2021 COVID Assessment Survey for Service Organizations COVID-19 Impact Survey Thank you in advance for your informed opinions and perspectives on the response to COVID-19. Your insights will be invaluable for the regional recovery to the pandemic. All answers and information you provide will be kept strictly confidential as only aggregate data and anonymous quotes will be publicly released. Please contact jeastman@southerntierwest with any questions or concerns. Question Title * 1. Contact Information Name Organization City/Town Email Address Phone Number Question Title * 2. In which of the following areas does your organization provide services? Select all that apply. Physical Health Mental Health Food and Nutrition Housing Education Child Care Senior Care The Economy Other (please specify) Question Title * 3. Would you briefly compare the need for your services selected above before and after the onset of the COVID-19 pandemic? Question Title * 4. In your opinion, how has COVID-19 affected each aspect of our local community? Please select one response per row. Made things worse in ways that could never be imagined Made things exceedingly worse Made things somewhat worse Did not change things at all Made things somewhat better Made things exceedingly better Made things better in ways that could never be imagined Physical Health Physical Health Made things worse in ways that could never be imagined Physical Health Made things exceedingly worse Physical Health Made things somewhat worse Physical Health Did not change things at all Physical Health Made things somewhat better Physical Health Made things exceedingly better Physical Health Made things better in ways that could never be imagined Mental Health Mental Health Made things worse in ways that could never be imagined Mental Health Made things exceedingly worse Mental Health Made things somewhat worse Mental Health Did not change things at all Mental Health Made things somewhat better Mental Health Made things exceedingly better Mental Health Made things better in ways that could never be imagined Food & Nutrition Food & Nutrition Made things worse in ways that could never be imagined Food & Nutrition Made things exceedingly worse Food & Nutrition Made things somewhat worse Food & Nutrition Did not change things at all Food & Nutrition Made things somewhat better Food & Nutrition Made things exceedingly better Food & Nutrition Made things better in ways that could never be imagined Housing Housing Made things worse in ways that could never be imagined Housing Made things exceedingly worse Housing Made things somewhat worse Housing Did not change things at all Housing Made things somewhat better Housing Made things exceedingly better Housing Made things better in ways that could never be imagined Education Education Made things worse in ways that could never be imagined Education Made things exceedingly worse Education Made things somewhat worse Education Did not change things at all Education Made things somewhat better Education Made things exceedingly better Education Made things better in ways that could never be imagined Child Care Child Care Made things worse in ways that could never be imagined Child Care Made things exceedingly worse Child Care Made things somewhat worse Child Care Did not change things at all Child Care Made things somewhat better Child Care Made things exceedingly better Child Care Made things better in ways that could never be imagined Senior Care Senior Care Made things worse in ways that could never be imagined Senior Care Made things exceedingly worse Senior Care Made things somewhat worse Senior Care Did not change things at all Senior Care Made things somewhat better Senior Care Made things exceedingly better Senior Care Made things better in ways that could never be imagined The Economy The Economy Made things worse in ways that could never be imagined The Economy Made things exceedingly worse The Economy Made things somewhat worse The Economy Did not change things at all The Economy Made things somewhat better The Economy Made things exceedingly better The Economy Made things better in ways that could never be imagined Question Title * 5. How satisfied are you with local governments' response to COVID-19 across each area of concern? Please select one response per row. Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied Physical Health Physical Health Very Satisfied Physical Health Somewhat Satisfied Physical Health Neutral Physical Health Somewhat Dissatisfied Physical Health Very Dissatisfied Mental Health Mental Health Very Satisfied Mental Health Somewhat Satisfied Mental Health Neutral Mental Health Somewhat Dissatisfied Mental Health Very Dissatisfied Food & Nutrition Food & Nutrition Very Satisfied Food & Nutrition Somewhat Satisfied Food & Nutrition Neutral Food & Nutrition Somewhat Dissatisfied Food & Nutrition Very Dissatisfied Housing Housing Very Satisfied Housing Somewhat Satisfied Housing Neutral Housing Somewhat Dissatisfied Housing Very Dissatisfied Education Education Very Satisfied Education Somewhat Satisfied Education Neutral Education Somewhat Dissatisfied Education Very Dissatisfied Child Care Child Care Very Satisfied Child Care Somewhat Satisfied Child Care Neutral Child Care Somewhat Dissatisfied Child Care Very Dissatisfied Senior Care Senior Care Very Satisfied Senior Care Somewhat Satisfied Senior Care Neutral Senior Care Somewhat Dissatisfied Senior Care Very Dissatisfied The Economy The Economy Very Satisfied The Economy Somewhat Satisfied The Economy Neutral The Economy Somewhat Dissatisfied The Economy Very Dissatisfied Question Title * 6. How satisfied are you with local service organizations' response to COVID-19 across each aspect of our community? Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied Physical Health Physical Health Very Satisfied Physical Health Somewhat Satisfied Physical Health Neutral Physical Health Somewhat Dissatisfied Physical Health Very Dissatisfied Mental Health Mental Health Very Satisfied Mental Health Somewhat Satisfied Mental Health Neutral Mental Health Somewhat Dissatisfied Mental Health Very Dissatisfied Food & Nutrition Food & Nutrition Very Satisfied Food & Nutrition Somewhat Satisfied Food & Nutrition Neutral Food & Nutrition Somewhat Dissatisfied Food & Nutrition Very Dissatisfied Housing Housing Very Satisfied Housing Somewhat Satisfied Housing Neutral Housing Somewhat Dissatisfied Housing Very Dissatisfied Education Education Very Satisfied Education Somewhat Satisfied Education Neutral Education Somewhat Dissatisfied Education Very Dissatisfied Child Care Child Care Very Satisfied Child Care Somewhat Satisfied Child Care Neutral Child Care Somewhat Dissatisfied Child Care Very Dissatisfied Senior Care Senior Care Very Satisfied Senior Care Somewhat Satisfied Senior Care Neutral Senior Care Somewhat Dissatisfied Senior Care Very Dissatisfied The Economy The Economy Very Satisfied The Economy Somewhat Satisfied The Economy Neutral The Economy Somewhat Dissatisfied The Economy Very Dissatisfied Question Title * 7. Looking forward to the next year, how do you think COVID-19 will affect each aspect of our community? Please select one response per row. Will be worse in ways that could never be imagined Will be exceedingly worse Will be somewhat worse Will not change things at all Will be somewhat better Will be exceedingly better Will be better in ways that could never be imagined Physical Health Physical Health Will be worse in ways that could never be imagined Physical Health Will be exceedingly worse Physical Health Will be somewhat worse Physical Health Will not change things at all Physical Health Will be somewhat better Physical Health Will be exceedingly better Physical Health Will be better in ways that could never be imagined Mental Health Mental Health Will be worse in ways that could never be imagined Mental Health Will be exceedingly worse Mental Health Will be somewhat worse Mental Health Will not change things at all Mental Health Will be somewhat better Mental Health Will be exceedingly better Mental Health Will be better in ways that could never be imagined Food & Nutrition Food & Nutrition Will be worse in ways that could never be imagined Food & Nutrition Will be exceedingly worse Food & Nutrition Will be somewhat worse Food & Nutrition Will not change things at all Food & Nutrition Will be somewhat better Food & Nutrition Will be exceedingly better Food & Nutrition Will be better in ways that could never be imagined Housing Housing Will be worse in ways that could never be imagined Housing Will be exceedingly worse Housing Will be somewhat worse Housing Will not change things at all Housing Will be somewhat better Housing Will be exceedingly better Housing Will be better in ways that could never be imagined Education Education Will be worse in ways that could never be imagined Education Will be exceedingly worse Education Will be somewhat worse Education Will not change things at all Education Will be somewhat better Education Will be exceedingly better Education Will be better in ways that could never be imagined Child Care Child Care Will be worse in ways that could never be imagined Child Care Will be exceedingly worse Child Care Will be somewhat worse Child Care Will not change things at all Child Care Will be somewhat better Child Care Will be exceedingly better Child Care Will be better in ways that could never be imagined Senior Care Senior Care Will be worse in ways that could never be imagined Senior Care Will be exceedingly worse Senior Care Will be somewhat worse Senior Care Will not change things at all Senior Care Will be somewhat better Senior Care Will be exceedingly better Senior Care Will be better in ways that could never be imagined The Economy The Economy Will be worse in ways that could never be imagined The Economy Will be exceedingly worse The Economy Will be somewhat worse The Economy Will not change things at all The Economy Will be somewhat better The Economy Will be exceedingly better The Economy Will be better in ways that could never be imagined Question Title * 8. Would you be willing to participate in an half-hour interview about your experiences responding to the COVID-19 pandemic? Yes No Done
