Sandy Relief and Recovery Long Island Spring Survey 2014
This survey is designed to help assess where Sandy families are in regards to the stages of recovery so that we may best assist you. This survey is sponsored by Neighbors Supporting Neighbors Babylon, however the results of this survey may be shared with different relief organizations that may be able to provide for your needs like Lindy ManPower, Friends of Freeport, The Long Term Recovery Group and Friends of LI. These organizations are mutual aid organizations.
First Name
Your answer
Last Name
Your answer
Address
Your answer
Town
Your answer
If you are currently displaced, can you please provide your temporary address?
Your answer
Phone Number
Your answer
E-Mail Address
Your answer
Have you completed your NY Rising Application?
Do you have a NY Rising Caseworker? If so can you please provide their name and which office they work out of.
Your answer
Do you have a DIsaster Case Manager?
If you have a Disaster Case Manager, can you please provide their name and organization below
Your answer
Where are you in regards to rebuilding?
Are you in need of construction assistance? If yes please explain what type of assistance you need.
Your answer
Do you have a 51% letter?
Do you have mold?
Would you like information on CDCLI Mold Remediation Program?
Do you use natural gas?
Do you have plans to elevate your home? Please check all that apply.
Please check all the areas where you have a need.
What additional needs do you have, that we may be able to assist you with?
Your answer
Would you be interested in attending an informational workshop on rebuilding?
What topics would you like for us to organize an informtional night for?
Your answer
What suggestions, if any, do you have for topics for an informational workshop?
Your answer
Please list any additional needs you may need assistance with.
Your answer
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