COVID-19 Distribution Survey Part 2
Please fill out this survey. It is extremely important that we have this info.
OK
1.
Name of Agency
2.
Contact Name and Email
3.
Which of the following best describes your program? Tick all that apply.
Soup Kitchen/Congregate Feeding Site
Food Pantry
Meal Delivery
Children's Meals Site
Senior-Only Service Hours
4.
What is your current status in light of COVID-19? Tick all that apply.
Open
Closed
Increased Hours
Reduced Hours
5.
What are your current day(s) and hours pf operation? (If closed, please write N/A)
6.
What is the best way for a member of the public to reach your location for current information?
Phone
Email
Other
7.
What is the best phone number and/or email to contact for current information?
8.
Is your food program open to the public?
Yes
No
9.
Please provide any additional requirements/instructions that recipients need to meet in order to receive food from your program (i.e. ID, SNAP, utility bill, etc.) and/or indicate if it's open to only certain populations (seniors, residents of specific area codes, veterans, etc.).
10.
Are you currently accepting food donations?
Yes
No
11.
Do you know of any feeding programs that have recently opened or closed in your area? If yes, please provide any information on name(s), location(s), and any other contact information on the program(s) if available.
12.
Does your pantry currently have enough food to meet demand?
Yes
No
Unsure
13.
If more food was delivered to you in bulk, would you have the capacity to distribute it rapidly? (Would you have enough volunteers and/or storage space?)
Yes
No
Unsure
14.
Do you have baby formula (or diapers, wipes, etc.) available?
Yes
No
Unsure
15.
Have you seen an increase in people coming since the start of COVID-19's spread due to any of the following reasons?
Loss of school meals
Senior centers closed
Adults have lost their jobs and/or income
We have not seen an increase in people
Other (please specify)
16.
Have you experienced a reduction in volunteer assistance in the last few weeks?
Yes
No
Unsure
17.
Have any of your volunteers been unable to work because of COVID-19?
Yes
No
Unsure
18.
If you need more volunteers, would you like assistance in recruiting them?
Yes
No
Unsure
19.
What safety precautions is your site taking to protect your volunteers and community members? Are you limiting the amount of individuals who are at your site at once?
20.
Is there anything the government could do to better support your efforts? If so, specify what and which level of government.
Current Progress,
0 of 20 answered
