Needs Assessment Survey

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* 1. Please tell us the name of your family so we can follow up with you.

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* 2. I am currently able to pay my rent or housing expenses.

Yes, all of the time

Yes, most of the time

I can make partial payments, but not the full amount monthly

No, not at all

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* 3. I am currently able to pay my utilities.

Yes, all of the time

Yes, most of the time

I can make partial payments, but not the full amount monthly

No, not at all

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* 4. How has COVID impacted you and your family?

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* 5. I currently have enough food in my home to feed my entire family.

Yes, all of the time

Yes, most of the time

I do not have enough food to fully feed my family monthly

No, I do not have enough food to feed my family

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* 6. I have stable internet in my home for homeschooling

Yes, all of the time

I do not have a reliable internet connection

I do not have internet (hotspot, wifi, data) in my home

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* 7. I currently have a computer, tablet, or device to use for homeschooling.

Yes, I have a device for all members in the home for all members in need of one

Yes, I have a device but not enough for all who need one

No, I do not have a device for my child(ren) to use for homeschooling

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* 8. I have the school supplies I need for my child to be successful.

Yes, I have access to school supplies

Yes, I have some school supplies

No, I do not have access to school supplies

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* 9. I currently have the time and resources I need to support my child through homeschooling. Please check all that apply.

I am comfortable homeschooling my child(ren) and have the resources

I am expected to work/or attend school and home school simultaneously

I am not working I will be staying home as a caretaker and teacher

I do not have the resources I need to home school

I would be interested in connecting with other JPP parents to work together on a homeschooling plan

I need help creating a plan to make homeschooling work

I have multiple adults to help with homeschooling

I do not have other adults to help with homeschooling

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* 10. Please identify your employment status (the person filling out the survey).

I have stable full-time employment

I have stable part-time employment

I have temporary employment

I am receiving unemployment

I need assistance applying for unemployment

I am not working and I need assistance finding employment

I am not working

I am unable to work due to COVID-19