EPA 2020 COVID-19
WATER SECTOR SURVEY

Appendix B: Questionnaire
June 2021
&EPA
810-R-21-001

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EPA COVID-19 Water Sector Survey
Transcription of questionnaire fielded electronically October-December 2020
A.	DEMOGRAPHICS
A.	Please start by providing some basic demographic information.
Organization name and (if applicable) identifier: [Organization Name]
Organization type: [ORG TYPE: either community water system, wastewater system, or American Indian
or Alaska Native Village utility]
Al. Please select the primary location of your operations, [drop-down menu of states and
territories]
A2. Please tell us the approximate number of customers your [Organization Type] serves (the
number of people, not the number of connections). [The next sentence to be inserted only for
surveys going to community water systems (not wastewater facilities or AI/ANV utilities)]
Include both those you serve directly and (if applicable) those who receive treated drinking
water produced by you and resold by other systems. (Enter a number) [FIELD FOR NUMERICAL
ANSWER]
B.	SUPPLY CHAIN ISSUES
B.	In this section of the survey, we'd like to know about your experiences and concerns involving COVID-
19-related shortages and supply chain disruptions.
Bl. What kinds of shortages or supply chain disruptions did your [Organization Type] experience
from January 2020 through present day? (Select all that apply)
o
Treatment chemicals (e.g., sodium hypochlorite, lime)
o
Personal protective equipment (e.g., masks, gloves)
o
Durable goods, other critical equipment and supplies (e.g., pipes, fuel, filter
media), and other items
o
None
Bl.1.1 [If "Treatment chemicals" was selected in Bl] How severe were the treatment chemical
shortages or supply chain disruptions that you experienced from January 2020 through
present day?
1

-------



Moderate




(required




operational


No

changes to


impact
Slight (did
maintain a
Severe

from
not
constant
(affected

COVID-
compromise
level of
service
Item
19
operations)
service)
delivery)
Carbon dioxide
o
o
o
o
Ferric chloride
o
o
o
o
Fluoride
o
o
o
o
Gaseous chlorine
o
o
o
o
Liquid oxygen
o
o
o
o
Lime
o
o
o
o
Orthophosphate
o
o
o
o
Polymers
o
o
o
o
Potassium permanganate
o
o
o
o
Sodium hydroxide
o
o
o
o
Sodium hypochlorite
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
Other - 3 [TEXT ENTRY BOX]
o
o
o
o
Other - 4 [TEXT ENTRY BOX]
o
o
o
o
Other - 5 [TEXT ENTRY BOX]
o
o
o
o
Bl.1.2. [If at least one positive answer was given in Bl.1.1] What contributed to each shortage or
supply chain disruption? (select all that apply)
Item
Unavailable
from
supplier(s)
Delayed /
backordered
from
supplier(s)
Transportation /
distribution
difficulties
Price
Other
(please
specify)
[options based
on answers given
to Bl.1.1]
o
o
o
o
[TEXT
ENTRY
BOX]
2

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Bl.1.3. [If at least one positive answer was given in Bl. 1.1] How did you address each shortage or
supply chain disruption? (select all that apply)
Item
Found
alternative
supplier
Drew
down
existing
inventory
Switched
chemicals,
procedures, or
technologies
Sought help
from
neighboring
utilities or
mutual aid
network
(e.g., WARN)
Coordinated
with local or
state
emergency
management
agency
Other
(please
specify)
[options
based on
answers
given to
Bl.1.1]
o
o
o
o
o
[TEXT
ENTRY
BOX]
Bl.1.4. [If "Switch chemicals, procedures, or technologies" selected in Bl.1.3] What did you switch
to?

Switched to:
[options based on answers
given to Bl.1.3]
[TEXT ENTRY BOX]
Bl.2.1 [If "Personal protective equipment" was selected in Bl] How severe were the personal
protective equipment shortages or supply chain disruptions that you experienced from
January 2020 through present day?



Moderate




(required




operational


No

changes to


impact
Slight (did
maintain a
Severe

from
not
constant
(affected

COVID-
compromise
level of
service
Item
19
operations)
service)
delivery)
N95 masks and/or




elastomeric respirators




Alternative mask options




(surgical, cloth, etc.)




Face shield and/or




protective eye wear




Nitrile and/or latex gloves
o
o
o
o
Tyvek suite and/or




disposable coveralls




3

-------
Sanitizing wipes, sprays for
cleaning work offices, or
gels for hand sanitizing
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
Other - 3 [TEXT ENTRY BOX]
o
o
o
o
Other - 4 [TEXT ENTRY BOX]
o
o
o
o
Other - 5 [TEXT ENTRY BOX]
o
o
o
o
Bl.2.2 [If at least one positive answer was given in Bl.2.1] What contributed to each shortage or
supply chain disruption? (select all that apply)
Item
Unavailable
from
supplier(s)
Delayed /
backordered
from
supplier(s)
Transportation /
distribution
difficulties
Price
Other
(please
specify)
[options based on
answers given to
Bl.2.1]
o
o
o
o
[TEXT
ENTRY
BOX]
Bl.2.3. [If at least one positive answer was given in Bl.2.1] How did you address each shortage or
supply chain disruption? (select all that apply)
Item
Found
alternative
supplier
Drew
down
existing
inventory
Switched
chemicals,
procedures, or
technologies
Sought help
from
neighboring
utilities or
mutual aid
network
(e.g., WARN)
Coordinated
with local or
state
emergency
management
agency
Other
(please
specify)
[options
based on
answers
given to
Bl.2.1]
o
o
o
o
o
[TEXT
ENTRY
BOX]
Bl.2.4. [If "Switch chemicals, procedures, or technologies" selected in Bl. 1.3] What did you switch
to?

Switched to:
[options based on answers
given to Bl.2.3]
[TEXT ENTRY BOX]
4

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Bl.3.1 [If "Durable goods..." was selected in Bl] How severe were the shortages or supply chain
disruptions involving durable goods and other critical equipment and supplies, etc. that you
experienced from January 2020 through present day?



Moderate




(required




operational


No

changes to


impact
Slight (did
maintain a
Severe

from
not
constant
(affected

COVID-
compromise
level of
service
Item
19
operations)
service)
delivery)
Filter media
o
o
o
o
Granular / Powdered




Activated Carbon (GAC /
o
o
o
o
PAC)




Membrane modules
o
o
o
o
Pumps
o
o
o
o
Motors
o
o
o
o
Pipes
o
o
o
o
Valves
o
o
o
o
Fuel
o
o
o
o
Vehicles
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
Other - 3 [TEXT ENTRY BOX]
o
o
o
o
Other - 4 [TEXT ENTRY BOX]
o
o
o
o
Other - 5 [TEXT ENTRY BOX]
o
o
o
o
Bl.3.2 [If at least one positive answer was given in Bl.3.1] What contributed to each shortage or
supply chain disruption? (select all that apply)
Item
Unavailable
from
supplier(s)
Delayed /
backordered
from
supplier(s)
Transportation /
distribution
difficulties
Price
Other
(please
specify)
[options based
on answers
given to Bl.3.1]
o
o
o
o
[TEXT
ENTRY
BOX]
5

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Bl.3.3. [If at least one positive answer was given in Bl.3.1] How did you address each shortage or
supply chain disruption? (select all that apply)
Item
Found
alternative
supplier
Drew
down
existing
inventory
Switched
chemicals,
procedures, or
technologies
Sought help
from
neighboring
utilities or
mutual aid
network
(e.g., WARN)
Coordinated
with local or
state
emergency
management
agency
Other
(please
specify)
[options
based on
answers
given to
Bl.3.1]
o
o
o
o
o
[TEXT
ENTRY
BOX]
Bl.3.4. [If "Switch chemicals, procedures, or technologies" selected in Bl.3.3] What did you switch
to?

Switched to:
[options based on answers
given to Bl.3.3]
[TEXT ENTRY BOX]
B2. What kinds of potential shortages or supply chain disruptions is your [Organization Type] most
concerned about from present day through December 2020? (Select all that apply)
o
Treatment chemical shortages (e.g., sodium hypochlorite, lime)
o
Personal protective equipment shortages (e.g., masks, gloves)
o
Durable goods, other critical equipment and supplies (e.g., pipes, fuel, filter
media), and other items
o
None
6

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B2.1.1. [If "Treatment chemicals" was selected in B2] How severe are your concerns about
treatment chemical shortages or supply chain disruptions from present day to December
2020?



Moderate




(could




require




operational


No

changes to


impact
Slight (not
maintain a


from
likely to
constant
Severe (could

COVID-
compromise
level of
affect service
Item
19
operations)
service)
delivery)
Carbon dioxide
o
o
o
o
Ferric chloride
o
o
o
o
Fluoride
o
o
o
o
Gaseous chlorine
o
o
o
o
Liquid oxygen
o
o
o
o
Lime
o
o
o
o
Orthophosphate
o
o
o
o
Polymers
o
o
o
o
Potassium permanganate
o
o
o
o
Sodium hydroxide
o
o
o
o
Sodium hypochlorite
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
Other - 3 [TEXT ENTRY BOX]
o
o
o
o
Other - 4 [TEXT ENTRY BOX]
o
o
o
o
Other - 5 [TEXT ENTRY BOX]
o
o
o
o
B2.1.2. [If at least one positive answer was given in B2.1.1] For each item, what are you most
concerned about from present day to December 2020? (select all that apply)
Item
Unavailable
from
supplier(s)
Delayed /
backordered
from
supplier(s)
Transportation
/ distribution
difficulties
Price
Other
(please
specify)
[options based
on answers
given to B2.1.1]
o
o
o
o
[TEXT
ENTRY
BOX]
7

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B2.1.3. [If at least one positive answer was given in B2.1.1] What steps have you taken or are you
taking to prepare for potential shortages and supply chain disruptions? (select all that
apply)
Item
Seek
alternative
suppliers
Increase
purchasing
/ maintain a
larger than
typical
inventory
Switch
chemicals,
procedures,
or
technologies
Make
arrangements
with neighboring
utilities or mutual
aid networks
(e.g., WARN)
Other
(please
specify
)
[options
based on
answers
given to
B2.1.1]
o
o
o
o
[TEXT
ENTRY
BOX]
B2.1.4. [If "Switch chemicals, procedures, or technologies" selected in B2.1.3] What are you switching
to?

Switching to:
[options based on answers
given to B2.1.3]
[TEXT ENTRY BOX]
B2.2.1. [If "Personal protective equipment" was selected in B2] How severe are your concerns
about personal protective equipment shortages or supply chain disruptions from present
day to December 2020?



Moderate




(could




require




operational


No

changes to


impact
Slight (not
maintain a


from
likely to
constant
Severe (could

COVID-
compromise
level of
affect service
Item
19
operations)
service)
delivery)
N95 masks and/or
o



elastomeric respirators




Alternative mask options
o



(surgical, cloth, etc.)




Face shield and/or
o



protective eye wear




Nitrile and/or latex gloves
o
o
o
o
8

-------
Tyvek suite and/or
disposable coveralls
o
o
o
o
Sanitizing wipes, sprays for
cleaning work offices, or gels
for hand sanitizing
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
Other - 3 [TEXT ENTRY BOX]
o
o
o
o
Other - 4 [TEXT ENTRY BOX]
o
o
o
o
Other - 5 [TEXT ENTRY BOX]
o
o
o
o
B2.2.2. [If at least one positive answer was given in B2.2.1] For each item, what are you most
concerned about from present day to December 2020? (select all that apply)
Item
Unavailable
from
supplier(s)
Delayed /
backordered
from
supplier(s)
Transportation
/ distribution
difficulties
Price
Other
(please
specify)
[options based
on answers
given to B2.2.1]
o
o
o
o
[TEXT
ENTRY
BOX]
B2.2.3. [If at least one positive answer was given in B2.2.1] What steps have you taken or are you
taking to prepare for potential shortages and supply chain disruptions? (select all that
apply)
Item
Seek
alternative
suppliers
Increase
purchasing
/ maintain a
larger than
typical
inventory
Switch
chemicals,
procedures,
or
technologies
Make
arrangements
with neighboring
utilities or mutual
aid networks
(e.g., WARN)
Other
(please
specify
)
[options
based on
answers
given to
B2.2.1]
o
o
o
o
[TEXT
ENTRY
BOX]
B2.2.4. [If "Switch chemicals, procedures, or technologies" selected in B2.1.3] What are you
switching to?
Item
Switching to:
[options based on answers
given to B2.2.3]
[TEXT ENTRY BOX]
9

-------
B2.3.1. [If "Durable goods..." was selected in B2] How severe are your concerns about shortages
or supply chain disruptions involving durable goods and other critical equipment and
supplies, etc. from present day to December 2020?



Moderate




(could




require




operational


No

changes to


impact
Slight (not
maintain a


from
likely to
constant
Severe (could

COVID-
compromise
level of
affect service
Item
19
operations)
service)
delivery)
Filter media
o
o
o
o
Granular Activated Carbon




(GAC)/ Powdered Activated
o
o
o
o
Carbon (PAC)




Membrane modules
o
o
o
o
Pumps
o
o
o
o
Motors
o
o
o
o
Pipes
o
o
o
o
Valves
o
o
o
o
Fuel
o
o
o
o
Vehicles
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
Other - 3 [TEXT ENTRY BOX]
o
o
o
o
Other - 4 [TEXT ENTRY BOX]
o
o
o
o
Other - 5 [TEXT ENTRY BOX]
o
o
o
o
B2.3.2. [If at least one positive answer was given in B2.3.1] For each item, what are you most
concerned about from present day to December 2020? (select all that apply)
Item
Unavailable
from
supplier(s)
Delayed /
backordered
from
supplier(s)
Transportation
/ distribution
difficulties
Price
Other
(please
specify)
[options based
on answers
given to B2.3.1]
o
o
o
o
[TEXT
ENTRY
BOX]
10

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B2.3.3. [If at least one positive answer was given in B2.3.1] What steps have you taken or are you
taking to prepare for potential shortages and supply chain disruptions? (select all that
apply)
Item
Seek
alternative
suppliers
Increase
purchasing
/ maintain a
larger than
typical
inventory
Switch
chemicals,
procedures,
or
technologies
Make
arrangements
with neighboring
utilities or mutual
aid networks
(e.g., WARN)
Other
(please
specify
)
[options
based on
answers
given to
B2.3.1]
o
o
o
o
[TEXT
ENTRY
BOX]
B2.3.4. [If "Switch chemicals, procedures, or technologies" selected in B2.3.3] What are you
switching to?
Item
Switched to:
[options based on answers
given to B2.3.3]
[TEXT ENTRY BOX]
B3. Has your [Organization Type] made any requests for personnel, supplies, or equipment to your
tribal, local, or state emergency operations center (EOC), primacy agency, or similar
organization?
1.	Yes, and the request was entirely fulfilled.
2.	Yes, and the request was partly fulfilled.
3.	Yes, but the request was overlooked or not fulfilled.
4.	No, support was not needed.
5.	No, but we would have made a request for support if the option had been available to us or if
we had known about it in time
6.	Do not know
B4. Is there anything else you would like to add about supply chain issues, or to explain how you
developed your answers? [TEXT ENTRY BOX]
11

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C. WORKFORCE ISSUES
C. Next, we would like to identify and understand concerns about COVID-19-related workforce issues.
CI. To what extent did your [Organization Type] experience shortages of key personnel, including
contractors performing critical functions to maintain operations, from January 2020 through
present day? (Depending on your browser, you may need to scroll to the right to see all
options.)



Moderate





shortage





(required




Slight
operational
Severe



shortage
changes to
shortage


No
(did not
maintain a
(affected


shortage
compromise
constant level
service
Do not
Personnel type
at all
operations)
of service)
delivery)
know
Licensed or certified drinking water





and/or wastewater operators





Laboratory technicians / sample





analysts





Field workers (meter reading,





sampling, maintenance, etc.)





Engineering/ design / construction





personnel





Critical equipment repair
o
o
o
o
o
Administrative
o
o
o
o
o
Customer service
o
o
o
o
o
Other [TEXT ENTRY BOX]
o
o
o
o
o
12

-------
C2. To what extent do you expect to experience shortages of key personnel, including contractors
performing critical functions to maintain operations, from present day through December
2020? (Depending on your browser, you may need to scroll to the right to see all options.)



Moderate





shortage





(could





require




Slight
operational
Severe



shortage
changes to
shortage



(not likely
maintain a
(could


No
to
constant
affect


shortage
compromise
level of
service
Do not
Personnel type
at all
operations)
service)
delivery)
know
Licensed or certified drinking water





and/or wastewater operators





Laboratory technicians / sample





analysts





Field workers (meter reading, sampling,





maintenance, etc.)





Engineering/ design / construction





personnel





Critical equipment repair
o
o
o
o
o
Administrative
o
o
o
o
o
Customer service
o
o
o
o
o
Other [TEXT ENTRY BOX]
o
o
o
o
o
13

-------
C3. [To be asked if respondents select slight, moderate, or severe for any personnel type in
questions CI or C2.] What factors contribute to personnel shortages you identified on the
previous page? (Check all that apply)

Does not
contribute
Contributes
somewhat
Contributes
significantly
Do not
know
Absenteeism (illness, care of family
members, daycare closure, virtual
schooling, etc.)
o
o
o
o
Layoffs or furloughs
o
o
o
o
Reduced work hours of current staff
o
o
o
o
Delayed or canceled plans to hire staff
o
o
o
o
Lack of backup certified personnel
o
o
o
o
Operators unable to obtain or
maintain needed certification due to
lack of in-person training
o
o
o
o
Restrictions on travel
o
o
o
o
Lack of I.T. infrastructure (e.g.,
equipment, network capacity)
o
o
o
o
Other (please specify) [TEXT ENTRY
BOX]
o
o
o
o
C4. What strategies or resources has your [Organization Type] used to address potential shortages
of certified operators, laboratory staff, or other trained personnel during the COVID-19
pandemic? (Select all that apply)
o
Used technology (e.g., live video feeds) to allow some operational tasks to be performed remotely
o
Used telework for job functions that could be performed remotely
o
Decreased staffing/changed shift work while maintaining core operations
o
Delayed non-critical work
o
Increased use of contractors
o
Accessed operators from nearby utilities, including via WARN or other mutual aid networks
o
Utilized backup laboratory services
o
Other (please specify) [TEXT ENTRY BOX]
C4.1. [If one or more options was selected in response to C4] Did the strategies you implemented help
mitigate staffing shortages?

Yes
Not sure
No
[options based on answers given to C4]
o
o
o
C5. What is the greatest concern your [Organization Type] has associated with maintaining staffing
during the pandemic? (Select one)
14

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1.	Availability of testing for illness
2.	Availability of PPE
3.	Ability to house personnel on site
4.	Cross-training personnel
5.	Protecting high-risk employees
6.	Adhering to changing local and state requirements
7.	Other (please specify): [TEXT ENTRY BOX]
C6. Is there anything else you would like to add about workforce issues, or to explain how you
developed your answers? [TEXT ENTRY BOX]
D. FINANCIAL ISSUES
D. Next, please identify any financial impacts that your [Organization Type] has experienced due to the
COVID-19 pandemic. As a reminder, you are answering on behalf of [Organization Name],
[This paragraph to be inserted only for surveys going to wastewater facilities (not community water
systems or AI/ANV utilities).] (We understand that in some cases a wastewater facility may belong to a
larger organization such as a municipality that manages multiple facilities. Please answer specifically for
the wastewater facility identified above. If that is not possible, please explain how you are answering
the financial questions in your response to question D6, at the end of this section.)
15

-------
Dl.1.1. Let's start with your [Organization Type]'s operational budget from January 2020 to the
present. Since different organizations have different accounting periods, please tell us the cutoff date
you will be using for "the present" when filling out the following table. For example, your cutoff date
could be the last day of your most recent accounting month. (Please enter as mm/dd/yyyy) [DATE FIELD]
Dl.1.2. Please indicate the state of your [Organization Type]'s operating budget from January 2020 to
the present.


Value (in
This number is:
Don't know


dollars)
Exact
Estimate
the value

Budgeted operating
revenue (January 2020 -
present)
[NUMERICAL
ENTRY FIELD]
o
o
o
Actual operating
revenue (January 2020 -
present)
[NUMERICAL
ENTRY FIELD]
o
o
o
Budgeted operating
expenses (January 2020 -
present)
[NUMERICAL
ENTRY FIELD]
o
o
o
Actual operating
expenses (January 2020 -
present)
[NUMERICAL
ENTRY FIELD]
o
o
o
[To be asked if the January to present anticipated revenue is lower than the January to present
budgeted revenue] Your answers indicate that actual operating revenue was lower than budgeted
during the January to present period. What COVID-19-related factors contributed to this?
Factors
Not a
contributor
Contributor
Significant
contributor
Do not
know

Nonpayment of bills
o
o
o
o

Decreased use (decreased
demand for service)
o
o
o
o

Reduction in rates and/or
fees
o
o
o
o

Other - 1 [TEXT ENTRY BOX]
o
o
o
o

Other - 2 [TEXT ENTRY BOX]
o
o
o
o

D1.3. [To be asked if the January to present anticipated expenses are higher than the January to
present budgeted expenses] Your answers indicate that actual operating expenses were higher
than budgeted during the January to present period. What COVID-19-related factors
contributed?
16

-------
Factors
Not a
contributor
Contributor
Significant
contributor
Do not know
Personnel costs (e.g.,
overtime, increased hours)
o
o
o
o
Consumables (e.g., higher
cost for chemicals, more
sanitation/cleaning, higher
inventories)
o
o
o
o
Utilities costs (e.g., higher
power, fuel, etc. costs)
o
o
o
o
PPE (e.g., cloth masks)
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
D2.1. We would like your assessment of your [Organization Type]'s financial situation for the rest of
2020. We recognize that projections for the rest of the year are uncertain, but do you expect your
financial situation for the remainder of the year to improve, to worsen, or to stay about the same,
compared with the January to present timeframe?

Financial outlook for the remainder of 2020
Improve
Stay about the
same
Worsen
Do Not
Know
Operating revenue
o
o
o
o
Operating expense
o
o
o
o
D2.2. [To be asked IF the response above indicates that the operating revenue situation is expected to
"worsen."] To what COVID-19-related factors do you attribute the worsening outlook for
operating revenue in the remainder of 2020?
Factors
Not a
contributor
Contributor
Significant
contributor
Do not
know
Nonpayment of bills
o
o
o
o
Decreased use (decreased
demand for service)
o
o
o
o
Reduction in rates and/or
fees
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
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D2.3.
[To be asked IF the response above indicates that the operating expense situation is expected to
"worsen."] To what COVID-19-related factors do you attribute the worsening outlook for
operating expenses in the remainder of 2020?
Factors
Not a
contributor
Contributor
Significant
contributor
Do not know
Personnel costs (e.g.,
overtime, increased hours)
o
o
o
o
Consumables (e.g., higher
cost for chemicals, more
sanitation/cleaning, higher
inventories)
o
o
o
o
Utilities costs (e.g., higher
power, fuel, etc. costs)
o
o
o
o
PPE (e.g., cloth masks)
o
o
o
o
Other - 1 [TEXT ENTRY BOX]
o
o
o
o
Other - 2 [TEXT ENTRY BOX]
o
o
o
o
D3.1. If your [Organization Type] has experienced or anticipates a decrease in cash flow due to COVID-
19, what mitigating actions are you taking or planning? (Select all that apply)
o
Drawing down days cash on hand
o
Drawing on reserve funds
o
Delaying maintenance
o
Reducing staff hours
o
Reducing staff pay and/or benefits
o
Laying off staff
o
Incurring additional debt
o
Refinancing debt and/or deferring debt payments
o
Delaying/canceling capital improvement projects
o
Adjusting rates higher than originally planned
o
Other - 1 [TEXT ENTRY BOX]
o
Other - 2 [TEXT ENTRY BOX]
o
Not applicable (no decrease in cash flow)
D3.2. [To be asked if a positive answer is given to D3.1] What type of impact do you think these
actions are making or will make in mitigating the decrease in your [Organization Type]'s cash
flow?
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Have made / will
make a small
impact
Have made / will
make a large
impact
Do not know
[options based on answers given
to D3.1]
o
o
o
D4. Which of the following is your [Organization Type] considering regarding capital infrastructure
projects due to COVID-19? (Select all that apply)
o
Not applicable (no projects planned)
o
No change to current or planned projects
o
Pausing/slowing a project for which construction has begun
o
Delaying starting a project that was planned to start soon
o
Accelerating starting a project
o
Reducing the scope or funding for a project for which construction has begun
o
Increasing the scope or funding for a project (current or planned)
o
Delaying applying for a subsidized loan/grant by at least six months
o
Accelerating interest in applying for a subsidized loan/grant for a shovel-ready project
o
Other (please specify) [TEXT ENTRY BOX]
o
Do not know
In response to COVID-19, what actions has your [Organization Type] taken to help alleviate
economic impacts on customers? (Select all that apply)
o
Suspended service shutoffs
o
Waived late payment fees
o
Provided extensions on bill payment
o
Expanded customer assistance programs
o
Expanded water conservation programs
o
Delayed or eliminated planned rate adjustment
o
Lowered rates
o
Other (please specify) [TEXT ENTRY BOX]
o
None (no actions taken to alleviate economic impact on customers)
o
Do not know
D6. Is there anything else you would like to add about financial issues, or to explain how you
developed your answers? [TEXT ENTRY BOX]
E. ANAL YTICAL SUPPORT ISSUES
E. Next, we'd like to know if the COVID-19 pandemic has affected your ability to complete required
sampling and laboratory analyses.
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El. What COVID-19-related conditions have interfered with your [Organization Type]'s ability to
complete the required sampling needed to operate your system and to determine compliance
with regulations? (Select all that apply)
o
Lack of available personnel for sample collection
o
Lack of available supplies for sampling and/or shipping
o
Lack of available personal protective equipment
o
Lack of access to approved monitoring locations (e.g., for pre-treatment sampling or coliform
sampling)
o
Other (please specify): [TEXT ENTRY BOX]
o
None (no COVID-19-related hindrances to completion of required sampling)
o
Do not know
What COVID-19-related conditions have interfered with your [Organization Type]'s ability to
complete required laboratory analyses needed to operate your system and to determine
compliance with regulations? (Select all that apply)
o
Lack of available laboratory personnel
o
Lack of available supplies for sampling and/or shipping
o
Lack of available personal protective equipment
o
Internal laboratory capacity shortages that delay timely analysis
o
Decreased access to external laboratory services
o
Delays in external laboratory services
o
Sample transport delays
o
Travel restrictions
o
Revenue interruption
o
Other (please specify): [TEXT ENTRY BOX]
o
None (no COVID-19-related hindrances to completion of required laboratory analysis)
o
Do not know
E3. Is there anything else you would like to add about analytical support issues, including how you
addressed them (e.g., using primacy-agency-approved alternate sampling sites), or to explain
how you developed your answers? [TEXT ENTRY BOX]
F. CYBERSECURITY ISSUES
F. Please tell us about any cybersecurity issues or concerns.
Fl. Has your [Organization Type] experienced any issues or concerns related to cybersecurity during
the pandemic? [Yes/No]
Fl.l. [appears if answer to Fl is "Yes"] Please describe the issues or concerns. [TEXT ENTRY BOX]
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G. CLOSING
G. Finally, we'd like to ask you where you think the greatest challenges lie.
Gl. Looking ahead to the next several months, please indicate your level of concern about topics
covered in this survey.
Issue
No concern
Mild concern
Serious
concern
Don't know
Supply Chain
o
o
o
o
Workforce
o
o
o
o
Financial
o
o
o
o
Analytical Support
o
o
o
o
Cybersecurity
o
o
o
o
G2. Thank you for participating in this survey. Is there anything else you would like to tell us? [TEXT
ENTRY BOX]
G3. To whom should any questions regarding your responses to the survey be directed?
1.	Name [TEXT ENTRY BOX]
2.	Title [TEXT ENTRY BOX]
3.	Email address [FIELD FOR EMAIL ADDRESS]
4.	Phone number [FIELD FOR PHONE NUMBER]
Submittal. Please double-check that you have answered all questions in the survey. (A "check" mark in
the Table of Contents indicates that you have reached end of each section of the survey, but not that
you have answered all questions in the section. We recommend that you go back to the beginning and
page through to ensure all questions are answered.) When you press "Submit," you will no longer be
able to change your answers.
[SUBMIT BUTTON]
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