Surveys should never ask for any sensitive or secure data. Do not provide passwords, credit card numbers, identification numbers, or other sensitive information. Report Abuse.
Skip survey header

Summary of Services Provided to Norwalk Residents Impacted by Hurricane Sandy Victims

Summary of Services Provided

Please summarize the goods and services which your organization has provided to Norwalk households affected by Hurricane Sandy
Space Cell TodaySince Tuesday, October 30th
Number of people provided with temporary shelter
Number of meals served
Number of households provided with at least one week's worth of groceries
Number of households provided with at least one week's worth of drinking water
Number of people assisted with immediate medical concerns
Number of people assisted in replenishing medical prescriptions
Number of people assisted with access to hygiene facilities
Number of households assisted with child care needs
Number of persons provided mental health counseling
Number of persons whose urgent transportation needs were met
Number of persons assisted with lost critical documents
Number of persons assisted with needed home repairs or debris removal
Number of persons financially assisted due to income lost as a result of storm
Number of coats provided
Number of persons whose other clothing needs were met
Number of blankets provided
Number of beds for which bedding was provided
Number of mattresses provided
Number of households whose furniture needs were met
Number of households provided replacement stoves
Number of households provided replacement refrigerators
Number of households provided replacement heaters
Number of households provided with diapers
Number of households provided with toys
Number of households provided with pet food
Number of households provided with toiletries
Number of households provided with cleaning supplies
Please identify any additional hurricane relief-related services your organization is providing that were not included in the above table
Good/Service Number provided/served today Number provided/served since October 30th
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
0%
Survey Software powered by SurveyGizmo
Survey Software