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COVID-19 Community Assessment
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What new issues are you and/or your household facing due to the Coronavirus/COVID-19 Pandemic? Select all that apply:
Loss of job (permanent)
Loss of job (temporary)
Hours cut at work
Loss of childcare (other than school)
Illness
Anxiety/mental health
No new issues due to COVID-19
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 family's continued safety
Unable to juggle all my responsibilities at home i.e. work, childcare, e-learning, upkeep
Now taking care of additional family members/friends
My family has no experienced any unforeseen circumstances
Other:
Required
What do you believe would be helpful for the Franklin County Community during this time, whether for you personally or for your friends and neighbors?
Your answer
Do you need assistance with any of the following? Select all that apply:
Applying for unemployment
Applying for assistance through the Small Business Administration
Understanding the types of assistance available for individuals
Understanding the types of assistance available for small business
Other:
Please use this space to clarify any of your answers above:
Your answer
If you are able, in what ways are you and your family able to help? 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 are unsure where to donate
We would like to donate our time (transportation/childcare/delivery)
We would like to connect with others (phone/internet) that feel isolated
We would like to donate supplies (food/cleaning supplies/basics)
I own/manage a business and can hire temporary workers
We are unable to assist at this time
Other:
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