Cleveland Department of Public Health COVID-19 Community Feedback

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* 1. We want to hear from you about your concerns, your hopes and vision for reopening the community, and your suggestions to keep you, your family and community safe. Please enter them below.

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* 2. How worried are you about...

	Very worried	Somewhat worried	Only a little worried	Not at all worried
Getting infected with COVID-19?	Getting infected with COVID-19? Very worried	Getting infected with COVID-19? Somewhat worried	Getting infected with COVID-19? Only a little worried	Getting infected with COVID-19? Not at all worried
The economic impact of COVID-19 on the economy?	The economic impact of COVID-19 on the economy? Very worried	The economic impact of COVID-19 on the economy? Somewhat worried	The economic impact of COVID-19 on the economy? Only a little worried	The economic impact of COVID-19 on the economy? Not at all worried
The state re-opening?	The state re-opening? Very worried	The state re-opening? Somewhat worried	The state re-opening? Only a little worried	The state re-opening? Not at all worried

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* 3. What, if anything, about the state re-opening is worrying you? (Click all that apply)

Ability to maintain social distance

Businesses ability to provide protection to staff and customers

Access to Personal Protective Equipment (masks, etc)

Other (please specify)