ASAN COVID-19 Response Survey

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* 1. Name

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* 2. Farm/Market/Business Name

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* 3. Type (check one)

Farm

Farmers Market

Restaurant

Ag/food-related retail (not restaurant)

Nonprofit

Other (please specify)

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* 4. Location (city/county)

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* 5. Email AND phone number(s) - please double check for typos!

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* 6. FOR FARMERS AND FARM EMPLOYEES: What adverse impacts are you experiencing, or do you anticipate experiencing, from this pandemic? (check all that apply, and add any additional under "other")

Reduced outlets to sell your products (restaurant sales down, farmers market closures)

Loss of off-farm income (ie non-farm job)

Closure/reduced operation of other businesses (like processors, feed suppliers, veterinarians, etc) you rely on to run your farm

Lack of ability to retain employees (for primary operators) or farm employment (for farm employees) due to decrease in farm income

Decreased ability to farm management due to additional caretaking responsibilities (childcare due to school closure, caretaking for sick family members, etc)

Mental health struggles due to increased stress and isolation

Other (please specify)

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* 7. FOR FARMERS/EMPLOYEES AND FARMERS MARKETS (AND SIMILAR ENTITIES): What kind of support/resources would be helpful? Please check all that apply and add any additional needs under "other."

Help getting customers to purchase food you have for sale now

Help setting up online orders/sales for your products OR connecting with another farmer/entity to collaborate with on this

Technical support around food safety best practices

Direct/emergency financial assistance

Access to health care including mental health care

Social support / human connection

Software and/or tech support

Other (please specify)

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* 8. What existing resources do you know about that might be useful to others in our network? (example: other orgs offering support, maps/directories, Facebook groups, etc)

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* 9. What resources do you have to share? (example: farmstand/CSA open to selling other farmer's products, online sales and/or delivery capacity, social media skills, organizing expertise, storage, extra product, ability to hire labor, etc.)

ASAN COVID-19 Response Survey

Question Title

* 1. Name

Question Title

* 2. Farm/Market/Business Name

Question Title

* 3. Type (check one)

Question Title

* 4. Location (city/county)

Question Title

* 5. Email AND phone number(s) - please double check for typos!

Question Title

* 6. FOR FARMERS AND FARM EMPLOYEES: What adverse impacts are you experiencing, or do you anticipate experiencing, from this pandemic? (check all that apply, and add any additional under "other")

Question Title

* 7. FOR FARMERS/EMPLOYEES AND FARMERS MARKETS (AND SIMILAR ENTITIES): What kind of support/resources would be helpful? Please check all that apply and add any additional needs under "other."

Question Title

* 8. What existing resources do you know about that might be useful to others in our network? (example: other orgs offering support, maps/directories, Facebook groups, etc)

Question Title

* 9. What resources do you have to share? (example: farmstand/CSA open to selling other farmer's products, online sales and/or delivery capacity, social media skills, organizing expertise, storage, extra product, ability to hire labor, etc.)

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* 10. Any additional thoughts or comments?