Long Island VOAD COVID-19 Capacity Survey
Thank you for being part of our Long Island VOAD (Voluntary Organizations Active in Disaster) coalition as we work as a region in response to the COVID-19 pandemic.

We recognize that we sent a similar survey out previously, but this format allows for better information collection. Thank you for being willing to share your information again!

The information your organization shares here will be made public to make it as accessible and helpful as possible, so please be concise yet thorough enough so that individuals and agencies are clear on how to contact you and what eligibility requirements may be.

Please ensure that only one person from each organization completes this survey. Thank you!

If you have questions on how to complete this survey, please email mhiruma@hwcli.com or tgmelito@hwcli.com.
Organization Name *
Your answer
Contact Person Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Organization Website
Your answer
Organization social media accounts (Facebook, Twitter, Instagram) or other websites associated with your organization that provides updated information related to available response services (please list them here)
Your answer
Where is your organization able to respond on Long Island? Please check all that apply. *
Required
Can your organization provide services for individuals who have ACCESSIBILITY NEEDS (i.e. hearing impaired, mobility issues, sight impaired, etc.) related to COVID-19?
If yes, to ACCESSIBILITY NEEDS, please provide details.
Your answer
Can your organization provide services related to ANIMAL NEEDS (i.e. pet sheltering, pet food, etc.) related to COVID-19?
If yes, to ANIMAL CARE, please provide details.
Your answer
Can your organization provide CASE MANAGEMENT services related to COVID-19?
If yes to CASE MANAGEMENT, please provide details.
Your answer
Can your organization provide CHILD CARE services/information related to COVID-19?
If yes to CHILD CARE services/information, please provide details.
Your answer
Can your organization provide FINANCIAL COMPENSATION assistance related to COVID-19?
If yes to FINANCIAL COMPENSATION assistance, please provide details.
Your answer
Can your organization provide EMERGENCY COMMUNICATIONS services related to COVID-19?
If yes to EMERGENCY COMMUNICATIONS, please provide details.
Your answer
Can your organization provide IN-KIND DONATIONS services related to COVID-19?
If yes to IN-KIND DONATIONS, please provide details.
Your answer
Can your organization provide DONATIONS MANAGEMENT services related to COVID-19?
If yes to DONATIONS MANAGEMENT, please provide details.
Your answer
Can your organization provide EMOTIONAL & SPIRITUAL CARE services related to COVID-19?
If yes to EMOTIONAL & SPIRITUAL CARE, please provide details.
Your answer
Can your organization provide LEGAL services related to COVID-19?
If yes to LEGAL SERVICES, please provide details.
Your answer
Can your organization provide MASS CARE: FEEDING/FOOD DELIVERY services related to COVID-19?
If yes to MASS CARE: FEEDING/FOOD DELIVERY, please provide details.
Your answer
Can your organization provide VOLUNTEER MANAGEMENT services (including virtual volunteer management) related to COVID-19?
If yes to VOLUNTEER MANAGEMENT, please provide details.
Your answer
Can your organization provide TRANSPORT SERVICES related to COVID-19?
Can your organization provide TRANSPORT SERVICES related to COVID-19?
If your organization is still offering HEALTHCARE or PHARMACY RELATED SERVICES, please list all relevant information here, including information on how clients can access these services.
Your answer
If your organization is still providing REMOTE ENROLLMENT SERVICES (i.e. health insurance, SNAP, etc.), please provide information that we can share about services still offered to clients, along with information on how to access those services.
Your answer
If there are OTHER services your organization can provide related to COVID-19, please provide details.
Your answer
Are there any unmet needs in specific communities that you have already identified?
Your answer
Are there any resources your agency can share? (i.e. vehicles for deliveries, free online resources for populations in need, etc.)
Your answer
Any other information/comments/questions?
Your answer
Do you acknowledge that your response will be shared? *
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