Question title

Please provide your contact information so we may reach you about the needs you have identified.

Question title

How many individuals live in your household?

1
2
3
4
5
6
7
8
9
10 or more
Closed to responses

Question title

If your home has been rendered uninhabitable, do you need assistance with locating temporary housing?

Yes
No
Not sure
Closed to responses

Question title

What items are you currently in need of? Please select all that apply to your situation.

Clothing for adults
Clothing for children
Shoes for adults
Shoes for children
Mobile phone/other technology
Lost/missing prescriptions
Medical devices
Food
Toiletries
First aid supplies
Device chargers for mobile phones/tablets
Baby formula
Diapers
Blankets
Towels
Glasses/contact lenses
Pet food
Pet supplies
Furniture
Home improvement supplies
Closed to responses

Question title

What services are you currently in need of? Please select all that apply to your situation.

Transportation
Childcare
Adult/elder care
Security
Electrical repairs
Medical assistance
Translation services
Personal property repair
Pet care
Spiritual counseling
Mental health support
Military/veteran assistance
Pool repair
Landscaping
Tree trimming/removal
Pause/redirect mail
Cable/Internet
Item sorting
Storage unit
Manual labor assistance
Real estate services
Information about City services
Insurance claims
Debris removal (from your property)
Permits for repairs/remediation
Property tax evaluation/adjustment
Identifying a contractor
Financial assistance
Closed to responses

Question title

Are there any items that you currently need that were not listed? If so, please identify them here.

Closed for Comments

Question title

Are there any services you currently need that were not listed? Please identify them here.

Closed for Comments