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Using the range from 1-5, identify your entity's needs. <br />1 indicates lowest need, 5 indicates highest need. <br />Short-Term Homeowner Mortgage Assistance <br />--Select One -- <br />Homelessness Assistance <br />--Select One -- <br />Short-Term Tenant Rent Assistance <br />--Select One -- <br />Business Assistance <br />--Select One -- <br />Medical Services <br />--Select One -- <br />Mental Health Services <br />--Select One -- <br />Food Shelves <br />--Select One -- <br />Domestic Violence <br />--Select One -- <br />Are there additional needs related to COVID-19 prevention, response, and recovery efforts not listed above that <br />could assist your community, organization and/or business? <br />(limit 50 words) <br />Does your agency have any specific activities that would address a community need related to COVID-19? <br />(limit 150 words) <br />protected by reCAPTCHA <br />Privacy - Terms <br />Receive an email copy of this form. <br />Email address <br />This field is not part of the form submission. <br />* indicates a required field <br /> <br />Page 2 of 3Anoka County, MN -Official Website <br />4/30/2020https://www.anokacounty.us/FormCenter/Community-Development-28/Survey-for-Investment-of-CARES-...