2020 COVID-19 Response Survey

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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* 1. In what county do you reside?

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* 2. Are you male or female?

Male

Female

Prefer not to answer

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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?

Yes

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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.

Elementary School

Middle School

High School

Homeschool

Prefer not to answer

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

Under $15,000

Between $15,000 - $29,999

Between $30,000 - $49,999

Between $50,000 - $74,999

Between $75,000 - $99,999

Over $100,000

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

Yes

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* 9. What is your household income NOW?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* 10. Are you currently employed?

Yes

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

Yes

N/A

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* 12. Are you currently receiving unemployment benefits?

Yes

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

Yes

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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?

Yes

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

Yes

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* 16. If no, why was that?

Couldn't afford to buy healthy food.

Did not have access to transportation to get healthy food.

Did not have the option for home grocery delivery.

The store did not have the healthy food available that I wanted to purchase.

N/A

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

Confident that my household will have enough healthy food to eat.

Slightly to moderately confident that my household will have enough healthy food to eat.

Not confident at all that my household will have enough healthy food to eat.

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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?

Yes

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

School Feeding Program

Food pantry or food bank

Meals on Wheels

Church or other place of worship

Shelter or soup kitchen

Other community program

Family, friends, or neighbor

N/A

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

Yes

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* 21. Do you own or rent your home?

Own

Rent

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

Yes

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

Yes

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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?

Confident that I will be able to pay my rent or mortgage on time.

Slightly to moderately confident that I will be able to pay my rent or mortgage on time.

Not confident at all that I will be able to pay my rent or mortgage on time.

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

Yes