Through the data NYFA receives we will be looking to direct efforts and resources to help individuals and organizations impacted by the storm.Thank you for taking the time to fill out this survey.

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* 1. Where do you live and/or work

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* 2. How were you or your organization impacted by the storm?

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* 3. Can you put a dollar amount to damaged assessed? If so please estimate:

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* 4. Do you have insurance?

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* 5. What is your first name?

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* 6. What is your last name?

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* 7. Name of organization, if applicable

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* 8. Please provide your email address

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