Community Needs Assessment

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This form will be used to create a space to identify concerns and unmet needs of residents and community groups who have been affected by the Key Bridge collapse. The needs assessment will help inform Unified Command decisions and communications, but does not guarantee immediate action. For urgent resource needs, call 2-1-1. For more information on recovery resources visit Response.Marland.gov/bridge.

Email *

Name *

Phone number *

Email *

Location *

Baltimore City

Baltimore County

Anne Arundel County

Other

If "Other" please identify your County of residence or work
*

Do you have any unmet needs identified as a result of the Key Bridge collapse? *

Yes

If you answered yes, please select all that apply

Transportation (cost, commute, traffic, etc.)

Environmental (water contamination, air quality, etc.)

Human Services (Food insecurity, childcare, etc.)

Health and Medical (mental health support, transportation to critical appointments, etc.)

Economics (loss of revenue, loss of employment, unemployment insurance, etc.)

Other

Briefly explain

A copy of your responses will be emailed to the address you provided.

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