PIDF Community Well-being Survey
The purpose of this brief voluntary survey is to collect data on the impact of the pandemic on our families and communities in Hawaiʻi, in order to better serve and advocate for those we serve.

Responses are anonymous and will be reported as group responses.
1. Which island are you located on? *
2. Have you participated in a PIDF program? *
3. If you are a current/past participant, what PIDF program did you participate in and which site/location?
EMPLOYMENT/ INCOME:
Please select the best answer for your current household
4. Have you or your family experienced employment changes due to the pandemic? *
5. If laid off/unemployed, have you or your family member been able to find a new job?
Clear selection
FOOD:
6. Has your family experienced food insecurity/lack of food due to the pandemic? *
7. If you answered "yes," have you had-
Clear selection
8. If you did not have enough food, what was the reason? (select the main reasons that apply)
MENTAL/EMOTIONAL HEALTH:
Please select the best answer that describes any changes due to the pandemic
9. From MARCH 2020- TODAY... *
Yes, every day
Yes, most days
Yes, sometimes
No
Have there been days when you have felt nervous, anxious, or on edge?
Have you struggled with controlling worry or not being able to stop or control worrying?
Have you had little interest or pleasure in doing things?
Have you been feeling down, depressed, hopeless?
10. In the PAST MONTH... *
Yes, every day
Yes, most days
Yes, sometimes
No
Have there been days when you have felt nervous, anxious, or on edge?
Have you struggled with controlling worry or not being able to stop or control worrying?
Have you had little interest or pleasure in doing things?
Have you been feeling down, depressed, hopeless?
KEIKI CARE:
Please skip to question #15 if not applicable
11. Have you been able to find childcare for your children, if needed?
Clear selection
12. Have you had everything needed for your child(ren)'s distance learning?
Clear selection
13. If you answered "no" to #12 what did/do you need? (e.g., computer, internet service, teacher's help, etc.)
14. Has your child been emotionally or physically impacted by the pandemic? If so, how?
ADDITIONAL INFORMATION:
15. What resources have been helpful to meeting your needs? (check all that apply according to how it was accessed- federal, state, nonprofit, other)
Federal
State
Nonprofit
Other community group/organization
Other
Financial relief
Paycheck Protection Program (PPP) funds
Employment assistance
Foodbank/food distribution services
Essential/household supplies
Childcare assistance
Telehealth services (virtual care)
Mental health services
16. Are there any other COVID-19 related needs that you need kokua with or anything else you would like to share?
Thank you for taking the time to complete this survey!
Please do not hesitate to reach out for help, if needed. Visit our website www.pidf.org for a list of resources that may be helpful or reach out to your local service providers. Please stay safe and know that you do not have to go through it alone.
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