Check In Survey

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Check In Survey

At PECAN, we are hearing a lot from parents on what is working right now, and what isn't, and where more help is needed. We'd really love you to add to what we are hearing. Thanks for taking a few minutes to fill this out. If you'd like to get an email about additional resources, or to get an invitation to a video or phone parent meeting later this month, you can fill in your email below. If you are more comfortable staying anonymous, please do so.

How are things in your household? Please check all that apply.

We are doing okay, and have what we need.

We are doing our best, but we are not feeling emotionally okay.

We are doing what we can, but don't have enough to eat.

We are doing what we can, but are worried about being evicted or losing our housing.

We are doing what we can, but need more resources to support my child's schooling.

I am worried about not having enough money to meet our needs.

Other:

Have you or anyone in your home been affected by the COVID-19 illness?

Yes

Other:

Clear selection

Do you have access to healthcare you may need?

Yes

Other:

Clear selection

Are you or anyone else in your home considered an essential worker?

Yes

Other:

Clear selection

In your neighborhood, do you have a neighbor that you are helping in some way right now?

Yes

Clear selection

In your neighborhood, do you have a neighbor you can call if you need help?

yes

Clear selection

Does your community have enough food resources right now?

Yes

Clear selection

Do others rely on you for financial/monetary resources to support their needs?

Yes

Maybe

Clear selection

If you need financial/monetary resources do you have someone you can rely on?

Yes

Maybe

Clear selection

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