CADCOM                                                                                                                                   COVID-19 Community Needs Assessment
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During this public health crisis, Montgomery County Community Action Development Commission (CADCOM) is here for you and your family. We recognize that during this time, you may be facing significant challenges.  This survey (2-3 minutes) will help us better understand and assist you with meeting those needs.  Please share this survey with any friends and family that live in Montgomery County.  Thank you and Stay safe!
What Zip Code do you live in? *
Are you or your family facing new challenges as a result of the COVID-19 crisis? *
Please help us understand why *
Please select all needs that apply to you and your family, which you are currently in need of assistance with right now.. *
If you selected "Other", please provide some details about your needs.
Please share any other information about your situation that you would like us to know.
Would you like to be connected with someone at CADCOM to help you and your family ease the impact of COVID-19?
If YES, what is your full name
Your telephone number and/or email address
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