Tell us how you're feeling about COVID-19

Variety - the Children's Charity Victoria assists kids who are sick, disadvantaged or have special needs. We recognise that despite our best efforts sometimes there are gaps in meeting the needs of children. Variety and our supporters work together to raise money to help fill the gaps when there are no solutions.

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* 1. The purpose of this survey is to gain an understanding of the impact of the global pandemic on you, identify how we can help and share this with Variety's supporters and donors to raise money and awareness of the challenges being faced at this time. If you wish to assist us by completing the survey, your responses may be shared with media or for publicity reasons.

We will not share any names or information that will allow you to be identified.

Do you understand?

I understand

I no longer wish to complete the survey

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* 2. Which of the following applies to you?

I am a parent or carer of a child who is sick, disadvantaged, has a disability or has additional needs

I'm a teacher/educator

I work for an organisation that assists children

I'm a therapist or allied health professional

Other (please specify)

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* 3. Has your family or organisation experienced disruption from your day to day life as a result of COVID-19?

No disruption at all

Minor disruption

Some disruption

Major disruption

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* 4. If you answered that you are a parent or carer, please ANSWER this question. If you are a educator, health professional or work for an organisation that assists children, please SKIP this question.

Please share with us how you feel about each of the following in regard to the developing COVID-19 situation:

	Not concerned at all	A little concerned	Feeling okay	Concerned	Extremely concerned
The need for my family to self-isolate	The need for my family to self-isolate Not concerned at all	The need for my family to self-isolate A little concerned	The need for my family to self-isolate Feeling okay	The need for my family to self-isolate Concerned	The need for my family to self-isolate Extremely concerned
Our ability to access essential groceries and supplies	Our ability to access essential groceries and supplies Not concerned at all	Our ability to access essential groceries and supplies A little concerned	Our ability to access essential groceries and supplies Feeling okay	Our ability to access essential groceries and supplies Concerned	Our ability to access essential groceries and supplies Extremely concerned
Our ability to access medical and/or health related appointments and support for my child/children	Our ability to access medical and/or health related appointments and support for my child/children Not concerned at all	Our ability to access medical and/or health related appointments and support for my child/children A little concerned	Our ability to access medical and/or health related appointments and support for my child/children Feeling okay	Our ability to access medical and/or health related appointments and support for my child/children Concerned	Our ability to access medical and/or health related appointments and support for my child/children Extremely concerned
Our school and/or childcare closing down	Our school and/or childcare closing down Not concerned at all	Our school and/or childcare closing down A little concerned	Our school and/or childcare closing down Feeling okay	Our school and/or childcare closing down Concerned	Our school and/or childcare closing down Extremely concerned
Our employment being impacted (eg loss of income, work from home etc)	Our employment being impacted (eg loss of income, work from home etc) Not concerned at all	Our employment being impacted (eg loss of income, work from home etc) A little concerned	Our employment being impacted (eg loss of income, work from home etc) Feeling okay	Our employment being impacted (eg loss of income, work from home etc) Concerned	Our employment being impacted (eg loss of income, work from home etc) Extremely concerned
The financial impact on our family (ability to pay bills, mortgage, medical expenses etc)	The financial impact on our family (ability to pay bills, mortgage, medical expenses etc) Not concerned at all	The financial impact on our family (ability to pay bills, mortgage, medical expenses etc) A little concerned	The financial impact on our family (ability to pay bills, mortgage, medical expenses etc) Feeling okay	The financial impact on our family (ability to pay bills, mortgage, medical expenses etc) Concerned	The financial impact on our family (ability to pay bills, mortgage, medical expenses etc) Extremely concerned
Our ability to access/remain in safe housing (whether renting or mortgage)	Our ability to access/remain in safe housing (whether renting or mortgage) Not concerned at all	Our ability to access/remain in safe housing (whether renting or mortgage) A little concerned	Our ability to access/remain in safe housing (whether renting or mortgage) Feeling okay	Our ability to access/remain in safe housing (whether renting or mortgage) Concerned	Our ability to access/remain in safe housing (whether renting or mortgage) Extremely concerned
Our ability to support our child's education/learning needs at home	Our ability to support our child's education/learning needs at home Not concerned at all	Our ability to support our child's education/learning needs at home A little concerned	Our ability to support our child's education/learning needs at home Feeling okay	Our ability to support our child's education/learning needs at home Concerned	Our ability to support our child's education/learning needs at home Extremely concerned
My child/children's physical wellbeing	My child/children's physical wellbeing Not concerned at all	My child/children's physical wellbeing A little concerned	My child/children's physical wellbeing Feeling okay	My child/children's physical wellbeing Concerned	My child/children's physical wellbeing Extremely concerned
My child/children's mental wellbeing	My child/children's mental wellbeing Not concerned at all	My child/children's mental wellbeing A little concerned	My child/children's mental wellbeing Feeling okay	My child/children's mental wellbeing Concerned	My child/children's mental wellbeing Extremely concerned

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* 5. If you are a educator, health professional or work for an organisation that assists children please ANSWER this question. If you listed that you are a parent or carer, please SKIP this question.

Please share with us how you feel about each of the following in regard to the developing COVID-19 situation:

	Not concerned at all	A little concerned	Feeling okay	Concerned	Extremely concerned
The need for our children/clients to self isolate	The need for our children/clients to self isolate Not concerned at all	The need for our children/clients to self isolate A little concerned	The need for our children/clients to self isolate Feeling okay	The need for our children/clients to self isolate Concerned	The need for our children/clients to self isolate Extremely concerned
Their (children and families) ability to access essentials including groceries and medications	Their (children and families) ability to access essentials including groceries and medications Not concerned at all	Their (children and families) ability to access essentials including groceries and medications A little concerned	Their (children and families) ability to access essentials including groceries and medications Feeling okay	Their (children and families) ability to access essentials including groceries and medications Concerned	Their (children and families) ability to access essentials including groceries and medications Extremely concerned
Their (children and families) ability to access medical and/or health related appointments	Their (children and families) ability to access medical and/or health related appointments Not concerned at all	Their (children and families) ability to access medical and/or health related appointments A little concerned	Their (children and families) ability to access medical and/or health related appointments Feeling okay	Their (children and families) ability to access medical and/or health related appointments Concerned	Their (children and families) ability to access medical and/or health related appointments Extremely concerned
Our ability to deliver services remotely	Our ability to deliver services remotely Not concerned at all	Our ability to deliver services remotely A little concerned	Our ability to deliver services remotely Feeling okay	Our ability to deliver services remotely Concerned	Our ability to deliver services remotely Extremely concerned
Our organisation closing	Our organisation closing Not concerned at all	Our organisation closing A little concerned	Our organisation closing Feeling okay	Our organisation closing Concerned	Our organisation closing Extremely concerned
The financial impact on our organisation	The financial impact on our organisation Not concerned at all	The financial impact on our organisation A little concerned	The financial impact on our organisation Feeling okay	The financial impact on our organisation Concerned	The financial impact on our organisation Extremely concerned
The physical wellbeing of the children we cater to	The physical wellbeing of the children we cater to Not concerned at all	The physical wellbeing of the children we cater to A little concerned	The physical wellbeing of the children we cater to Feeling okay	The physical wellbeing of the children we cater to Concerned	The physical wellbeing of the children we cater to Extremely concerned
The mental wellbeing of the children we cater to	The mental wellbeing of the children we cater to Not concerned at all	The mental wellbeing of the children we cater to A little concerned	The mental wellbeing of the children we cater to Feeling okay	The mental wellbeing of the children we cater to Concerned	The mental wellbeing of the children we cater to Extremely concerned

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* 6. Do you have any other concerns that you would like to share?

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* 7. What would you like our community to know about the impact of COVID-19 on your child/children/family/organisation, and those like you?

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* 8. Thinking about COVID-19, how can Variety help? What practical support and resources does your family or organisation need in the weeks and months ahead?

Tell us how you're feeling about COVID-19

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* 2. Which of the following applies to you?

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* 3. Has your family or organisation experienced disruption from your day to day life as a result of COVID-19?

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* 6. Do you have any other concerns that you would like to share?

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* 7. What would you like our community to know about the impact of COVID-19 on your child/children/family/organisation, and those like you?

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* 8. Thinking about COVID-19, how can Variety help? What practical support and resources does your family or organisation need in the weeks and months ahead?

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* 9. Full Name: (for internal use only)

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* 10. Email: (for internal use only)