2022 Connective Storm Needs Assessment - Registry

Impacted by the recent storm?

Please fill out this 5 minute survey to share your needs with local non-profits. Your participation will allow us to advocate for more resources for our community and strengthen recovery efforts. This isn’t an application for assistance, but you can opt-in to receive text messages about new resources as they become available
Primary Household Member Information

Please type your street address and city, and then click on the matching result. Please do not include apartment numbers or unit numbers.

Living Situation

Home Damage

We're very sorry to hear that. Make sure to take as many pictures of the damage as possible. Taking pictures will be useful in proving losses insurance companies and other relief agencies should assistance become available. 

Household Members

Consent & Release

Next Survey