Assess My Needs - Step 1 of 2

We may be able to identify organizations close to your home that provide services you need. Complete the following to identify your needs.

1. Enter your zip code in the Zip Code box.
2. Enter the number of miles from your home in the Distance in Miles box.
3. Click on your needs - the things you need help with. You must select at least one need.
4. Click the "Start Search" button at the bottom of the questionnaire.
5. View the next page (Step 2)

Zip Code:       Distance in miles: