Coronavirus Resident Survey

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* 1. I am resident of

Auburn Housing Authority

LaFayette Housing Authority

Roanoke Housing Authority

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* 2. Do you have any children under 18, in your household?

Yes

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* 3. Has the coronavirus had an impact on you or any members of your household?

Yes. High impact.

Yes. Low impact.

No. No impact.

No. Not currently, but potentially in the future.

(Optional) Explain your worries

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* 4. Mark all that you consider a concern/need for you or any members of your household. (Check all that apply)

Food

Paying Rent

Jobs

Transportation

Childcare

Internet

Health Care

Household Cleaning Supplies

Education

Laptop/Tablet

Crime

Other (please specify)

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* 5. If coronavirus testing was provided at the Authority, how likely is it that you or any members of your household would be tested?

Very Likely

Likely

Unsure

Not Likely

Not At All

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* 6. Have you or any members of your household participated in any of the Authority's feeding programs?

Yes

If no, please explain why not

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* 7. Do you get information about events, programs, and resources from either of these sources?

Flyers

Authority's website (auburnhousingauth.org)

Authority's Social Media (Facebook & Twitter)

E-mail

Text Message

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* 8. Do you follow the Authority on Social Media via Twitter or Facebook?

Yes

No, I was not aware of them

No, I am aware and choose not to follow

No, I do not have social media

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* 9. Are you aware you can receive notifications from the Authority via Text Message and/or E-mail?

Yes, I receive the notifications

Yes, but I choose not to receive notifications

No, but I am interested

No, and I am not interested

Coronavirus Resident Survey

Question Title

* 1. I am resident of

Question Title

* 2. Do you have any children under 18, in your household?

Question Title

* 3. Has the coronavirus had an impact on you or any members of your household?

Question Title

* 4. Mark all that you consider a concern/need for you or any members of your household. (Check all that apply)

Question Title

* 5. If coronavirus testing was provided at the Authority, how likely is it that you or any members of your household would be tested?

Question Title

* 6. Have you or any members of your household participated in any of the Authority's feeding programs?

Question Title

* 7. Do you get information about events, programs, and resources from either of these sources?

Question Title

* 8. Do you follow the Authority on Social Media via Twitter or Facebook?

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* 9. Are you aware you can receive notifications from the Authority via Text Message and/or E-mail?

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* 10. Please provide any additional comments/concerns/needs: