ZANE COVID-19 Response Questionnaire

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We're reaching out to the Zambian community in New England to better understand the types of assistance and resources available within the community should one of our members be affected by COVID-19. This survey is optional, and the ZANE Committee will only reach out to responders should someone within the community request help. We are also reaching out to see what kinds of help the community needs. If urgent assistance is required, please call the ZANE President, Paul Bulaya, whose number can be found at www.zambianewengland.org.

Email *

First Name *

Last Name *

Phone Number *

What city do you live in? (Required to best match members who have needs to those who can provide assistance) *

Are there any other Zambians in your area?

Yes

I don't know

Clear selection

Do you have a next of kin you would like ZANE to connect with on your behalf should there be an emergency? If so, please provide their name and contact information. (Please include country codes for any international phone numbers)

SOCIAL SUPPORT: Members of the diaspora may be sheltering or undergoing quarantine alone, we would like to provide those individuals with support. Can you offer any of the following? (Check all that apply)

Voice or video call check-ins

Running errands, dropping off items

Other:

FINANCIAL SUPPORT: Members of the diaspora who are affected by COVID-19 may not be able to earn a living while in quarantine or while receiving medical care. Can you offer any of the following? (Check all that apply)

Unrestricted cash donations

Grocery store gift cards

Other:

RESOURCE SUPPORT: Members of the diaspora may not have the resources needed to maintain the routines daily life during COVID-19. Can you provide any of the following? (Check all that apply)

Housing: Reports from the wider diaspora indicate that some COVID-19 patients are rendered homeless after being discharged because other household members feel unsafe. Do you have extra space where someone can safely quarantine?

Personal Protective Equipment (PPE): Some of our members have high risk essential jobs in places such as residential care homes. Can you acquire and donate PPE for them (homemade or otherwise)?

Other:

EXPERTISE: Members of the community who are affected by COVID-19 may need advocates to provide them with advice. Are you able to provide any of the following? (Check all that apply)

Legal Advice: Including immigrant rights, medical rights, tenant rights, etc.

Public Health: Advice on where to get tested, rules and regulations around hospital stays and quarantine orders.

Information: Connections to other resource groups for the ZANE community to reach out to.

Other:

NEEDS: Do you require information about how to access COVID-19 testing if you were to need it?

Yes

Clear selection

NEEDS: Do you feel safe and/or welcome in your living conditions if you where to contract COVID-19?

Yes

Clear selection

NEEDS: Is there any other assistance you require during this period?

Submit

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