Community Check In Survey

Age*

18 – 20
21 – 25
26 – 35
36 – 40

Which of the following best describes your current employment status? (Select One)*

Other Employment Status:*

Were you able to file for unemployment benefits after losing your job due to COVID-19?*

Yes
No
Chose not to file

Are you currently receiving unemployment benefits?*

Yes
No

Have you received any other financial assistance?*

Yes
No

Please indicate other financial assistance received:*

Received assistance from a faith-based group
Received assistance from a family member or friend
Other/prefer not to respond

Which category best describes your primary job?*

Government
Private company
Non-profit organization
Self-employed

Which category best describes the industry in which you currently work at your primary job?*

Other Industry:*

In general, how satisfied are you with your place of employment as a place to work?*

Employer Response to COVID-19

Please think about the recent impact of the coronavirus (COVID-19) on your job when responding to the following statements and indicate you level of agreement or disagreement with each of the following statements.

My organization cares about my overall well-being.*

My employer has communicated a clear plan of action in response to the coronavirus (COVID-19).*

Following the COVID-19 (coronavirus) outbreak, has your employer formally recommended or required that you work remotely or in a location different from your coworkers?*

Yes
No

WORK FROM HOME

Please rate the following statements as they pertains to your working from home or an alternate location:

I miss having people around.*

I feel very connected to my work team*

I feel very connected to my organization*

I would like to continue working from home or remotely in the future*

What is one thing your boss/manager did to help you get set up to work remotely?

What do you wish your boss/manager knew about your Work From Home situation?

What is your best advice to someone who is new to working remotely?

Following the COVID-19 (coronavirus) outbreak, how have the following aspects of your experience changed?

The number of hours you work per week has...*

Increased
Decreased
Stayed about the same

Your productivity has...*

Increased
Decreased
Stayed about the same

The quality of your work has...*

Increased
Decreased
Stayed about the same

Frequency of feedback from your supervisor/manager has...*

Increased
Decreased
Stayed about the same

Your confidence in your organization’s financial future has...*

Increased
Decreased
Stayed about the same

Your confidence in your organization’s leadership has...*

Increased
Decreased
Stayed about the same

Your confidence in your community’s economic future has...*

Increased
Decreased
Stayed about the same

Your confidence in your community’s leadership has...*

Increased
Decreased
Stayed about the same

Emotional Check In

At this point, how closely are you following news about the coronavirus?*

Hourly +
Daily
2-3 times per week
Once per week or less

Think back over the past two weeks. Did you do the following *MORE* than usual? Select all that apply.*

Opened the windows or shades to get natural light
Went outside for 15 or more minutes
Talked to friends or family members on the phone or video chat
Created or worked on goals for your health/wellbeing
Practiced mindfulness, meditation, or prayer
Tried a new activity or hobby

Think back over the past two weeks. Did you experience the following *MORE* than usual? Select all that apply.*

Worry
Stress
Anger
Happiness
Boredom
Loneliness
Hope
Empathy

I adjust quickly to new situations*

How long do you believe social distancing (i.e. staying 6 feet apart; gathering in groups of 10 people or fewer) should be practiced?*

As social distancing restrictions are lifted, will you go back to your pre-COVID behaviors when it comes to the following activities:

Enjoying the beach*

Yes	Yes but with social distancing restrictions	No	Not sure

Gathering with Friends*

Yes	Yes but with social distancing restrictions	No	Not sure

Dining inside at restaurants*

Yes	Yes but with social distancing restrictions	No	Not sure

Dining outside at restaurants*

Yes	Yes but with social distancing restrictions	No	Not sure

Flying on an airplane*

Yes	Yes but with social distancing restrictions	No	Not sure

Attending sporting events*

Yes	Yes but with social distancing restrictions	No	Not sure

Attending concerts*

Yes	Yes but with social distancing restrictions	No	Not sure

How likely is it that the coronavirus will be the cause of major financial struggles for your household six months from now?*

Demographic Information

Gender*

Male
Female
Prefer not to answer

Highest level of education completed*

Military Affiliation*

Ethnicity*

Zip Code*

What is your total annual household income before taxes?*

What kind of support do you wish our community (specifically, PYP) provided more of for young professionals? Select all that apply.

Other support*

Are you currently a member of Pensacola Young Professionals (PYP)?*