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. 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
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Does your place of worship have a formal policy on utility assistance? *
Do you have any additional notes related to the previous question?
Q: Does your place of worship have a formal policy on utility assistance?
How often does your place of worship receive requests for assistance? *
Do you have any additional notes related to the previous question?
Q: How often does your place of worship receive requests for assistance?
Which two months receive the highest rate of requests? (select two) *
Required
Do you have any additional notes related to the previous question?
Q: Which two months receive the highest rate of requests?
Do you have a budget line item devoted to emergency utility support? *
If you answered Yes to the previous question, how much money is devoted annually?
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?
Do you have limitations for assistance by an individual or family? Check all that apply. *
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.
Do you send assistance directly to utility or cash directly to requester in need? *
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?
For what utility bills do you currently offer assistance? Check all that apply. *
Required
Do you have any additional notes related to the previous question?
Q: For what utility bills do you currently offer assistance?
Who manages assistance dollars? *
Required
Do you have any additional notes related to the previous question?
Q: Who manages assistance dollars?
Do you make other recommendations when monthly dollars are exhausted? *
Do you have any additional notes related to the previous question?
Q: Do you make other recommendations when monthly dollars are exhausted?
Do you make introductions/recommendations to Energy Efficiency programs? *
Required
Do you have any additional notes related to the previous question?
Do you make introductions/recommendations to Energy Efficiency programs?
Do you provide any Energy Efficiency support? *
Required
Do you have any additional notes related to the previous question?
Q: Do you provide any Energy Efficiency support?
Does your place of worship have a climate or disaster plan? For extreme weather sheltering, etc? mobilization for resources? *
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?
Do you have any additional comments?
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