Community Recovery Survey

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The COVID-19 pandemic has undeniably taken a toll on Valley residents; whether a matter of financial strain, food insecurity, adverse effects on mental health—or all of the above—the impact of COVID-19, both as a global pandemic and as an acute health issue, has been particularly detrimental.

As we slowly begin the post-pandemic recovery process, the Naugatuck Valley Health District is looking to gain a real-world understanding of Valley residents’ most pressing obstacles, and gauge just how big a role COVID-19 played in causing or exacerbating them. We are reaching out to assess the needs of the community; by participating in this survey, you are making your voice heard, and actively advocating for your needs and the needs of your community.

Please lend your input by truthfully completing this survey; on the road to pandemic recovery, no voice must go unheard. This survey should only take about 10-15 minutes to complete.

Thank you for your time.

Demographics

What is your current age? *

Which of the following best describes you? *

To which gender identity do you most identify? *

What is your current marital or relationship status? *

Education and Employment

What is the highest level of education you completed? *

In which category is your occupation? *

Which of the following best describes your employment status before the COVID-19 pandemic (before March 1, 2020)? Were you: *

How did your employment status change over the course of the COVID-19 pandemic (after March 1, 2020)? *

I continued to go to my workplace and work the same number of hours.

I continued to go to my workplace, but my hours and/ or pay were reduced.

I started working from home.

I lost my job.

I had to quit my job because I needed to take care of people who depend on me. (Children, parents, etc.)

I was not employed prior to March 1, 2020.

What is your employment status, as of today? *

I recently went back to the workplace.

I am still working from home.

I am unemployed.

No change to my employment status over the course of the COVID-19 pandemic.

Think about the income you have earned in the last month. Have your sources of income or support included any of the following? *

No source of income

Day job (employed full-time or part-time)

Under-the-table job (“off the books”)

Unemployment benefits

SSI or disability

Income provided by a partner.

Income provided by other family members.

Food stamps (SNAP or EBT)

Student stipends

Other:

Required

Are any of these sources of income new since the beginning of the COVID-19 pandemic? *

Yes

In the past 3 months, did you have trouble paying for any of the following? *

Food

Diapers

Housing

Utilities (Heat, electricity, water, etc.)

Medical Needs

Transportation

Childcare

Debt/ Loan

None of the above.

Other:

Required

Housing and Family Structure

Where do you live? *

Which of the following best describes your living situation? *

Do you have any concerns about your current living situation? (housing conditions, safety, etc.) *

Condition of housing

Lack of more permanent housing.

Other

I have no concerns about my current living situation.

Required

How safe do you feel in your home? *

1- Not Safe 2- Somewhat Safe 3- Very Safe

Not Safe

Very Safe

Is anyone in your household, living with a chronic disease or immunocompromised? *

Yes

Do you have any children in your home that attend daycare or a childcare center? *

Yes

Are there any children in the home that attend public or private school? *

Yes

Are there any services or programs you would like to see be provided for youth that can help with the impact of COVID-19?

Food Impacts

Has your access to food changed since March 1, 2020? *

I frequently do not have enough food.

I occasionally do not have enough food or good quality food.

I have enough food, but have difficulty getting to the store.

I have enough food, but I am nervous going to the store.

There have been no changes to my access to food.

Are you easily able to get enough healthy food to eat? *

Yes

Health Impacts

Has your access to medical healthcare changed since March 1, 2020? *

I have had severe changes and have been unable to access needed care with impact on my health.

I have had moderate changes (delay in appointments, prescriptions, etc.), with some impact on my health.

There have been no changes to my access to medical healthcare and/or I have not needed access to medical healthcare since March 1, 2020.

How hard has it been for you to get your medications and medical supplies when you need them? *

Not Hard

Very Hard

How confident are you that you can manage your day-to-day medical conditions? *

Not Confident

Very Confident

In general, would you say your health is: *

Poor

Excellent

Has your access to mental health care changed since March 1, 2020? *

I have had severe changes and have been unable to access needed care with an impact on my mental health.

I have had moderate changes (delay in appointments, prescriptions, etc.), with some impact on my mental health.

There have been no changes and/or I have not needed access to mental health care since March 1, 2020.

How have you been feeling since the COVID-19 pandemic (March 1, 2020)?

1- Disagree 2- Sometimes 3- Agree

I have felt more stress since March 1, 2020. *

Disagree

Agree

I have felt depressed or lonely since March 1, 2020? *

Disagree

Agree

I have a hard time sleeping because of the coronavirus. *

Disagree

Agree

I have difficulty concentrating because of the coronavirus. *

Disagree

Agree

I am worried about my mental health due to the coronavirus. *

Disagree

Agree

I am worried about my physical health due to the coronavirus. *

Disagree

Agree

Other COVID-19 Impacts

Think about the impact coronavirus (COVID-19) has had on you (since March 1, 2020), have your experiences included any of the following? *

YOU have been tested for COVID-19 but tested negative.

YOU have been diagnosed with COVID-19.

Someone in your direct environment (family, friends, colleagues) was diagnosed with COVID-19.

YOU have had to quarantine due to an exposure with an infected person.

Someone within your home had to quarantine due to an exposure with an infected person.

YOU have been hospitalized because of a COVID-19 infection.

Someone in your direct environment (family, friends, colleagues) has died due to COVID-19.

None of the above apply.

Required

Getting a COVID-19 vaccination is: *

Unimportant

Important

Are you interested in getting the COVID-19 vaccination? *

Yes

Not sure yet.

I am vaccinated.

Is there anything preventing you from getting the COVID-19 vaccine? If you pick "other" please explain. *

The location of the COVID-19 vaccine is difficult to travel to.

I am concerned about knowing which vaccine is best for me.

I am worried there may be a cost associated with receiving the COVID-19 vaccine.

I am concerned about the short-term side effects of the vaccine.

I have concerns about the long-term side effects of the vaccine.

I have religious reasons.

I am vaccinated.

Other:

Required

Personal Behaviors

Have any of the behaviors below changed for you since, March 1, 2020? *

Smoking Use.

I started smoking cigarettes, e-cigarette, or a vaping device.

Smoked/ vaped more than usual.

Smoked/ vaped less than usual.

Tried to stop smoking/ vaping.

I have not been able to access the help I need to stop smoking due to the pandemic.

I smoke, but there have been no changes to my smoking behaviors.

I do not smoke or vape.

Required

Have any of these behaviors below changed for you since, March 1, 2020? *

Alcohol Use.

I started drinking alcohol.

Drank more than usual.

Drank less than usual.

Unable to go to a meeting (AA)

I have not been able to access an alcohol treatment program due to the pandemic.

I have not had any changes to my consumption of alcohol.

I do not drink.

Required

Since the COVID-19 pandemic (after March 1, 2020), have you used any drugs that were not prescribed to you? *

Yes

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