This is a requirement of the attestation you signed when we initially issued funds. This information will help us track the impact of this funding.

Please use the accompanying excel document to view the questions that will be asked in this survey, as well as to record all responses specific to your agency. Filling out the excel sheet is required as it will be used for auditing purposes.

Responses to this survey are email specific but can be edited at any time after submitting.
Enter your email in the field below to receive a copy of your survey responses.

You will be asked for your email address twice, one is for the automated response, and the other is for data collection purposes.

All questions require an answer.  Use "0" or "N/A" where applicable.