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* 1. I live in Francisville

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* 2. I personally had or know someone who was diagnosed with Covid 19 

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* 3. I know someone who died from COVID 19 related sickness

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* 4. How afraid are you of contracting COVID 19

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* 5. I have underage children

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* 6. I work at a hospital or am a home care provider

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* 7. I am educated on the facts about COVID 19

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* 8. I trust the information being released through mainstream news 

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* 9. I have been emotionally/mentally or financially harmed by the extreme changes in my life due to COVID 19

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* 10. I believe I am high risk for contracting and dying from COVID 19

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* 11. My right to make decisions and form opinions for myself is threatened due to COVID 19

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* 12. I believe wearing a mask when I am not sick will protect me from catching COVID 19.

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* 13. I believe that wearing a mask when I feel sick will protect others

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* 14. I do not know what to think or believe about COVID 19

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* 15. I will take the vaccine when it is available

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* 16. I know it is my right to decide for myself and children to take or not take any action with regard to COVID 19 or any other contagious illnesses regardless of any government, state or city mandates, instructions or recommendations

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* 17. Is there anything we did not ask?  Write in your comment

0 of 17 answered
 

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