As part of our continuing efforts to respond to COVID-19, we are seeking critical feedback from residents to help us keep our community healthy and safe and plan for the future.

Please take this quick survey. The results will help us make informed decisions as we work alongside other local, regional, state, and federal governments.

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* 1. How many people (including yourself) live in the household?

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* 2. Do you own are rent your home?

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* 3. Are you receiving the information you need on COVID-19 and strategies to slow the spread?

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* 4. What sources are you using to get information about local efforts to address COVID-19?

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* 5. Are you concerned about getting access to these basic needs either now or in the next couple of weeks? (Select all that apply)

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* 6. What are your household's concerns right now regarding COVID-19? (Select all that apply)

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* 7. What do you need during this time to feel safe and to take care of yourself and your family?

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* 8. If you or a household member are over 55, do you want a weekly wellness call?

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* 9. Do you want someone to follow up with you and direct you to resources?

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* 10. Do you receive e-notifications and alerts via text or email from Chesterfield Township? (If no, visit www.chesterfieldtwp.org and click on the Notify Me Button to sign up)

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* 11. Are you practicing the following to keep you and your loved ones safe during the COVID-19 pandemic? (Select all that apply)

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* 12. If you or a family member were showing symptoms such as fever, cough, or tiredness, would you get tested for COVID-19?

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* 13. Which (if any) of the following factors prevent you from getting tested for COVID-19?

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