Owner Questionnaire

Nanostead Foundation x Residents Questionnaire

As some folks may know, Nanostead has been able to establish a 501c3 Non-profit to continue assisting with long-term recovery projects. Nanostead Foundation is currently structuring how we can best contribute to the network of support for Downtown Marshall, Rollins, and the greater needs of the community.

This may mean shifting how we send or find volunteers, what materials are needed, and how we work together in this community effort.

Your feedback will help us understand the scope of current or future needs and help us determine what areas of focus would be most useful to the specific needs of Downtown Marshall.

We are located at 806 Walnut Creek Rd. We are currently open Thursday- Saturday, 9a-6p. We have food and drinks available and some home and self care items. Please come by, call (828)222-0258, or email marshallrelief@gmail.com if you have any questions or need further assistance.

Name

Phone Number

Email Address*

example@example.com

Physical Address

Street Address

Street Address Line 2

Preferred Communication Method

PhoneTextEmail

Are you currently displaced?

YesNo

Did you own or rent your home?

YesNo

Do you need help finding safe housing?

YesNo

If yes, Please describe your current living conditions and most urgent current needs.

Did your home or property receive damage?

YesNo

Are you currently still needing help with clean up or demolition?

YesNo

In the future, would you want assistance with coordinating labor or sourcing materials for upcoming projects?

YesNoUndecided/Unclear

If yes, please provide a general idea of your upcoming plans, estimated timeline for start dates and what projects you may need support with:

Do you need assistance connecting with skilled labor and other professional services? (ex.

YesNo

Is there any feedback, questions or resources you would like to share with us?

If you are currently coordinating with Downtown hub and Nanostead, who is your point of contact?