The COCSI Survey for Executive Directors

The purpose of the PAHWF Covid Org Capacity & Service Implementation (COCSI) Survey for Executive Directors is to gather information about the needs of nonprofit organizations within the PAHWF service area. Results from this survey will assist in the prioritization of future initiatives, funding opportunities and collaborations.

PAHWF, Tri-County Community Network and other community partners will refer to this assessment information as we help to support the recovery of our region from the COVID-19 pandemic. Please complete the below questions as we appreciate your valuable insight.

Completion Time: Approximately 10 Minutes

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* 1. Name

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* 2. Organization

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* 3. Email

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* 4. Position of person responding to survey

Executive Director / President

Development director

Program staff

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* 5. If not the Executive Director list the name and email of ED

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* 6. Zip Codes Served (In TriCounty Area)

18074

19435

19442

19457

19464

19465

19468

19470

19472

19473

19475

19492

19504

19505

19512

19518

19525

19545

19548

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* 7. What is your organization’s primary field or service?

Arts, Culture and Humanities (historical societies, museums, performing arts, etc.)

Education (elementary, secondary, and higher education, student services and organizations)

Environment and Animals (environment, conservation, and animal related organizations)

Health (treatment facilities, nursing services, hospitals, disease-related, and mental health organizations)

Human Services (multipurpose, youth/family, legal-, crime-, or employment-related; food/nutrition, housing, etc.)

Public, Societal Benefit or Advocacy (civil rights, advocacy, community improvement, philanthropy, science and technology, social science, etc.)

Religious or Faith-Based Affiliation

Other (please specify)

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* 8. What vulnerable populations do you serve and what is the estimated % of your clients that are in each population?

	less than 10%	10 - 25 %	26 - 50 %	more than 50 %	N/A
Abused, neglected, or suffering from violence	Abused, neglected, or suffering from violence less than 10%	Abused, neglected, or suffering from violence 10 - 25 %	Abused, neglected, or suffering from violence 26 - 50 %	Abused, neglected, or suffering from violence more than 50 %	Abused, neglected, or suffering from violence N/A
Children/Youth/Young Adult	Children/Youth/Young Adult less than 10%	Children/Youth/Young Adult 10 - 25 %	Children/Youth/Young Adult 26 - 50 %	Children/Youth/Young Adult more than 50 %	Children/Youth/Young Adult N/A
Chronic health conditions and mental illness	Chronic health conditions and mental illness less than 10%	Chronic health conditions and mental illness 10 - 25 %	Chronic health conditions and mental illness 26 - 50 %	Chronic health conditions and mental illness more than 50 %	Chronic health conditions and mental illness N/A
Communities of color	Communities of color less than 10%	Communities of color 10 - 25 %	Communities of color 26 - 50 %	Communities of color more than 50 %	Communities of color N/A
Disabled	Disabled less than 10%	Disabled 10 - 25 %	Disabled 26 - 50 %	Disabled more than 50 %	Disabled N/A
Economically disadvantaged	Economically disadvantaged less than 10%	Economically disadvantaged 10 - 25 %	Economically disadvantaged 26 - 50 %	Economically disadvantaged more than 50 %	Economically disadvantaged N/A
Elderly or home-bound	Elderly or home-bound less than 10%	Elderly or home-bound 10 - 25 %	Elderly or home-bound 26 - 50 %	Elderly or home-bound more than 50 %	Elderly or home-bound N/A
Food Insecure and Malnourished	Food Insecure and Malnourished less than 10%	Food Insecure and Malnourished 10 - 25 %	Food Insecure and Malnourished 26 - 50 %	Food Insecure and Malnourished more than 50 %	Food Insecure and Malnourished N/A
Homeless	Homeless less than 10%	Homeless 10 - 25 %	Homeless 26 - 50 %	Homeless more than 50 %	Homeless N/A
Immigrant Populations	Immigrant Populations less than 10%	Immigrant Populations 10 - 25 %	Immigrant Populations 26 - 50 %	Immigrant Populations more than 50 %	Immigrant Populations N/A
LGBTQAI+	LGBTQAI+ less than 10%	LGBTQAI+ 10 - 25 %	LGBTQAI+ 26 - 50 %	LGBTQAI+ more than 50 %	LGBTQAI+ N/A
Pregnant women and mothers of infants 0-2	Pregnant women and mothers of infants 0-2 less than 10%	Pregnant women and mothers of infants 0-2 10 - 25 %	Pregnant women and mothers of infants 0-2 26 - 50 %	Pregnant women and mothers of infants 0-2 more than 50 %	Pregnant women and mothers of infants 0-2 N/A
Unemployed	Unemployed less than 10%	Unemployed 10 - 25 %	Unemployed 26 - 50 %	Unemployed more than 50 %	Unemployed N/A

Other (please specify)

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* 9. Select impacts your organization is experiencing and anticipating

	Currently experiencing	ANTICIPATING IN 1-3 MONTHS	ANTICIPATING IN 6-12 MONTHS	N/A
Disruption of funding	Disruption of funding Currently experiencing	Disruption of funding ANTICIPATING IN 1-3 MONTHS	Disruption of funding ANTICIPATING IN 6-12 MONTHS	Disruption of funding N/A
Inability to invoice	Inability to invoice Currently experiencing	Inability to invoice ANTICIPATING IN 1-3 MONTHS	Inability to invoice ANTICIPATING IN 6-12 MONTHS	Inability to invoice N/A
Disruption of cash flow	Disruption of cash flow Currently experiencing	Disruption of cash flow ANTICIPATING IN 1-3 MONTHS	Disruption of cash flow ANTICIPATING IN 6-12 MONTHS	Disruption of cash flow N/A
Increased staff and volunteer absences	Increased staff and volunteer absences Currently experiencing	Increased staff and volunteer absences ANTICIPATING IN 1-3 MONTHS	Increased staff and volunteer absences ANTICIPATING IN 6-12 MONTHS	Increased staff and volunteer absences N/A
Disruption of supplies or services provided by partners	Disruption of supplies or services provided by partners Currently experiencing	Disruption of supplies or services provided by partners ANTICIPATING IN 1-3 MONTHS	Disruption of supplies or services provided by partners ANTICIPATING IN 6-12 MONTHS	Disruption of supplies or services provided by partners N/A
Staff layoffs or furloughs due to loss of revenue or curtailed programs	Staff layoffs or furloughs due to loss of revenue or curtailed programs Currently experiencing	Staff layoffs or furloughs due to loss of revenue or curtailed programs ANTICIPATING IN 1-3 MONTHS	Staff layoffs or furloughs due to loss of revenue or curtailed programs ANTICIPATING IN 6-12 MONTHS	Staff layoffs or furloughs due to loss of revenue or curtailed programs N/A
Increased demand for services/requests for help from clients and communities	Increased demand for services/requests for help from clients and communities Currently experiencing	Increased demand for services/requests for help from clients and communities ANTICIPATING IN 1-3 MONTHS	Increased demand for services/requests for help from clients and communities ANTICIPATING IN 6-12 MONTHS	Increased demand for services/requests for help from clients and communities N/A
Disruption of services to clients and communities	Disruption of services to clients and communities Currently experiencing	Disruption of services to clients and communities ANTICIPATING IN 1-3 MONTHS	Disruption of services to clients and communities ANTICIPATING IN 6-12 MONTHS	Disruption of services to clients and communities N/A
Cancelled programs or events, and/or reduced revenue from those events	Cancelled programs or events, and/or reduced revenue from those events Currently experiencing	Cancelled programs or events, and/or reduced revenue from those events ANTICIPATING IN 1-3 MONTHS	Cancelled programs or events, and/or reduced revenue from those events ANTICIPATING IN 6-12 MONTHS	Cancelled programs or events, and/or reduced revenue from those events N/A
Closure of organization	Closure of organization Currently experiencing	Closure of organization ANTICIPATING IN 1-3 MONTHS	Closure of organization ANTICIPATING IN 6-12 MONTHS	Closure of organization N/A

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* 10. What types of programs that were planned to occur over the next 6 months cannot or will not continue due to COVID 19? (Select all that apply)

Food

Shelter

Other Health Services

Economic activity

Education

Legal/civil rights

Public services

Reliable information

Arts and culture

Religion

Other (please specify)

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* 11. Are there barriers that are preventing employees from working from home? (select all that apply)

Services can only be provided in-person

Administrative processes can only be done in-person

Technology limitations

Security concerns (i.e. confidentiality or data privacy concerns)

Other (please specify)

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* 12. Barriers that are preventing the delivery of services. (Select all that apply)

Services can only be provided in-person

Administrative processes can only be done in-person

Technology limitations

Security concerns (i.e. confidentiality or data privacy concerns)

Other (please specify)

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* 13. How much has volunteer participation decreased due to COVID-19?

100%

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 14. Organization annual revenue (select one)

less than $250,000

$250,000- $500,000

$500,000 - $1 million

$1 million and above

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* 15. The proportion of your organization’s annual revenue do you expect to lose due to COVID-19?

100%

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 16. How prepared is your organization for working in the covid environment as it relates to the health and safety of staff and clients?

	Very Prepared	Somewhat prepared	Not prepared at all	N/A
Policies are in place to address the health and safety of staff	Policies are in place to address the health and safety of staff Very Prepared	Policies are in place to address the health and safety of staff Somewhat prepared	Policies are in place to address the health and safety of staff Not prepared at all	Policies are in place to address the health and safety of staff N/A
Policies are in place to address the health and safety of staff	Policies are in place to address the health and safety of staff Very Prepared	Policies are in place to address the health and safety of staff Somewhat prepared	Policies are in place to address the health and safety of staff Not prepared at all	Policies are in place to address the health and safety of staff N/A
Plan for Trauma-Informed Care	Plan for Trauma-Informed Care Very Prepared	Plan for Trauma-Informed Care Somewhat prepared	Plan for Trauma-Informed Care Not prepared at all	Plan for Trauma-Informed Care N/A
PPE supply is in hand	PPE supply is in hand Very Prepared	PPE supply is in hand Somewhat prepared	PPE supply is in hand Not prepared at all	PPE supply is in hand N/A
PPE supply chain is identified and we can purchase and have access in a timely manner	PPE supply chain is identified and we can purchase and have access in a timely manner Very Prepared	PPE supply chain is identified and we can purchase and have access in a timely manner Somewhat prepared	PPE supply chain is identified and we can purchase and have access in a timely manner Not prepared at all	PPE supply chain is identified and we can purchase and have access in a timely manner N/A
The budget is in place for PPE supply	The budget is in place for PPE supply Very Prepared	The budget is in place for PPE supply Somewhat prepared	The budget is in place for PPE supply Not prepared at all	The budget is in place for PPE supply N/A
Plan or decision-making tree in place for assessing readiness to reopen or keep facilities open.	Plan or decision-making tree in place for assessing readiness to reopen or keep facilities open. Very Prepared	Plan or decision-making tree in place for assessing readiness to reopen or keep facilities open. Somewhat prepared	Plan or decision-making tree in place for assessing readiness to reopen or keep facilities open. Not prepared at all	Plan or decision-making tree in place for assessing readiness to reopen or keep facilities open. N/A
Crisis plan in place	Crisis plan in place Very Prepared	Crisis plan in place Somewhat prepared	Crisis plan in place Not prepared at all	Crisis plan in place N/A

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* 17. Equitable COVID-19 responses are critical to identifying and supporting the vulnerable and underserved populations most at risk during this pandemic. PAHWF understands that efforts to become a culturally sensitive and diverse organization take time. Indicate what steps your organization has taken to advance its commitment to diversity, equity, and inclusion? (select all that apply)

Organization has established policies and practices supporting diversity, equity, and inclusion (i.e. vendor/consultant policy, hiring policy, cultural and linguistic competence policy, etc.)

Organization performs an organizational evaluation of diversity, equity, and inclusion to hold itself accountable to its policies

Organization is led (e.g., executive director, CEO) by a person of color

Percentage of staff who are people of color reflects demographics of population served

Percentage of board members who are people of color reflects state demographics

Organization is primarily focused on improving the lives of people of color, and reflects that commitment in their mission, goals, and actions

Organization conducts internal cultural competency and diversity training for staff

Other (please specify)

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* 18. Please tell us about your collaborations and partnerships.

As a result of COVID-19

Pre COVID-19

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* 19. What resources are you sharing in your collaborative efforts? (select all that apply)

Funding

Volunteers

Best Practices

Goods

Services for Clients

Staff

Reliable information