HAA Post-Hurricane Assessment Survey: Individual Artists
Exit this survey
1. Default Section
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1
. Did you incur any damages?
Did you incur any damages?
No
Yes
If yes, please specify:
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2
. Do you know of any civic art that has incurred damage?
Do you know of any civic art that has incurred damage?
No
Yes
If yes, please specify artwork, description, and/or location:
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3
. Have you cancelled / postponed any events within the next 8 weeks?
Have you cancelled / postponed any events within the next 8 weeks?
No
Yes
If yes, please note the changes here:
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4
. (For Individual Artists) Please indicate the level of disruption on the normal activities (please check one column for each):
NO Disruption
MINIMAL Disruption
MINOR Disruption
SEVERE Disruption
NOT APPLICABLE
Artist Studio/Facility Damage
(For Individual Artists) Please indicate the level of disruption on the normal activities (please check one column for each): Artist Studio/Facility Damage NO Disruption
MINIMAL Disruption
MINOR Disruption
SEVERE Disruption
NOT APPLICABLE
Equipment Damage
Equipment Damage NO Disruption
MINIMAL Disruption
MINOR Disruption
SEVERE Disruption
NOT APPLICABLE
Artwork Inventory Damage
Artwork Inventory Damage NO Disruption
MINIMAL Disruption
MINOR Disruption
SEVERE Disruption
NOT APPLICABLE
Marketing & Promotions
Marketing & Promotions NO Disruption
MINIMAL Disruption
MINOR Disruption
SEVERE Disruption
NOT APPLICABLE
Program / Installation / Production Execution (next 8 weeks)
Program / Installation / Production Execution (next 8 weeks) NO Disruption
MINIMAL Disruption
MINOR Disruption
SEVERE Disruption
NOT APPLICABLE
If other activities, please indicate with the level of disruption.
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5
. Which of the following best describes your artistic discipline:
Which of the following best describes your artistic discipline:
Creative Writing
Choreography
Music Composition
Performance Art
Multidiscipline & Interdisciplinary
Visual, Craft, & Media
If Other, please specify:
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6
. Are you a FYO9 Grantee?
Are you a FYO9 Grantee?
No
Yes
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7
. Please indicate an additional needs you may have within the 8 weeks after the Disaster Declaration of Sept. 12, 2008:
Please indicate an additional needs you may have within the 8 weeks after the Disaster Declaration of Sept. 12, 2008:
8
. (Optional) Please provide your contact information for futher follow up on the Post Hurricane Assessment Survey.
(Optional) Please provide your contact information for futher follow up on the Post Hurricane Assessment Survey.
First Name:
Last Name:
Email:
Website:
Blog:
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