"Urban Family Public Affair" Empowerment Event Questionnaire

Mark yes or no to the following areas that interest you at the event.

If we provide a speaking session; what is the one topic you would like a leader talk about?.

Mark yes or no to the music you like.

If you selected other; what styles of music do you like?

If we offer health screenings for free, would you or your family be interested in getting screened for the following? Select yes or no for each one.

If we provide a basic physical for free; would you or your family use this service at the event?

We are planning to have a mobile job center at the event. Would you use this service?

After the event, we plan on providing a series of free classes that range from various topics such as financial freedom, healthy living, and parenting. Are these topics of interest to you?

Mark yes or no in the areas that interest you?

Is there any kind of care or service (health, eye, dentist, education, childcare, etc.) that you would say is missing for you and your family, if so please provide?

Are there any barriers or obstacles that keep you and your family from participating in the things you enjoy?

If you were in charge of your community, what would you change?

If you could give us one piece of advice on how to best support you, your family and community what would it be?

How many people will be in your party? Adults/Children