We know that voluntary, community, and social enterprise organisations  are uniquely affected by the COVID-19 pandemic. We are gathering 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. The data collected through this form will be shared by Community Action Norfolk, Voluntary Norfolk and others as part of the local response to COVID-19. 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 www.communityactionnorfolk.org.uk/

Question Title

* 1. What is the name of your group or organisation?

Question Title

* 2. Please let us know:

  Red - this is severely threatened Amber - this is under pressure  Green - we are managing this well N/A or not operating
Your organisation's current capacity (this is your ability to match supply with demand for your service)
Your organisation’s resilience  (your ability to operate well within the current circumstances)
Your organisation’s sustainability (your ability to maintain your support to your beneficiaries over the longer term)

Question Title

* 4. Please tell us your organisation's postcode. If based at more than one site, please give the postcode of head office:

Question Title

* 5. Please tell us where your organisation works: (if you work in more than one District, please tick all that apply)

Question Title

* 6. Please tell us about who your organisation works with particularly: (please tick all that apply)

Question Title

* 7. Please tell us what your organisation provides: (please tick all that apply)

Question Title

* 9. It is really important to demonstrate the effect COVID-19 has had on how we support our beneficiaries. We realise some of these will be hard to answer but please try and estimate the following (please provide a numerical answer):

Question Title

* 10. Which of the following actions have you taken as an organisation? (if you do not have staff and/or volunteers please mark questions as N/A)

  Have done Plan to  Don't plan to/ Haven't done N/A
We have moved services substantially online
Staff & Volunteers are working from home
We have part-time furloughed staff 
We have full-time furloughed staff
We have generated additional trading income 
We have secured additional grant income
We have secured additional contract income
We have made redundancies
We have recruited additional volunteers 
We have recruited additional staff

Question Title

* 11. How significant are the following issues for your beneficiaries?

  Very Significant  Significant  Not Significant  Don't Know N/A
Access to equipment & supplies
Access to food & medicines 
Access to healthcare 
Access to mental health support 
Employment related issues 
Domestic violence
Availability of IT equipment or online connectivity 
IT skills and confidence levels 
Access to accommodation & housing
Hardship and financial support  
Safeguarding & protection from harm
Fuel Poverty 
Other

Question Title

* 12. How significant are the following issues for your organisation?

  Very Significant  Significant  Not Significant  Don't Know N/A
Access to equipment & supplies
Cost increases due to changes in your delivery model 
Increase in demand for your services
Cash-flow for your organisation 
Additional staff and volunteer training needs (please include details below) 
Your organisations medium to long term financial position
Your organisations short term financial position
Volunteer capacity/ levels of volunteers
Staff capacity/ staff levels
Workforce health and wellbeing
Immediate short term impact on beneficiaries/clients (please include details below)
Longer term impact on beneficiaries/clients (please include details below)
Organisational technical ICT /software /digital capacity 
Reduced demand for your services
Our service is being displaced / undercut by new COVID-19 response activities (Please provide details below)
Ability to understand and implement government guidance 
Uncertainty for future planning 
Funding availability revenue 
Funding availability capital
Other

Question Title

* 13. Please indicate the trends in the

  Decrease Stayed the same Increase Don't Know/ N/A
Range of services you offered over the last 6 months
Demand for your services over the next month
Your volunteer workforce over the next 3 months
Your paid workforce over the next 3 months
Range/ level of services you offer over the next 3 months
Your volunteer workforce over the last month
Your paid workforce over the last month

Question Title

* 14. How will your organisation 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 the same position as we were before the pandemic We will be in a worse position than we were before the pandemic We will be at the point of failure
Now
3 months
6 months
12 months

Question Title

* 15. As an organisation, do you have any additional comments, support needs or other issues you would like to highlight?

Question Title

* 16. If you would like one of our team to contact you personally about your issues or support need please leave your contact details here

Page1 / 1
 

T