Groton Community Center: Resident Input Survey

The Town of Groton is looking to gather feedback from community members who participate in programs at the Groton Community Center ("GCC"). Your feedback can support impactful changes that allow the community to better utilize and enjoy the GCC.

Your responses will remain confidential. Please complete one survey per household

This survey takes approximately 3 minutes to complete.

Raffle Opportunity

Win a $50 Gas Card! As a thank you for your time, you can enter to win one of two $50 gas cards at the end of this survey. Simply provide your contact information in the final section to enter. Participation is optional. Please complete by May 15^th to be entered in the raffle.

Section 1: Household Info

What is your home address (street/town)

* required

Maximum 255 characters

0/255

How many people live in your household?

* required

Please select the total gross annual income for ALL household members (age 18+) before taxes. Include wages, Social Security, pensions, unemployment, child support, etc.

* required

Less than $25,000

$25,000 - $34,999

$35,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $124,999

$125,000 or more

Section 2: Facility Usage

How many programs does your household participate in at the GCC each year?

* required

Have any members of your household ever participated in drop-in programs at the GCC? These are programs that don't require registration.

* required

Yes

If you do not participate in GCC programs, what are the reasons? Please select all that apply:

Cost

Transportation

Schedule Conflicts

Lack of Interest

Participate in Similar Programs Elsewhere

Other (please specify)

Which age groups would you like to see more programming for?
Please select all that apply.

* required

Children (Under 5)

Youth (5-12)

Teens (13-17)

Adults

Seniors (60+)

Intergenerational (Activities for all ages together)

What program-related improvements would you like to see at the GCC? Please select all that apply.

* required

Expanded Hours

Afterschool/Early Dismissal Programs

More Affordable or Free Programs

More Drop-In Programs

Homeschooling Social Support Programs

Social Clubs/Shared Interest Community Gatherings

Education based Programs

Cooking Classes

None

Other (please explain)

Are there additional services you would like offered at the GCC?
Please select all that apply.

Food & Basic Needs Access (food pantry, emergency supplies)

Health & Family Support (health care, mental health services, child care)

Financial Education Services for Adults and Teens

Energy Assistance Support (utilities, heating, and electric expenses)

Climate Resilience Services (cooling and warming spaces, extreme weather support)

Emergency and Flooding Preparedness (readiness training, flooding resources, recovery)

College Preparation and Financial Aid Workshops

Job and Career Preparation Workshops

Language Classes

None

Other (please explain)

Section 4: Demographics - Optional

Section 3: Program Participant Information

10.

Ethnicity

Hispanic/Latino

Not Hispanic/Latino

11.

Are you a program participant or are you completing this form on behalf of family members participating?

I am a program participant

I am completing this on behalf of family members participating

Both

Other (please explain)

12.

Race (select all that apply)

White

Black/African American

Asian

American Indian/Alaska Native

Native Hawaiian/Other Pacific Islander

Other (please specify)

Section 5: Certification (required)

13.

Certification

* required

By checking this box I certify that the information provided is true and complete to the best of my knowledge.

Enter to Win

Provide your contact information to be entered into our drawing for a chance to win one of two $50 gas cards.

14.

First Name

Maximum 255 characters

0/255

15.

Email Address

Maximum 255 characters

0/255

16.

Phone Number:

Maximum 255 characters

0/255