HomeMy WebLinkAbout06 DSS . Unified Questionnaire Please see reverse side
NOTICE
TO ALL INTERESTED GRANT COUNTY CITIZENS
Your help is needed to develop the 2026 programs and plans for the Grant County Department of
Social Services, Unified Community Service of Grant and Iowa Counties.
PUBLIC HEARING
A public hearing will be held on Monday, July 7th at 5:00pm Via Zoom and at the Community
Service Building, 8820 Hwy 35/61 South, Lancaster, Wisconsin. If you are unable to attend this
hearing, please complete the following questionnaire or send your personal letter to Grant County
Department of Social Services, ATTN: LeaAnne Smith, PO Box 447, Lancaster WI 53813 or ATTN:
Holly Knapp, 200 W Alona LN, Lancaster, WI 53813 by August 31, 2025.
This questionnaire and the hearing do not apply to financial assistance programs administered by
the Department of Social Services.
QUESTIONNAIRE
The following groups of citizens receive services from Unified Community Services, Department of
Social Services. For each group, please check if you believe that the current level of services to
the following target groups should remain about the same, be increased, or be decreased.
If you check “increase” or “decrease,” please specify which services and/or give examples
under that group.
1. Abused or neglected children: same increase decrease
Comments:
2. Mental Health: same increase decrease
Comments:
3. Delinquents: same increase decrease
Comments:
4. Substance use treatment: same increase decrease
Comments:
5. Victims of Domestic abuse: same increase decrease
Comments:
6. Developmental Disabilities: same increase decrease
(Examples: Autism, cerebral palsy, intellectual disability, or other neurological condition.
Comments:
7. Unmarried Parents: same increase decrease
Comments:
8. Elderly: same increase decrease
Comments:
9. Physically Disabled: same increase decrease
Comments:
10. Children and Families: same increase decrease
Comments:
11. Transportation: same increase decrease
Comments:
Additional Comments:
In the past year, have you or your immediate family received services from:
Unified Community Services Yes No
Department of Social Services Yes No
Please comment on the services received:
Thank you for your help. Sign your name if you wish:______________________________
PLEASE FOLD AND MAIL TO ADDRESS BELOW
Grant County Department of Social Services OR Unified Community Services
ATTN: LeaAnne Smith ATTN: Holly Knapp
PO BOX 447 200 W Alona LN
Lancaster WI 53813 Lancaster, WI 53813