Thank you for taking the time to complete this survey. Please answer the following questions to the best of your ability and understanding. An open-ended response question is available at the end, and we would appreciate the opportunity to learn any additional information you would like to share concerning how the pandemic has affected the communities you serve.

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* 1. What municipality/jurisdiction do you represent?

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* 2. What is your title?

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* 3. Has your municipality/jurisdiction experienced any revenue loss due to the fiscal impacts of the pandemic?

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* 4. If yes, what range of revenue decline would you estimate your municipality/jurisdiction has experienced?

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* 5. Which source of revenue would you identify as having experienced the most decline due to the pandemic?

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* 6. Has your municipality/jurisdiction had to make spending cuts or adjustments due to the fiscal impacts of the pandemic?

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* 7. Has your municipality/jurisdiction had to make any of the following spending decisions due to the impacts of the pandemic? (Please select all that apply.)

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* 8. Has your municipality/jurisdiction incurred any significant unexpected expenses due to the pandemic? (Personal protective equipment, disinfecting services, etc.)

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* 9. What types of unanticipated expenses has your municipality/jurisdiction incurred due to COVID-19? (Please select all that apply.)

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* 10. What is your municipality/jurisdiction's estimated amount of COVID-19 related expenses to date?

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* 11. What new or additional sources of funding is your municipality/jurisdiction seeking or planning to seek to assist with anticipated revenue shortfalls? (Please select all that apply.)

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* 12. Has your municipality/jurisdiction had to furlough or discharge employees due to revenue changes caused by the pandemic?

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* 13. How would you describe the pandemic's overall economic impact on your municipality?

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* 14. How would you estimate the overall job loss your municipality/jurisdiction has experienced since the beginning of the pandemic?

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* 15. To your knowledge, which industry within your municipality/jurisdiction would account for the most job loss due to the pandemic?

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* 16. For your municipality/jurisdiction, did the number of positive cases within your city and surrounding areas correlate to the decline in business activity and revenue streams?

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* 17. Has your municipality/jurisdiction received funding through the CARES Act?

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* 18. From 1-7, how would you rank the following options in terms of the most prominent needs you expect your municipality to encounter as it recovers from the pandemic? (With 1 being the most prominent need)

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* 19. Is there another need your municipality/jurisdiction is likely to encounter that is not included in the list above?

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* 20. From 1-5, how would you rank your confidence regarding your municipality/jurisdiction's ability to economically recover from the pandemic in the following time frames?

  1- Not Confident 2 3-Somewhat Confident 4 5-Very Confident Unsure
1-3 Months 
3-6 Months
6-12 Months
12+ Months

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* 21. Which of the following items would you identify as possible long-term impact(s) of COVID-19 on your community? (Please select all that apply.)

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* 22. In your opinion, which of the following would you select as your top 3 priorities for recovery/resilience strategies for your municipality/jurisdictions?

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* 23. Which of the following items would you identify as possible long-term impact(s) of COVID-19 on your community? (Please select all that apply.)

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* 24. Aside from financial assistance, what resources would best support your municipality/jurisdiction?

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* 25. Any additional thoughts or concerns you would like to share?

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