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

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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)

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

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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
Children/Youth/Young Adult
Chronic health conditions and mental illness
Communities of color
Disabled
Economically disadvantaged
Elderly or home-bound
Food Insecure and Malnourished
Homeless
Immigrant Populations
LGBTQAI+
Pregnant women and mothers of infants 0-2
Unemployed

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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
Inability to invoice
Disruption of cash flow
Increased staff and volunteer absences
Disruption of supplies or services provided by partners
Staff layoffs or furloughs due to loss of revenue or curtailed programs
Increased demand for services/requests for help from clients and communities
Disruption of services to clients and communities
Cancelled programs or events, and/or reduced revenue from those events
Closure of organization

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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)

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

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

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

0% 100%
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i We adjusted the number you entered based on the slider’s scale.

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* 14. Organization annual revenue (select one)

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

0% 100%
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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
Plan for Trauma-Informed Care
PPE supply is in hand
PPE supply chain is identified and we can purchase and have access in a timely manner
The budget is in place for PPE supply
Plan or decision-making tree in place for assessing readiness to reopen or keep facilities open.
Crisis plan in place

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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)

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

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

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