Rapid Response Worker Survey

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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.

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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