Utility Assistance Ministry Survey
Louisiana uses 30% more electricity per household than the average American and many families struggle to keep the lights on. This survey is intended to gather information about the support Louisianians are receiving from places of worship. We are interested in better understanding the scope of the support and to find ways to coordinate efforts to reduce family cost burdens. Once this information is collected a report will be produced and presented at the 2020 Assembly meeting of the Interchurch Conference. Personal information collected is protected and will not be shared with any third parties.
Please select all that apply to you/your institution. Where additional notes are necessary, please add below each question
* Required
Does your place of worship have a formal policy on utility assistance?
*
Yes
No
Do you have any additional notes related to the previous question?
Q: Does your place of worship have a formal policy on utility assistance?
Your answer
How often does your place of worship receive requests for assistance?
*
Daily
Weekly
Monthly
Other:
Do you have any additional notes related to the previous question?
Q: How often does your place of worship receive requests for assistance?
Your answer
Which two months receive the highest rate of requests? (select two)
*
January
February
March
April
May
June
July
August
September
October
November
December
Required
Do you have any additional notes related to the previous question?
Q: Which two months receive the highest rate of requests?
Your answer
Do you have a budget line item devoted to emergency utility support?
*
Yes
No
If you answered Yes to the previous question, how much money is devoted annually?
Your answer
Do you have any additional notes related to the previous question?
Q: Do you have a budget line item devoted to emergency utility support? If yes, how much?
Your answer
Do you have limitations for assistance by an individual or family? Check all that apply.
*
Once Annually
Twice Annually
$ amount limit
Proof of Income
Member of the congregation
None
Other:
Required
Do you have any additional notes related to the previous question?
Q: Do you have limitations for assistance by an individual or family? Check all that apply.
Your answer
Do you send assistance directly to utility or cash directly to requester in need?
*
Utility
Requester in need
Other:
Do you have any additional notes related to the previous question?
Q: Do you send assistance directly to utility or cash directly to requester in need?
Your answer
For what utility bills do you currently offer assistance? Check all that apply.
*
Entergy, New Orleans
Entergy, Louisiana
CLECO
SWEPCO
Co-operative utility
Municipal Utility
Water
Gas
Cable
Telephone
Other:
Required
Do you have any additional notes related to the previous question?
Q: For what utility bills do you currently offer assistance?
Your answer
Who manages assistance dollars?
*
Clergy
Lay Staff
Board
Other:
Required
Do you have any additional notes related to the previous question?
Q: Who manages assistance dollars?
Your answer
Do you make other recommendations when monthly dollars are exhausted?
*
Community Action Agency? (TCA, etc)
Council on Aging
Catholic Charities
No
Other:
Do you have any additional notes related to the previous question?
Q: Do you make other recommendations when monthly dollars are exhausted?
Your answer
Do you make introductions/recommendations to Energy Efficiency programs?
*
Energy Smart
Weatherization Assistance Program (Quad Area, etc)
Other:
Required
Do you have any additional notes related to the previous question?
Do you make introductions/recommendations to Energy Efficiency programs?
Your answer
Do you provide any Energy Efficiency support?
*
Education
Lightbulbs
Weather Stripping
No
Other:
Required
Do you have any additional notes related to the previous question?
Q: Do you provide any Energy Efficiency support?
Your answer
Does your place of worship have a climate or disaster plan? For extreme weather sheltering, etc? mobilization for resources?
*
Cooling Station
Hurricane Evacuation Plan
Flood Assistance Plan
Recovery/ Response Plan
No
Other:
Required
Do you have any additional notes related to the previous question?
Q: Does your place of worship have a climate or disaster plan? For extreme weather sheltering, etc? mobilization for resources?
Your answer
Do you have any additional comments?
Your answer
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