Merrick Academy - Parent Support Question Title * 1. What is your zip code? Question Title * 2. What type of insurance do you and your family have? Medicaid Medicare Private None Question Title * 3. How are you currently feeling about the death of Ms. Gayle? 0 (0) Not Impacted - (5) Extremely Impacted 5 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 4. How are you dealing with the impact of COVID-19? 0 (0) Need Help Managing - (5) Managing Well 5 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 5. What are your needs? Choose All That Apply: Accessing community resources/support Parental emotional support Skills to assist with discussing grief/loss with child Parent Support Group Question Title * 6. What time are you most available to participate in the groups? Morning (9am-11am) Afternoon (1pm-3pm) Evening (5pm-7pm) Question Title * 7. What type of support (if not mentioned above) are you looking to get from the wellness team? Done