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2. Every year as we prepare a new budget for the Municipal Alliance Grant, we are required to conduct a Community Needs Assessment. We would like to get as much input as possible from the community as we prepare programming for the upcoming year.
4. Your Age
   -- Select One --16-2021-3031-4041-5051-6061-7071+
5. Are you a...
   -- Select One --ParentGrandparentN/A
7. Do you live in Cherry Hill?
   -- Select One --YesNo
9. - What types of problems related to underage alcohol use do you see in your community?

   Questions to Consider: Are youth accessing alcohol at home? Are there common places where drinking takes place? Are there accidents related to drinking and driving? etc.

11. o What factors do you believe are causing these problems?
13. - What problems related to prescription medication do you see in your community?

    Questions to Consider: Are people sharing prescriptions? Where are they accessing prescription medication? etc.

15. o What factors do you believe are causing these problems?
17. - What problems related to marijuana use do you see in your community?
19. o What factors do you believe are causing these problems?
21. - What problems related to tobacco use do you see in your community?
23. o What factors do you believe are causing these problems?
25. Is there anything else you would like to include?

    This could be: other questions you may have, programming suggestions, etc. 

27. Thank you for taking some time and providing us with feedback!
29. 
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31. 1. Receive an email copy of this form.
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