Black Health Matters Survey Question Title * 1. To what degree has COVID-19 affected your personal/family life? Not at all affected Slightly affected Very affected Extremely affected Please Explain Question Title * 2. To what degree has COVID-19 affected your work life? Not at all Affected Slightly affected Very affected Extremely affected Please Explain Question Title * 3. In what ways have you been negatively impacted by COVID-19? (check all that apply) Social isolation Stress due to yourself or family member being an essential worker Increased household expenses Loss of income (reduced hours) Loss of employment (laid off) Loss of health insurance Barriers for children accessing distance learning Not enough food Personal/community violence Loss of life/illness due to COVID-19 Loss of housing Other (please explain) Question Title * 4. Since the COVID-19 pandemic started, how often have you felt nervous, anxious or worried? Less than before the pandemic More than before the pandemic No change Question Title * 5. Do you trust the healthcare system in Santa Cruz County to provide good care if you become sick with COVID-19. Yes No Not Sure Question Title * 6. Which of the following age groups are you in? 17 years and under 18-24 years 25-44 years 45-64 years 65 years and over Question Title * 7. Which racial/ethnic group do you identify with most? White Hispanic or Latino Black or African American Asian American Indian or Alaska Native Native Hawaiian or Pacific Islander Multi-ethnic/Multi-racial Other (please specify) Other (please specify) Question Title * 8. What is your current gender identity? Male Female Non-binary/genderqueer/gender non-conforming Trans male/trans man Trans female/trans woman Prefer to self-describe: Question Title * 9. For the latest COVID news, who do you turn to most often? (Pick your 3 top trusted sources) Newspaper TV news Facebook/Social Media Health Website Healthcare provider Friends or Family Faith Community Radio Other (please specify) Question Title * 10. Are you able to find information about how to stay safe during COVID? No, it's confusing Yes, I know where to turn Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 11. Are you able to find information about wellness and health resources to support you and your family? No, it's confusing Yes, I know where to turn Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 12. Please feel free to share more Question Title * 13. Throughout the pandemic, how have Parks and the Outdoors supported you and your family? Question Title * 14. Compared to pre-pandemic life, we’ve used outdoor spaces: MORE The SAME LESS Question Title * 15. Do you know that after 1. masking and 2. physical distancing, that 3. being outdoors is the third most important criteria to help lower COVID transmission? Yes I knew that I had heard something about this No, I didn’t realize the science was so clear Question Title * 16. Do you know Santa Cruz County has 2000+ acres of County Parks, plus additional State, and City Parks free for you to enjoy? Yes, I know Makes sense No, didn’t realize Question Title * 17. How comfortable do you feel in our parks and outdoor spaces? Not Comfortable Comfortable Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 18. How safe do you feel in our parks and outdoor spaces? Safe Not Safe Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 19. Has the Black Health Matters Initiative affected how you engage with our public parks and outdoor spaces? Less Comfortable More Comfortable The SAME Less Safe More Safe Question Title * 20. Has the Black Health Matters Initiative affected your use of our public parks and outdoor spaces? Less likely to use More likely to use Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 21. Please feel free to share more Question Title * 22. Best email to be entered into raffle: Done