CEAM Cares Survey
In response to the challenges and uncertainties posed by COVID-19, CEAM has prepared a short survey for parents to help us assess needs and opportunities. Please email Cici Tompkins cici@ceamteam.org for questions or more information. Please find further resources from CEAM on our website here: https://www.ceamteam.org/covid/
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Name (First and Last) *
Cell Phone Number *
Email *
Zip code *
Total number of people in household including yourself. *
How many school age (K-12) children in household? *
Rank in order you primary concerns. 1 being highest concern to 8 being lowest concern. Please don't select more than one response per ranking column. *
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2
3
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5
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8
Loss of wages
Food
Household products
Personal hygiene
Utilities
Rent/mortgage
Wifi
Tablet or laptop for school work
Please briefly describe the challenges you are currently facing or challenges you are concerned you will soon be facing.
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