Buncombe Survey

Thanks so much for your time!

This survey will help us support you, and it will also help Cheri support others in the future.  If you need to stop and come back to complete the survey, just sign back in and scroll down to the questions you haven't finished.  I'm sorry we don't have a "save and come back later" function!  None of the questions are required, so do whatever you can.

Also, there is a link at the end to give anonymous feedback as well.  Again, thanks!

Name

Housing needs

How urgent or disruptive would you describe the needs you had around housing or damage to your home when you think of

(Rate on a scale from 1 to 7 stars)

Physical needs

How urgent or disruptive would you describe the needs you had around laundry, showers, acquiring food, etc:

Degree of overwhelm in general

How overwhelmed were you in general, including what it took to get through each day:

Overwhelm specific to work

How overwhelmed were you related to your work:

Anxiety in General

Rate your anxiety:

Anxiety specific to work

How overwhelmed were you in general, including what it took to get through each day:

Your thoughts and comments:

After you submit this form, a new page will open where you can choose to leave an ANONYMOUS comment if you choose to.