Return to Work Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We would like to hear from the community how COVID has impacted you. The survey will be used to gather information so we can help guide our town people to the best available resources. Including your email address is optional. If you'd like a direct response to any COVID related questions, please include your email address. Thank you!

Email address

Are you comfortable that we as a town will begin returning to work and activities as outlined in state guidelines? *

Yes

Have you or someone in your household been laid off as a result of COVID directly impacting household income? *

Yes

Are you concerned that your employer will not recover long term from this event and you will lose your job? *

Yes

Are you aware of services to assist you? *

Yes

Would consolidating a listing of services provided through the town, town organizations and state, and posting those services on the Town Website be of assistance to you? *

Yes

Is there anything specific to COVID Recovery, that you feel we as a community should focus on? *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms