Below is a brief survey regarding the impact of Pennsylvania’s budget impasse on human service agencies. Your participation in this survey is critical. The information gathered in this survey will assist the Greater Pittsburgh Nonprofit Partnership/Forbes Funds in keeping elected officials apprised of the budget impasse’s consequences for nonprofits and inform our capacity building efforts.

We previously administered this survey in September and October, and will continue to do so monthly to assess the current conditions of agencies in our community. Please complete the questions below.

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* 1. Approximately how much funding per month are you not receiving due to the impasse?

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* 2. When will your organization encounter serious cash flow problems as a result of the impasse?

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* 3. Has your organization received payment for any services performed after June 30th? (Fiscal year 2015-2016)

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* 4. If you have you received payment for any services since July 1st, why?

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* 5. What is the status of your organization’s contingency funds or reserve funds?

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* 6. Do you have a credit line?

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* 7. If yes, how long until the credit line is fully used?

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* 8. Approximately how much per month is the budget impasse costing your agency in interest, fees, and other expenditures to date?

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* 9. Which of these steps has your organization taken to date (select all that apply):

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* 10. Which of these steps will your agency take if the impasse is not resolved in the next 60-90 days (select all that apply)?

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* 11. Is there an approximate date that marks a “crisis point” for your organization, at which time you will be forced to begin ceasing certain services?

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* 12. If yes, the date is:

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* 13. Please provide a few examples of services that would cease:

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* 14. Approximately how many service consumers would be impacted?

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* 15. Organization Name:

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* 16. Did you participate in September's survey?

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* 17. Did you participate in October's survey?

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* 18. What is your service field (select all that apply)?

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* 19. Location of your headquarters:

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* 20. Approximate number of full time equivalent employees:

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* 21. Organization's budget size:

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* 22. Have representatives of your organization (staff, board, consumers, donors, etc…) called or met with legislators about the state budget impasse?

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* 23. If no, why? (select all that apply)

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