or mobile home
Temporary shelter or transitional housing
Car, RV, boat, van, or other vehicle
Couch surfing/move from place to place
Motel/hotel
Unhoused / on the street / experiencing homelessness
Other
Prefer not to answer
13. How do you pay for your housing?
I rent my home and am responsible for all or most of the rent
I rent my home and pay with housing subsidy
I own my home and am responsible for all housing costs (with or without a mortgage)
I live with family, friends, or roommates and contribute to housing costs
I live with family, friends, or roommates and do not contribute to housing costs
I live in housing provided by my employer, school, or another organization
Other
Prefer not to answer
13. Who did you live with most of the time in the last 30 days?
Parent(s), step-parent(s), or legal guardian
Relatives like a grandparent, an aunt/uncle, an older brother/sister - but NOT your parents
Foster care parent(s)
Adults who are not your parents, relatives, or foster parents
Elders
Friends of yours with no adults present
On your own
Other
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14. What is your current employment status?
15. Thinking about the resources available in Kitsap County, in which of the following areas does Kitsap need the most improvement? (Select up to five).
Note: On a computer, you can hover your cursor over options for more description
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16. Thinking about the past 12 months, which FIVE (5) of the following have been the most difficult for you to access when needed? (Select up to five)
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17. In the past 12 months, which types of community services or support have you used? (Select all that apply)
Housing support (rent help, shelter, or housing assistance)
Food assistance (food banks, meals, or nutrition programs)
Financial assistance (utilities, rent, or emergency financial help)
Employment and job support
Education and learning support
Childcare or early childhood services
Health care (medical or dental services)
Mental health services or counseling
Substance use treatment, recovery, or peer support services
Disability or special needs services
Legal assistance
Parenting or family support programs
Transportation assistance
Community spaces or activities (libraries, recreation centers, parks, community programs)
Recovery or peer support groups
None, I did not use any of these services
Other
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18. What barriers did you experience when trying to access services or assistance during the past 12 months?
I did not experience any barriers
Could not afford fees, costs, or requirements (if applicable)
Did not qualify or was not eligible for services
Lack of transportation or inability to get to services
Services were not available or accessible in my area
Service hours conflicted with school, work, or family responsibilities
No adult support or help to access services (parent/guardian, caseworker, etc.)
Long waitlists or delays in receiving services
Did not know what services were available or how to access them
Difficulty completing applications, forms, or paperwork
Language or communication barriers
Did not feel comfortable or safe asking for help
Previous negative experience with a program, school staff, or provider
Fear that asking for help could lead to consequences at home, school, or with systems (e.g., foster care, immigration, discipline)
Felt unsafe
Services were not youth-friendly or did not feel designed for young people
Other
15. Thinking about the resources available in Kitsap County, in which of the following areas does Kitsap need the most improvement? (Select up to five).
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16. Thinking about the past 12 months, which FIVE (5) of the following have been the most difficult for you to access when needed? (Select up to five)
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17. In the past 12 months, which types of community services or support have you used? (Select all that apply)
Housing support (rent help, shelter, or housing assistance)
Food assistance (food banks, meals, or nutrition programs)
Financial assistance (utilities, rent, or emergency financial help)
Employment and job support
Education and learning support
Childcare or early childhood services
Health care (medical or dental services)
Mental health services or counseling
Substance use treatment, recovery, or peer support services
Disability or special needs services
Legal assistance
Parenting or family support programs
Transportation assistance
Community spaces or activities (libraries, recreation centers, parks, community programs)
Recovery or peer support groups
None, I did not use any of these services
Other
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18. What barriers did you experience when trying to access services or assistance during the past 12 months? (Select all that apply)
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19. In the past 12 months, have you used Kitsap Community Resources (KCR) to apply for or receive any of the following services? (Select all that apply)
20. On a scale from 0 to 4, how likely are you to recommend Kitsap Community Resources (KCR) to a friend, family member, or community member?
0 (Not at all likely)
1
2
3
4 (Extremely likely)
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21. Have you or your household received help or services from any of the following in the past 12 months?
22. When trying to access community resources or services in Kitsap County, how often do you experience language or cultural barriers?
Never – Services and information are accessible in my preferred language and are culturally appropriate for me
Rarely – I can usually access services without difficulty, but I sometimes need help with complex information
Sometimes – I sometimes need help from a family member, friend, or interpreter to communicate or complete forms
Often – Language or cultural barriers often make it difficult to access services on my own
Always – Language or cultural barriers prevent or discourage me from accessing services
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23. When you contact an agency or organization for help and they are not able to provide the specific service or assistance you need, what typically happens next?
25. How often do you use information from Kitsap Public Health District (including from the District’s website, social media, flyers, or letters)?
Never
Rarely
Sometimes
Often
Don’t know
26. Is there anything your household needed in the past 12 months that you could not find or that did not exist in the community?
Yes
No
Unsure / don’t know
Please describe what your household needed that was not available:
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27. What are your major housing concerns?
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28. If you needed housing assistance, who would you contact? (Select all that apply)
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29. If you experienced a housing crisis in the past 12 months (such as an eviction notice, landlord dispute, or sudden rent increase), what best describes your experience seeking help with legal or advocacy services?
30. Which of the following best describes your familiarity with the Housing Choice Voucher (Section 8) program?
I understand how the Section 8 program works
I have applied for Section 8 assistance in the past
I am currently on a Section 8 waiting list
I currently hold a Section 8 voucher
I have previously held a Section 8 voucher
I know about the program, but I have never applied for Section 8 assistance
I have never heard of the Section 8 program before today
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31. What has been your experience with the Housing Choice Voucher (Section 8) program? (Select all that apply)
32. Do you currently need assistance finding housing?
Yes
No
Unsure / don’t know
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33. How do you typically access the internet?
The option "
34. Have you experienced any barriers to accessing the internet in the past 12 months? (Select all that apply)
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35. What type of transportation do you use most often for work, school, or daily activities? (Select all that apply)
The option "
36. What barriers, if any, do you experience with reliable transportation? (Select all that apply)
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37. What barriers, if any, do you experience in finding or maintaining employment? (Select all that apply)
38. Do you or the people you live with worry that you will run out of food before you are able to get more?
Yes, often
Sometimes
No, never
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38.a. What barriers, if any, do you experience in getting enough food for your household? (Select all that apply)
38. In the past 12 months, how often did you or your family run out of food or have to skip meals because there was not enough money for food?
Almost every month
Some months but not every month
Only 1 – 2 months
Did not have to skip meals
39. Have you seen food safety inspection score signs like those below at food establishments in Kitsap?
Yes
No
Unsure / don’t know
39.a. Have these signs influenced your choice of where to eat?
Yes
No
Unsure / don’t know
40. How many days in the past month were you concerned about your emotional well-being (due to stress, depression, problems with emotions, etc.)?
None
Several days
More than half the days
Nearly every day
41. How often do you get the social and emotional support you need?
Never
Rarely
Sometimes
Always
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43. In the past year, which of these healthcare services have you used?
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44. In the past year, which of these services were you not able to get when needed?
44.a. Why weren't you able to get primary , specialty , and/or telehealth healthcare services when needed? (Select all that apply)
44.b. Why weren't you able to get urgent care and/or emergency healthcare services when needed?
44.c. Why weren't you able to get substance use treatment , or addiction recovery services when needed (Select all that apply)
44.d. Why weren't you able to get mental healthcare services when needed? (Select all that apply)
44.e. Why weren't you able to get dental services when needed? (Select all that apply)
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45. What type of healthcare insurance do you have?
46. In the past year, was there a time when you had no health insurance?
Yes
No
Unsure / don’t know
46.a. Why did you have no health insurance? (Select all that apply)
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47. Do you have any health insurance concerns? (Select all that apply)
48. Have you been pregnant anytime in the past 3 years (including currently being pregnant)?
Yes
No
Yes
No/not yet
50. During your most recent pregnancy, how many weeks pregnant were you when you had your first visit for prenatal care (a healthcare provider talked with you about your pregnancy and took measurements like fetal heartbeat, your weight, or your blood pressure)?
1 to 13 weeks pregnant (first trimester)
14 to 27 weeks pregnant (second trimester)
28 or more weeks pregnant (third trimester)
I did not get prenatal care
Unsure / don’t know
51. In your most recent pregnancy, did you get prenatal care as early as you wanted?
Yes
No
I did not want prenatal care
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52. Did any of these things impact your access to prenatal care? (Select all that apply)
53. With your most recent birth, did your healthcare provider talk to you about safe sleep practices?
Not applicable
Yes
No
Unsure / don’t know
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The next section will ask you questions about your children.
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55. Which of the following healthcare services have you taken your child/children to in the past year?
56. What kind of childcare do you currently use? (Select all that apply)
56.a. Which Head Start/ECEAP/Early Head Start program do you use in Kitsap County?
57. Have you had any difficulty finding childcare when needed in the past year?
Yes
No
57.a. Why did you have difficulty finding childcare? (Select all that apply)
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58. Do you have any children with a disability?
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58.a. What additional support would be helpful for providing care for your child with a disability? (Select all that apply)
60. Is there anything else you would like us to know? Please explain here: