DSCC Coronavirus Neighbors Check-in
We hope you are safe and healthy during this time. Please let us know how you are doing. If you are in need of resources and services we would like to try to connect you to any resources we are aware of or have directly within the DSCC team. Our office is closed through April 22 but we will keep you all updated via our email list and Facebook page as this situation progresses. Please follow updates from the City of St. Louis here: https://www.stlouis-mo.gov/government/departments/health/communicable-disease/covid-19/
Email address *
Name *
Your answer
Address
Your answer
Best contact phone number
Your answer
Total Number of folks in your household
Your answer
Age Breakdown of folks in your household
0
1
2
3
4+
Type
Children under 18
Adults 18-65
Seniors over 65
If you were to enter a 7-14 day quarantine/lockdown are you MISSING any of the following household essentials? ** Mayor Lyda Krewson has issued a "Stay at Home Order" which does allow for shopping for essential items. Please read more details here. https://www.stlouis-mo.gov/government/departments/health/communicable-disease/covid-19/documents/health-commissioners-order-5.cfm
Do you have any Coronavirus exposed/ potentially exposed members in your household? If so, have you been in contact with a doctor, City Health Dept and/or the CDC? Are you under voluntary or mandatory quarantine?
Your answer
What kind of services/ resources do you need?
Please add more details about the needs you checked in the last question.
Your answer
Are you aware of/ awaiting the pending resources for which you have applied?
Your answer
Please share any other thoughts questions, concerns, suggestions, and/or offers of resources you have at this time.
Your answer
Have you received your 2020 Census form?
Have you completed it?
If you have not completed your 2020 Census, why not? Do you need any assistance?
Your answer
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