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Power Outage & Debris Assessment Survey
Delta Interfaith is assessing
how many people are still without power and/or need debris removal due to Winter Storm Fern. The results of this survey will inform Delta Interfaith's next steps.
Please share the link with your family, friends and neighbors. You can find the survey at
https://www.deltainterfaith.org/survey
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* Indicates required question
What's the electricity situation where you live?
*
The power is out.
The power was out, but now it's restored.
Our home never lost power
If you know why your power is still out please explain. (ie supply line down, meter broken)
Your answer
Is there anything else we should note about your current situation?
Your answer
On a scale of 1 to 5, how would you rate your current situation?
(answer for yourself & household)
*
We're fine
1
2
3
4
5
5 = I or someone in my family is in crisis
Do you need help with debris removal and clean up?
*
Yes
No
First Name
*
Your answer
Last Name
*
Your answer
Email Address
Your answer
Cell phone number
*
Your answer
What is your address?
Your answer
If you're a member of a congregation or civic organization, please share which one(s)
Your answer
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