1.How has covid affected you?

Drastically

Moderately

Minimally

2.Have you ever used our services in the past?

Yes

No

3.Have our services been helpful to you during the covid period?

Yes

No

4.How do you prefer to receive information or help?

Face to Face

Over the telephone

Via social media

5.4. Would you be interested in an online virtual support group (we would do this via a video call using either FaceTime/Skype or Zoom) where you could meet new friends, ask questions & receive support & advice?

Yes

No

*6.5. How can our services help you in the future?(Required.)