Community Needs Assessment Form

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drsengupta

Health & Medicine Technology Spiritual

Community Needs Assessment
1. Name of community:

2. Describe the benefiting community. Include any relevant statistics as
well as geographic and demographic information about the community.

3. What community needs were identified?

4. What is already being done to respond to the need(s)?

5. What resources are available locally to help meet the needs(s)?

6. What opportunities for projects did you identify?

7. Which project did you select? Why did you select this project?

8. What challenges to implementation of this project did you identify? How
does the project plan take these challenges into account?

9. How will the benefiting community be involved in the project?

10. Describe the viability of the project and how it may be maintained by
the benefiting community.

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