Rapid Response Worker Survey

The purpose of the survey is for the City of Philadelphia to better understand and respond to the needs of the region’s workers who have been impacted by COVID-19.

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* 1. Where do you live?

Philadelphia County

Philadelphia Metropolitan region (5 county region)

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* 2. What industry do you work in?

Food Service

Retail

Hotel / Hospitality

Computer / IT support

Construction

Office / Clerical

Other (please specify)

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* 3. What is your job title or main job function?

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* 4. If you are an hourly employee, what is your hourly wage?

Tipped Hourly under $7.25

$7.25- $11.99 per hour

$12.00 - $15.00 per hour

$15.01 to $20.00

More than $20.00 per hour

N/A

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* 5. If you are a salaried employee what is your annual salary?

Below $23,600

$23,600 to $31,200

$31,200 to $39,000

$40,000 or more

N/A

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* 6. Are you in a union or is your work covered by a collective bargaining agreement?

Yes

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* 7. Do you work as a gig worker, freelancer, independent contractor (1099) or are you self employed?

Yes

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* 8. Has your usual work activity been impacted by the COVID 19 outbreak?

Yes

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* 9. In what way has your work activity been impacted?

Reduction in contracts, gigs, or scheduled hours

Increase in contracts, gigs, or scheduled hours

Changes to scheduled hours without a reduction in overall hours

Temporary layoff with pay

Temporary layoff without pay

Conducting work remotely

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* 10. If you have been laid off without pay, please describe your unemployment benefits.

I have already applied for unemployment benefits.

I intend to apply for unemployment benefits but have not done so yet.

I will not be applying for unemployment benefits.

N/A

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* 11. Do you have healthcare insurance, either through your employer or the employer of your spouse?

Yes

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* 12. If you have healthcare insurance from your employer or spouse, has a reduction in hours related to COVID-19 changed your access to health care benefits?

Yes

N/A - I do not have health insurance.

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* 13. Do you receive paid leave time from your employer (vacation, sick, etc.)?

Yes

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* 14. Have you or will you need to use paid leave due to a reduction in hours as a direct result of the COVID 19 outbreak?

Yes

N/A - I do not have paid leave time available to me.

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* 15. Has your employer advanced you any paid leave that has not been earned yet?

Yes

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* 16. Do you have the ability to work remotely or telecommute for your work?

Yes

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* 17. If not, what barriers exist for this option?

Remote work/Telecommuting not offered at all

Remote work/Telecommuting not offered for your position

Lack of access to the hardware required for this option.

Lack access to the internet connection required for this option

N/A

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* 18. Do you have access to / knowledge of a public computing space in your neighborhood?

Yes

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* 19. What types of support are needed the most? Please rank the supports below from 1 to 8, with 1 as most urgently needed and 8 as less urgently needed.

Becoming eligible for unemployment compensation
Help filing for unemployment compensation
Help with rent / mortgage payments
Help with utilities
Help buying food / groceries
Help with childcare
Help with medical care
Help with access to health insurance

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* 20. Is there anything else you would like to share about how you have been impacted as a worker due to COVID-19?

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* 21. OPTIONAL: If you would like to be contacted with follow-up questions and additional information as it becomes available, please provide your contact information below.

First Name

Last Name

Email address

Phone number

Zip code where you live