Welcome!  Thank you for participating in the "2020 COVID-19 Response Survey" that is sponsored by the Claude Worthington Benedum Foundation.

This survey will help us to measure the impact of the Coronavirus - COVID-19 on West Virginians in the following areas:

Employment Security

Food Security

Housing Security

Should you need assistance in any of these areas please contact:

kcanterbury@wvasf.org

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* 2. Are you male or female?

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* 3. How many people reside in your household?

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* 4. Are there school-age children in your household?

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* 5. If so, how many?

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* 6. If there are school-age children residing in your household, which school do they attend?  List all that apply.

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* 7. What was your household income PRIOR to March 1, 2020?

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* 8. Has your household  had an INCREASE in income AFTER March 1, 2020?

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* 9. What is your household income NOW?

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* 10. Are you currently employed?

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* 11. If no, are you currently seeking employment?

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* 12. Are you currently receiving unemployment benefits?

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* 13. Have you or anyone in your household experienced a loss of employment income since March 1, 2020?

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* 14. Do you expect that you or someone in your household WILL experience a loss of employment income within the next 4 weeks because of the Coronavirus - COVID-19?

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* 15. Has your household had enough healthy food to eat since March 1, 2020?

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* 16. If no, why was that?

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* 17. Do you feel that you will have access to healthy food that you want during the next 4 weeks?

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* 18. Have you or anyone in your household utilized a food bank within the last 90 days to get grocery assistance?

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* 19. If yes, where did you go for that assistance?  (Check all that apply.)

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* 20. Did you or anyone in your household receive a school-funded EBT card since June 1, 2020?

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* 21. Do you own or rent your home?

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* 22. Did you pay last month's rent or mortgage on time?

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* 23. Have you received rent or housing assistance since March 1, 2020?

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* 24. If yes, where did you receive the assistance?

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* 25. How confident are you that your household will be able to pay next month's rent or mortgage on time?

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* 26. Are you or anyone in your household experiencing homelessness?

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