Your responses are essential for us and will be kept confidential. This survey will take approximately 10 minutes to complete.

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* 1. On a scale of 1-10, how has the pandemic impacted you?

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* 2. What challenges have you faced during this pandemic?

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* 3. How has the pandemic impacted your community?

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* 4. What community is your place of residence?

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* 5. In what community do you work?

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* 6. What is your job/occupation?

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* 7. What is your occupation status?

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* 8. Aside from financial support, what resources would best assist you?

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* 9. What resources would best assist your community?

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* 10. What is your race or ethnicity?

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* 11. What is your age?

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* 12. What is your household size?

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* 13. How many dependents live in your household?

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* 14. Would you like to receive more information from RNDC?

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* 15. Respondent Information (All responses will be held in confidence)
Information is required if you would like additional information.

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