Huntington County / COVID-19 Community Needs Survey

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Please fill out the form below so United Way of Huntington County can best address the needs of the community. Your responses are valuable, even if you haven't been significantly or directly affected by the pandemic.

What new issues are you and/or your household facing due to the Coronavirus/COVID-19 Pandemic? Select all that apply:

Loss of job (permanently)

Loss of job (temporarily)

Less hours at work

Loss of childcare (other than school)

Children out of school

Illness

Anxiety / Mental Health Issues

Loss of Transportation

My family has not faced any new issues because of COVID-19

Unable to access medical care

Concern for Others

Other:

Because of the new issues you / your household are facing, what have been the unforeseen consequences? Select all that apply:

Not enough money to make ends meet

Not enough food / supplies in the house

Nowhere for children to go during the day

Worried for my / my family's continued safety

My family has not experienced any unforeseen consequences

I am unable to juggle all of my responsibilities while at home (work, childcare, e-learning, housework)

My children are now in low-quality / unsafe / unstable care

Now taking care of additional family members / friends

Unable to get necessary medical treatment

Other:

What do you believe would be helpful for the Huntington County Community during this time, whether for you personally or for your friends and neighbors?

If you are able, what are the ways in which you and your family wish to assist at this time? Select all that apply:

We have already donated money to an organization (please list the organization in "other")

We would like to donate money, but we don't know where to donate

We would like to donate our time to help those around us (transportation, delivery, childcare, volunteering, etc)

I own / manage a business and we can hire temporary workers

Would like to connect with others (phone, internet) who are isolated and need to talk to someone

We would like to donate supplies where it's needed (toilet paper, baby supplies, cleaning supplies, etc)

I am unable to assist in any way at this time

Other:

Please use this space to clarify or expand on any of your responses. You can also use this space to ask questions or provide other details or information.

If you would like to be contacted regarding any of your responses, please include your email:

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