Please complete this survey by Monday, 6/8/2020 to help inform FCF's grantmaking process. You will be entered to win a giftcard from a local restaurant. If you prefer, download a paper version and email it once completed to email@example.com.General InformationOrganization Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Name* First Last Contact Phone Number*Contact Email* Organization Website Needs AssessmentPlease rate the degree of impact COVID-19 has had on your nonprofit’s operations and clients as of today.*5 - Extremely High4 - High3 - Medium2 - Low1 - NoneHas COVID-19 impacted your nonprofit’s hours of operation or accessibility to clients and/or the public to date?*YesNoPlease explain.*How has the COVID-19 impacted your staff to-date (compensation, availability, illness, etc.)?*YesNoPlease explain.*Has your organization canceled or postponed a fundraising event due to COVID-19?*YesNoPlease enter your anticipated loss in dollars. Do you plan to reschedule?*Has your organization experienced an increase in demand for services as a result of COVID-19 outbreak?*YesNoHow will this expansion be funded?*Is your organization adding services or programs at this time to assist those affected by COVID-19?*YesNoWhat tasks do you need volunteer labor to complete?*Does your nonprofit have an immediate need for NEW volunteers amidst the COVID-19 outbreak?*YesNoFundingDo you provide financial assistance to your clients as part of your services?*YesNoPlease rate the ability of your organization to continue doing so in 2020.*Plenty of fundsEnough fundsSome fundsFew fundsNo fundsHas your organization applied for a Paycheck Protection Program loan as part of the CARES Act?*YesNoHow much?*Have you received it yet?*YesNoHas your organization applied for an Economic Injury Disaster Loan (EIDL) through the Small Business Association (SBA)?YesNoPlease list the grantmaker(s) and amount(s)*Has your organization received emergency funds from any other grantmaker(s)?*YesNoIf you had additional funding, what else could your organization be doing to respond to the COVID-19 outbreak in Fayette County?*MiscellaneousPlease share any additional concerns you have experienced through the COVID-19 outbreak so far.*What expectations do you have for your organization for the next 6 months?*Is there anything we are missing? Is there anything else you would like to tell us about your current organizational issues?*PhoneThis field is for validation purposes and should be left unchanged.