Please take less than 10 minutes to share how your organization is changing operations, dealing with challenges, and/or what information or assistance you need so that we may assist.  If you are requesting supplies, you must indicate daily burn rate and stock on hand. *Note: If you've already completed this survey and are entering updated information about needed supplies, burn rate, and/or operations, complete this form instead.

 
The Staten Island Community Organizations Active in Disaster (COAD)/ Medical Ecosystem (MES), a coalition managed by the Staten Island Not For Profit Association, in partnership with the Staten Island Long Term Recovery Organization and our Borough President and public officials, is seeking your quick feedback on how the Coronavirus has affected/is affecting your healthcare/social services/community-based organization's operations, programs, and/or communities you serve. We continue to monitor this situation closely via our partnerships with the NYC Department of Health and NYC Emergency Management. For the latest updates and resources, check those sites, like the COAD Facebook page, and sign up to join our COAD listserv. If your organization has immediate questions or concerns, please call one of these helplines. Contact us at admin@sinfpa.org with any issues. Thank you for your participation and support of our nonprofit community.  

Question Title

* 1. Organization Name

Question Title

* 2. Please advise as to the current status of your operations; check all that apply.

Question Title

* 3. Please indicate your organization's oversight agency at the city and/or state level. This would be the agency that oversees your funding contracts, licensures etc.

Question Title

* 4. Are you receiving adequate guidance and support from your oversight agency/ies? Where else are you getting information from? (For example, NYC Department of Health, NYC Emergency Management, other agency, Mayor, Governor/State)

Please list:

Question Title

* 5. What critical shortages are you experiencing in terms of supplies, materials, resources?

If requesting supplies, please indicate how much you have in stock and your daily burn rate for each item. For example, N95 Masks, 3-Ply Masks, Gloves, Isolation Gowns, Booties, Hand sanitizer, Disinfecting Wipes, Other. 

For those receiving from shipments from NYCEM or other agencies, please note when items were delivered and what was included. As a reminder, this is to fulfill your immediate needs for the coming week that are not being satisfied elsewhere, not to create a stockpile at this time.

Question Title

* 6. To whom have you communicated this need? Per the latest guidance from the city and state, all agencies requesting supplies need to direct those asks to their oversight agency. We are asking that you include Sharmila (admin@sinfpa.org) and Jason Razefsky (jrazefsky@statenislandusa.com), the Chief of Staff at the Office of the Borough President, on your emails.

Question Title

* 7. Do you have excess supplies you may be able to share (gloves, surgical masks, wipes, hand sanitizer, paper towels)? Please indicate any and all.

Question Title

* 8. How else has/is the Coronavirus (COVID-19) affecting your organization? For example, in staffing, programs, communications, events, funding, implementing/developing new policies or guidelines - work from home, screenings etc.

Question Title

* 9. Do you have a COOP or any other emergency plan(s) in place?

Question Title

* 10. Primary Contact Information

Question Title

* 11. Secondary Contact Information

Question Title

* 12. Please share any additional concerns or requests related to this issue.

T