Grand Canyon Community Support
Assessing services and needs during COVID-19
NPS has created a Community Task Force which meets daily. We are trying to gather information to better understand what needs you may have and to see if we can assist. Please take a moment to answer the following questions - not all questions are required but please make sure you submit at the bottom of the form so any answers you provide are included.
Where do you live?
Do you or someone else in your household work in Tusayan?
How many people in your household?
1 - only me
6 or more
Are there children under 18 in your household?
Are you currently working?
yes - full time
yes - but hours have been reduced
no - not working
Is your employer still paying you?
Do you still have health insurance benefits?
No - looking at COBRA options
No - want information on AHCCCS (State program)
Have you signed up for one of the local food banks?
I didn't know there are local food banks
Not yet but may need to in the future
My employer is providing low cost meals.
Where are you shopping for food? (check all that apply)
Canyon Village Market
Tusayan General Store
Going to Flagstaff
Going to Williams
My employer is charging rent (this may include water/electricity)
Yes and I need assistance paying
Yes but being deferred until I start working again
I am responsible for my electric bill (it is directly billed from APS to me/family member)
Yes and I need help paying
I am responsible for my water bill
Yes and I need help paying
I am experiencing transportation issues for (check all that apply)
I have access to a laundry machine to do laundry
Unemployment benefits (UI) (check all that apply) Please note the State is still working on how to distribute additional $600 federal benefits.
I have applied for UI but haven't received benefits
I have applied for UI and am receiving benefits
I have applied for UI but was denied
I can't figure out how to apply
I know how to apply but don't have a computer/internet
Currently I receive information on community resources/events (check all that apply)
emails from my employer
Coconino County website
Facebook - Grand Canyon Yard Sale
Facebook - Grand Canyon Community Uprise
Williams / Grand Canyon News
Internet (choose the best answer that describes your situation)
I have internet and it's not a problem
I don't have internet and it's a problem
I have internet but also have kids that need access for on-line learning so feeling challenged
I don't have internet and it's a problem because my kids can't do their on-line learning
I don't have internet but use local resources (Rec Center/Albright/Tusayan Town Hall)
I am using my phone as a mobile hotspot
I have Town provided internet from Access Parks and it working well
I have Town provided internet from Access Parks and we are experiencing problems
COVID-19 (check all that apply)
My household understands the symptoms of COVID-19 (fever, cough, breathing difficulty)
My household understands how to disinfect items like groceries when we bring them into the house.
My household understands North Country Clinic is not taking walk-in appointments and that we must call first to schedule a same day appointment
We know North Country Clinic now has an online symptom Checker tool
My household is practicing Social Distancing (immediate family only in our house and if we go outside we stay 6ft away from other people)
We have face masks for our entire household and use when we are outside
We understand how COVID-19 is spread
If someone in our household is experiencing a life-threatening emergency and we call 911 - we will let the dispatcher know they have symptoms of COVID-19
We understand if someone in our immediate household tests positive or is experiencing symptoms for COVID-19 we also need to self-quarantine for 14 days
We understand if we test positive for COVID-19 we should let our employer/HR Department know
We know Coconino County has an information line for COVID-19 and/or we can call 211 for more information
We are signed up for Coconino County Emergency Notification System
We still have a lot of questions around COVID-19
Has there been a change in anxiety in your household?
It has Increased
It has decreased
there is no change
Anxiety/tension in your household (please describe)
intensity/frequency has increased
intensity/frequency has decreased
intensity/frequency has stayed the same
Have you been able to stay compliant with your medication and health care routines?
I am looking for additional resources on (check all that apply - your information will be directly shared with an agency that can assist and held confidentially)
Parenting / Peer Support
Information/assistance for children/family member
I would like to volunteer to help out in the Community
Name, Phone, email (if you are in need of assistance or want to volunteer please provide your contact information below)
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