Lāhainā Strong Needs Assessment

Aloha — we are local Lāhainā and Maui residents supporting each other as we recover from the wildfires. Please take two minutes to complete this neighbor-to-neighbor needs assessment, and we’ll work to connect you to the right resources and stay in touch over the long-run.

First Name

Last Name

Phone

Email

Postal code

What is your preferred method of communication?

Do you have a safe place to stay post fire?

Yes

No

Have you experienced physical, verbal, or sexual violence while displaced from the fires?

Yes

No

Are their keiki in your immediate 'ohana?

Yes

No

If yes, how many keiki?

Do you have kūpuna in your immediate 'ohana?

Yes

No

If yes, how many kupuna?

Feel free to share more on your resource needs

Feel free to share more of your thoughts about rebuilding

Would you like to get involved in our organizing efforts to provide community relief and ensure that the recovery and rebuilding of Lāhainā and Maui are community-led?

Yes

No

Maybe

By sharing my information with Lāhainā Strong I understand and agree to be contacted by phone call, sms, and/or email about the choices I've indicated above.