Complete this anonymous questionnaire to get the most accurate, personalized list of possible assistance. The following questions are directly related to disaster assistance. Please answer them to the best of your ability or skip if not applicable. After you answer these questions, you may return to this tab to change your responses if needed.

1. As a result of this disaster, do you need assistance in any of the following categories?
Click here for more information on assistance categories.
2. What describes your housing/living situation prior to the disaster?
Click here for more information on housing/living situations.
3. Has your home flooded as a result of this disaster?
Click here for more information on flooding.
4. Have you or a member of your household experienced life-changing events as a result of this disaster? Check all that apply. If none apply, skip this question.
Click here for more information on life-changing events.
5. Are you or a member of your household any of the following? Check all that apply. If none apply, skip this question.
Click here for more information on household members.
6. Are you or a member of your household receiving government assistance or benefits (for example, Housing Choice Voucher Program (Section 8) assistance, Social Security benefits, etc.)?
Click here for more information on government assistance.
7. Are you or one of your direct dependents a U.S. citizen, non-citizen national, or qualified alien with eligible immigration status?
Click here for more information on citizenship.
8. Are you or a member of your household enrolled in a federally recognized American Indian Tribe or Alaska Native Tribe?
Click here for more information on federally recognized tribes.
9. At the time of the disaster, of what state, territory or tribal land were you a primary, legal resident?
Click here for more information on primary residence.

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