Dekalb County COVID-19 Organization Response Survey Question Title * 1. What is the name of your organization? Question Title * 2. Is your organization's facility remaining open the COVID-19 crisis for the foreseeable future? Yes, our facility is open Yes, but we are open by appointment only No, we are operating remotely only No, we are not providing services at this time Other (please specify) Question Title * 3. Please list your organization's weekly hours at this time: Question Title * 4. What services are you providing at this time? All services we regularly provide Modified/Reduced services (please specify) Question Title * 5. What are good ways for customers/clients to contact you during this time? (check all that apply) E-mail Phone Mail Fax Facebook Twitter Website Other (please specify) Question Title * 6. Please list additional services you are providing to address the COVID-19 crisis, if applicable: Question Title * 7. Please list any other information about your organization during this time that might benefit the public Question Title * 8. Please leave your contact information if you would like to discuss any of your answers in more depth: Name Company Email Address Phone Number Done