Self-Reliance Index 2

COMMUNITY ACTION TEAM SELF RELIANCE INDEX

1. Ability to acquire and maintain adequate housing:

Extremely Dependent Self -Reliant

1 2 3 4 5

2. Ability to take care of economic needs, i.e., adequate employment & income:

Extremely Dependent Self-Reliant

1 2 3 4 5

3. Ability to establish and maintain a supportive family and community support system:

1 2 3 4 5

4. Educational background and literacy ability:

1 2 3 4 5

5. Ability to foster and maintain children's well-being, i.e. physical, mental, developmental:

1 2 3 4 5

6. Ability to maintain a life style free of substance abuse:

1 2 3 4 5