Pandemic Recovery Survey

Question Title

* 1. How would you rate you and/or your household on the following?

	Excellent	Good	Fair	Poor	Don't Know
Overall physical health	Overall physical health Excellent	Overall physical health Good	Overall physical health Fair	Overall physical health Poor	Overall physical health Don't Know
Overall emotional/social health	Overall emotional/social health Excellent	Overall emotional/social health Good	Overall emotional/social health Fair	Overall emotional/social health Poor	Overall emotional/social health Don't Know
Overall mental health	Overall mental health Excellent	Overall mental health Good	Overall mental health Fair	Overall mental health Poor	Overall mental health Don't Know
Overall economic health	Overall economic health Excellent	Overall economic health Good	Overall economic health Fair	Overall economic health Poor	Overall economic health Don't Know

Question Title

* 2. How much of a problem, if at all, are the following currently for your household? [Major problem/Moderate problem/Minor problem/Not a problem/Not applicable]

	Major problem	Moderate problem	Minor problem	Not a problem	Not applicable
Household member(s) have COVID-19 or COVID-like symptoms.	Household member(s) have COVID-19 or COVID-like symptoms. Major problem	Household member(s) have COVID-19 or COVID-like symptoms. Moderate problem	Household member(s) have COVID-19 or COVID-like symptoms. Minor problem	Household member(s) have COVID-19 or COVID-like symptoms. Not a problem	Household member(s) have COVID-19 or COVID-like symptoms. Not applicable
Access to medical services.	Access to medical services. Major problem	Access to medical services. Moderate problem	Access to medical services. Minor problem	Access to medical services. Not a problem	Access to medical services. Not applicable
Access to mental health services.	Access to mental health services. Major problem	Access to mental health services. Moderate problem	Access to mental health services. Minor problem	Access to mental health services. Not a problem	Access to mental health services. Not applicable
Access to COVID testing.	Access to COVID testing. Major problem	Access to COVID testing. Moderate problem	Access to COVID testing. Minor problem	Access to COVID testing. Not a problem	Access to COVID testing. Not applicable
Access to COVID vaccine.	Access to COVID vaccine. Major problem	Access to COVID vaccine. Moderate problem	Access to COVID vaccine. Minor problem	Access to COVID vaccine. Not a problem	Access to COVID vaccine. Not applicable
Access to healthy food.	Access to healthy food. Major problem	Access to healthy food. Moderate problem	Access to healthy food. Minor problem	Access to healthy food. Not a problem	Access to healthy food. Not applicable
Not being able to exercise.	Not being able to exercise. Major problem	Not being able to exercise. Moderate problem	Not being able to exercise. Minor problem	Not being able to exercise. Not a problem	Not being able to exercise. Not applicable
Feeling nervous, anxious, or on edge.	Feeling nervous, anxious, or on edge. Major problem	Feeling nervous, anxious, or on edge. Moderate problem	Feeling nervous, anxious, or on edge. Minor problem	Feeling nervous, anxious, or on edge. Not a problem	Feeling nervous, anxious, or on edge. Not applicable
Feeling down, depressed, or hopeless.	Feeling down, depressed, or hopeless. Major problem	Feeling down, depressed, or hopeless. Moderate problem	Feeling down, depressed, or hopeless. Minor problem	Feeling down, depressed, or hopeless. Not a problem	Feeling down, depressed, or hopeless. Not applicable
Feeling lonely or isolated.	Feeling lonely or isolated. Major problem	Feeling lonely or isolated. Moderate problem	Feeling lonely or isolated. Minor problem	Feeling lonely or isolated. Not a problem	Feeling lonely or isolated. Not applicable
Household members not getting along.	Household members not getting along. Major problem	Household members not getting along. Moderate problem	Household members not getting along. Minor problem	Household members not getting along. Not a problem	Household members not getting along. Not applicable
Household members becoming more aggravated and/or violent.	Household members becoming more aggravated and/or violent. Major problem	Household members becoming more aggravated and/or violent. Moderate problem	Household members becoming more aggravated and/or violent. Minor problem	Household members becoming more aggravated and/or violent. Not a problem	Household members becoming more aggravated and/or violent. Not applicable
Household members drinking more alcohol.	Household members drinking more alcohol. Major problem	Household members drinking more alcohol. Moderate problem	Household members drinking more alcohol. Minor problem	Household members drinking more alcohol. Not a problem	Household members drinking more alcohol. Not applicable
Household members struggling with addiction to prescription or illicit drugs.	Household members struggling with addiction to prescription or illicit drugs. Major problem	Household members struggling with addiction to prescription or illicit drugs. Moderate problem	Household members struggling with addiction to prescription or illicit drugs. Minor problem	Household members struggling with addiction to prescription or illicit drugs. Not a problem	Household members struggling with addiction to prescription or illicit drugs. Not applicable

Question Title

* 3. How much of a problem, it at all, are the following currently for your household?

	Major problem	Moderate problem	Minor problem	Not a problem	Not applicable
Loss of job(s).	Loss of job(s). Major problem	Loss of job(s). Moderate problem	Loss of job(s). Minor problem	Loss of job(s). Not a problem	Loss of job(s). Not applicable
Reduced household income.	Reduced household income. Major problem	Reduced household income. Moderate problem	Reduced household income. Minor problem	Reduced household income. Not a problem	Reduced household income. Not applicable
Making rent or mortgage payments.	Making rent or mortgage payments. Major problem	Making rent or mortgage payments. Moderate problem	Making rent or mortgage payments. Minor problem	Making rent or mortgage payments. Not a problem	Making rent or mortgage payments. Not applicable
Lack of technology skills to communicate.	Lack of technology skills to communicate. Major problem	Lack of technology skills to communicate. Moderate problem	Lack of technology skills to communicate. Minor problem	Lack of technology skills to communicate. Not a problem	Lack of technology skills to communicate. Not applicable
Lack of technology to work/attend school from home.	Lack of technology to work/attend school from home. Major problem	Lack of technology to work/attend school from home. Moderate problem	Lack of technology to work/attend school from home. Minor problem	Lack of technology to work/attend school from home. Not a problem	Lack of technology to work/attend school from home. Not applicable
Providing financial, emotional, or other support for extended family not living with you.	Providing financial, emotional, or other support for extended family not living with you. Major problem	Providing financial, emotional, or other support for extended family not living with you. Moderate problem	Providing financial, emotional, or other support for extended family not living with you. Minor problem	Providing financial, emotional, or other support for extended family not living with you. Not a problem	Providing financial, emotional, or other support for extended family not living with you. Not applicable
Lack of childcare/supervision.	Lack of childcare/supervision. Major problem	Lack of childcare/supervision. Moderate problem	Lack of childcare/supervision. Minor problem	Lack of childcare/supervision. Not a problem	Lack of childcare/supervision. Not applicable
Access to reliable local transportation for school, work, or other necessary travel.	Access to reliable local transportation for school, work, or other necessary travel. Major problem	Access to reliable local transportation for school, work, or other necessary travel. Moderate problem	Access to reliable local transportation for school, work, or other necessary travel. Minor problem	Access to reliable local transportation for school, work, or other necessary travel. Not a problem	Access to reliable local transportation for school, work, or other necessary travel. Not applicable

Question Title

* 4. How much, if at all, has COVID-19 impacted your household income?

Major negative impact

Slight negative impact

No impact

Slight positive impact

Major positive impact

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* 5. Have you had to access any of the following due to COVID-19 or the ensuing recession?

Food assistance

Rental assistance

Mortgage deferral or assistance

Unemployment benefits

Utility assistance

Emergency childcare services

None of the above

Question Title

* 6. If you accessed any of these services, would you say that it was easy accessing that service or that you found it difficult to access it? [Easy to access, Difficult to access, Not applicable]

	Easy to access	Difficult to access	Not applicable
Food assistance	Food assistance Easy to access	Food assistance Difficult to access	Food assistance Not applicable
Rental assistance	Rental assistance Easy to access	Rental assistance Difficult to access	Rental assistance Not applicable
Mortgage deferral or assistance	Mortgage deferral or assistance Easy to access	Mortgage deferral or assistance Difficult to access	Mortgage deferral or assistance Not applicable
Unemployment benefits	Unemployment benefits Easy to access	Unemployment benefits Difficult to access	Unemployment benefits Not applicable
Utility assistance	Utility assistance Easy to access	Utility assistance Difficult to access	Utility assistance Not applicable
Emergency childcare services	Emergency childcare services Easy to access	Emergency childcare services Difficult to access	Emergency childcare services Not applicable

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* 7. If you are an employer, which one of the following statements best describes your current employee situation?

I am fully employed now and have had no difficulties finding employees.

I am fully employed now or close to fully employed, but have had difficulty finding employees.

I am understaffed, but can find employees easily if necessary.

I am understaffed and having difficulty finding employees.

Not applicable to my situation (i.e. not an employer, have no employees, etc.).

Question Title

* 8. The areas listed below are some of the general priorities facing the community that may be eligible for ARPA funding. Please rank them from 1 to 11 in the order that you believe are the most important for the City to address, with #1 being your top priority and #11 your lowest priority.

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* 9. How long have you lived in Salem?

Less than a year

1-5 years

5-15 years

More than 15 years

Question Title

* 10. Which neighborhood of Salem do you live in?

Boston Street/Blubber Hollow

Bridge Street Neck

Castle Hill

Derby Street neighborhood

Downtown Salem

Gallows Hill

Greater Endicott Street area

Highland Avenue area

McIntire Historic District

North Salem

The Point

Salem Common

Salem Willows/Juniper Point

South Salem

Witchcraft Heights

Other (please specify)

Question Title

* 11. What age group are you in?

Less than 18 years old

18-30 years old

31-40 years old

41-50 years old

51-64 years old

65 years old or older

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* 12. Do you own your home or rent?

Rent

Own

Other (please specify)

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* 13. What is your gender identity?

Man/Non-Transgender Man

Man/Transgender Man

Woman/Non-Transgender Woman

Woman/Transgender Woman

Non-binary

Prefer not to answer

Additional gender category/identity