Thank you for your interest in filling out this survey!
We are conducting this survey to help gather information about how the current pandemic has affected you, your family, and your community. 
We are members of Asian Pacific Partner for Empowerment, Advocacy, and Leadership (APPEAL), a national health justice organization working to achieve health equity for Asian Americans, Native Hawaiians, Pacific Islanders and other underserved communities. We are also fellows of the Statewide Pacific Islander Asian American Resource and Coordinating Center (SPARC) in the Gold Country region and partners of the Asian Pacific Islander American Public Affairs (APAPA). 
Your anonymous response will greatly assist us in addressing the needs of our community. This survey will only take 10-15 minutes. The first 100 people who are eligible to complete this survey will receive $5 in cash or a gift certificate. 

If you have any questions regarding this survey or if you'd like to learn more about our organization and partners, please contact:

Reener Balingit (
Hurjessica Virk (

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* 1. Do you identify as Asian American, Native Hawaiian, or Pacific Islander?

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* 2. Are you 18 years old and above?

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* 3. Which of the following counties in Gold Country do you currently reside?