Existing with Coronavirus

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* 1. How are you coping during the Covid-19 pandemic?

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* 2. Has Covid-19 directly affected you or someone you know?

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* 3. If directly affected by Covid-19, please select in what capacity below.

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* 4. Which race/ ethnicity do you identify?

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* 5. Which city or town do you reside?

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* 6. Do you have or have access to personal protective equipment (PPE) such as masks and gloves?

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* 7. If you have experienced loss of any kind in direct correlation with the Public Health crisis of Covid-19 are you willing to document your experience?

If so, please explain briefly and include your name and contact information below. In the alternative, please email- smcameronesq@gmail.com. Note- All responses are confidential. Please share this survey with your networks. ~Stacey M. Cameron, JD, MPH

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