2021 Summer/ Fall Storm Needs Assessment
Please fill out this 10 min. survey to share your needs with local non-profits. Your participation will allow us to advocate for more resources for our community and strengthen recovery efforts. This isn’t an application for assistance, but you can opt-in to receive text messages about new resources as they become available.
Sign in to Google to save your progress. Learn more
The personal information you enter on this survey will not be shared with government agencies.
Respondent Information
Are you filling out this survey on behalf of someone else? *
How did you hear about 2021 Summer/Fall Storm Home Repair Application? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.