The COVID-19 pandemic has changed the lives of everyone in our community.  This survey, hosted by the City of Revelstoke Recovery Task Force, will help us understand both current and anticipated impacts on individuals and households in Revelstoke and Area.  It will help us to respond and be better prepared for the future. 

While this information is confidential, the overall results will be shared with both front-line organizations and the community as a whole.  At this time, we ask that only residents complete this survey and not visitors, so that we can keep the initial focus on residents.   

For more information, please contact: 
City of Revelstoke - Community Economic Development 
ced@revelstoke.ca or 250-837-5345

Please note:  Any personal information provided will be kept confidential.

INSTRUCTIONS
· Please fill out this survey only once.
· Be respectful with your responses
· Please answer all of the questions
· Questions 4-18 are required; Questions 1-3, 19-23 are optional
· Secondary school aged youth will complete this survey at school with assistance
· Where “Other (please describe)” is listed within the responses, you may provide comments in addition to checking a ( ) response

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* 1. What year were you born?

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* 2. Are you one of the "heads" or a "dependent" in your household?

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* 3. What best describes your household?  Please check all that apply.

Housing Situation - Part 1
Note: In this survey, the word "home" means wherever you live.

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* 4. What best described your housing situation before March 1, 2020?

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* 5. What best describes your housing situation today?

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* 6. What will likely be your housing situation by January 1, 2021?

Housing Situation - Part 2

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* 7. What best described your housing situation before March 1, 2020? Please check all that apply.

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* 8. What best describes your housing situation today?  Please check all that apply.

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* 9. What best will describe your housing situation by January 1, 2021?  Please check all that apply.

Employment

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* 10. What best described your employment situation before March 1, 2020?  Please check all that apply.

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* 11. What best describes your employment situation now?

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* 12. What do you think your employment situation will be January 1, 2021?

Finances

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* 13. How are you doing with money before March 1, 2020?

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* 14. How are you doing with money today?

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* 15. How will you be doing with money by January 1, 2021?

Well-Being

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* 16. Looking back before March 1, 2020, help us understand how you were feeling by rating how you were doing in the following areas of your life - where 1 represents low levels (not good) and 10 represents the highest level (very good):

  1 2 3 4 5 6 7 8 9 10
Overall (General sense of well-being)
Individually (Personal well-being)
Interpersonally (Family, close relationships)
Socially (Work, school, friendships)

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* 17. Looking back over the last week, including today, help us understand how you have been feeling by rating how you have been doing in the following areas of your life - where 1 represents low levels (not good) and 10 represents the highest level (very good):

  1 2 3 4 5 6 7 8 9 10
Overall (General sense of well-being)
Individually (Personal well-being)
Interpersonally (Family, close relationships)
Socially (Work, school, friendships)

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* 18. Looking forward to January 1, 2021, help us understand how you think you might be feeling by rating how you think you will be doing in the following areas of your life - where 1 represents low levels (not good) and 10 represents the highest level (very good):

  1 2 3 4 5 6 7 8 9 10
Overall (General sense of well-being)
Individually (Personal well-being)
Interpersonally (Family, close relationships)
Socially (Work, school, friendships)

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* 19. Choosing from the list of words below, how would you describe how you are doing or feeling now?  Please check all that apply.

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* 20. Do you have a personal friend, family member, or someone you trust who you can reach out to for help?

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* 21. Do you know where to access local help and resources (e.g. revelstokelife.ca)?

Priorities

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* 22. Based on a scale of 1 to 5 (low to high) how important to you are the following current community social priorities?

  1 2 3 4 5
Indigenous support and reconciliation
Child care
Connection / sense of belonging in community and neighbourhoods
Early childhood development
Diversity and inclusion
Education and literacy
Food security
Housing
Income and employment
Physical health
Mental health and well-being
Safety and security
Support for children and families
Support for youth
Support for people with disabilities
Support for seniors
Transportation

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* 23. If you are interested in receiving information about community recovery, please provide the best way to contact you?  Or you can email ced@revelstoke.ca with your request.  This information will be kept confidential.  

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