CORONAVIRUS (COVID-19) COMMUNITY IMPACT SURVEY

for Greater Houston, Galveston, and surrounding counties

Hello fellow community member!

We want to know what needs have arisen as a result of the Coronavirus | COVID-19 impacting the Houston-Galveston region. You are invited to fill out this community needs assessment.

The information you provide will be used to help the non-profit, educational, and philanthropic communities understand the economic needs of households affected by Coronavirus‌ ‌|‌ ‌COVID-19‌ through loss of wages, loss of employment, or lack of resources due to household isolation. It will also be used to inform future response efforts.

The survey should take 15 mins. to complete and has some optional demographic questions at the end.

We appreciate your effort to help those in our community affected by Coronavirus‌ ‌|‌ ‌COVID-19‌. Thank you!

Please note:

This is not an application for medical help. If you or someone you know is sick, please call your doctor or primary health care provider. If it is an emergency, please dial 9-1-1.

This is not an application for financial assistance or other resources. If resources become available to assist those affected economically by Coronavirus‌ ‌|‌ ‌COVID-19‌, we will reach out to share information about those resources.

Help non-profit, philanthropic, and educational organizations better understand the economic and social impacts of the virus in our community.

CORONAVIRUS (COVID-19) COMMUNITY IMPACT SURVEY

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