United Way of West TN seeks to better understand the impacts of the COVID-19 (Coronavirus) pandemic on people living in our community. We are conducting a survey that will be used to inform how to best support ALICE (Asset Limited, Income Constrained, Employed) families throughout long-term recovery and beyond.

Completing this survey should take approximately 10 minutes. Your responses are confidential. The results of this survey will not be shared along with identifying information.

If you have any questions about this survey, please contact United Way of West TN. 

Thank you for your time and participation.

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* 1. What are you concerned about in the weeks and months ahead? (Check all that apply)

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* 2. (From the list above) What are you MOST concerned about in the weeks and months ahead?

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* 3. What would make an important difference to your household's finances at this time? (Please check all that apply)

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* 4. (From the list above) What is MOST important to your household's finances at this time?

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* 5. What types of jobs did people in your household do prior to the pandemic? (Check all that apply)

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* 6. The primary source(s) of income to meet your household expenses before the pandemic (Check all that apply) included:

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* 7. What was your annual household income in 2019?

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* 8. Prior to February 15, 2020, how long could you cover your basic bills from your savings?

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* 9. How has the coronavirus pandemic impacted the working arrangements for your household?

  How many workers...
Have the same working arrangement
Became Unemployed
Have reduced hours
Have increased hours
Shifted from working onsite to working remotely
Recently returned to work.

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* 10. How has the coronavirus pandemic impacted your business/place of employment?

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* 11. Which of the following have you used to meet household needs as a result of the pandemic, if any? (Select all that apply)

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* 12. If you applied for unemployment, have you started receiving payments?

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* 13. If you have received unemployment insurance, what percentage of your monthly expenses will this payment cover?

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* 14. Were you tested for COVID-19?  

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* 15. If you were tested, where did the testing take place?

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* 16. If you did not get tested for COVID-19, why not?

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* 17. Do you personally know anyone positive for COVID-19?  

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* 18. Where did you receive your information about COVID-19? 

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* 19. Select the number of household members:

  Prior to Feb. 15, 2020 Currently
Children under 5
Children 5 to 17
Adults 18-64
Seniors 65 and over

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* 20. How would you describe your household?

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* 21. Do you own or rent your home?

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* 22. Since February 15, 2020, has someone in your home called 211 for information or help?

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* 23. Have you purchased any of the following to adapt to a stay-at-home order and/or school closures? (Select all that apply)

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* 24. Prior to February 15, 2020, did you usually need child care when you worked? (Check all that apply).

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* 25. Since February 15, 2020, how has your child care arrangement impacted your income?

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* 26. Did you receive a stimulus check from the government?

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* 27. How many weeks of expenses, on average, would this check cover for your family/household?

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* 28. If you received a check from the government, how did you/do you plan to spend the money? (Check all that apply)

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* 29. Where do you currently live?

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* 30. What best describes your ethnicity? (Please select all that apply.)

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* 31. Thank you for your time and participation!

Reminder: Your responses are confidential. The results of this survey will not be shared along with identifying information. If you have any questions about this survey, please contact United Way of West TN.  

Is there anything else you would like to tell us?

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