Covid-19 Community Building Healthcheck Survey

We are aware that as venues for community activities, Village Halls and Community Buildings are uniquely effected by the Covid-19 pandemic. We are trying to gather additional information about the situation you are facing to enable us to make the case for additional help and to try and direct support to you. You can read more about what we are doing in response to the Covid-19 pandemic, find support resources and read our privacy policy on our website http://www.communityactionnorfolk.org.uk/sites/

Question Title

* 1. What is the name of your Village Hall / Community Building? (This will help us know if we have received more than one response from the same organisation.)

Question Title

* 2. Please provide the Charity Number if appropriate

Question Title

* 3. Please provide the postcode of your building (this helps us understand how different areas may be effected differently)

Question Title

* 4. How will your building cope if current circumstances continue?

	We will be in a significantly better position than we were before the pandemic	We will be in a better position than we were before the pandemic	We will be in about the same position as we were before the pandemic	We will be worse off than we were before the pandemic	We will be at the point of failure
Now	Now We will be in a significantly better position than we were before the pandemic	Now We will be in a better position than we were before the pandemic	Now We will be in about the same position as we were before the pandemic	Now We will be worse off than we were before the pandemic	Now We will be at the point of failure
3 months	3 months We will be in a significantly better position than we were before the pandemic	3 months We will be in a better position than we were before the pandemic	3 months We will be in about the same position as we were before the pandemic	3 months We will be worse off than we were before the pandemic	3 months We will be at the point of failure
6 months	6 months We will be in a significantly better position than we were before the pandemic	6 months We will be in a better position than we were before the pandemic	6 months We will be in about the same position as we were before the pandemic	6 months We will be worse off than we were before the pandemic	6 months We will be at the point of failure
12 months	12 months We will be in a significantly better position than we were before the pandemic	12 months We will be in a better position than we were before the pandemic	12 months We will be in about the same position as we were before the pandemic	12 months We will be worse off than we were before the pandemic	12 months We will be at the point of failure

Question Title

* 5. Please can you provide us some details about your building's finances?

Estimated average monthly income lost as a result of Covid-19 pandemic

Estimated remaining monthly income

Estimated monthly running costs during the closure period

Estimated current free reserves

Question Title

* 6. Are any of your building's loss of income covered by it's insurance?

We have checked - the building is covered

We have checked - the building is not covered

We have not checked our insurance policy

We do not have insurance

Other (please specify)

Question Title

* 7. Are you, as an organisation, offering any additional support services in response to the pandemic?

Yes

Please give details

Question Title

* 8. Are you aware of any additional support services being established in your community in response to the pandemic?

Yes

Please give details

Question Title

* 9. Do you have any additional requirements for help and support, whether regarding new or existing activity, by your organisation or in your community?

Question Title

* 10. If you would like additional help please provide contact details for one of our Development Officers to make contact with you:

Name

Email Address

Phone Number

Question Title

* 11. Do you have enough staff and / or volunteers

Other (please specify)