September Needs Assessment Survey

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

2.How are your children attending school this year, so far?(Required.)

In person

Virtually

Hybrid

Other or combination (please specify)

3.Please choose all that apply. The children in my home are at the following school levels:(Required.)

4.My children would benefit from support in the following areas:

Technological assistance

Academic supports (tutoring)

emotional/psychological supports (therapy or groups)

Extra-curricular activities (sports, arts, STEM)

Please give us a little more detail about the types of supports your children could benefit from, either from the options above or another type not listed.

5.I am currently able to pay my rent or housing expenses including utilities.(Required.)

Yes, all of the time

Yes, most of the time

I can make partial payments, but not the full amount monthly of my rent or utilities

No, not at all

6.I currently have enough food in my home to feed my entire family.(Required.)

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

7.I have stable internet in my home for homeschooling(Required.)

Yes, all of the time

I do not have a reliable internet connection

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

8.Our family will need gift support for the holidays this December.(Required.)

Yes, we would greatly benefit from holiday gift support

No, we will be ok providing gifts for our family

Please let us know how many children you have in the space below

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

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 do not have computer and or internet

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

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

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

Current Progress,

0 of 10 answered