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* 1. Since March I have:
(pick the one that most applies)

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* 2. Currently:
(pick the one that most applies)

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* 3. Do you feel like there is a rift between you and some of your friends and family regarding your concerns or beliefs around COVID-19?

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* 4. I am worried that because of COVID-19, someone I know personally is: 
(check all that apply)

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* 5. Do you feel like your local government is doing a good job keeping you informed?

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* 6. Who do you trust most for information on COVID-19?

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* 7. Have you experienced increased worry about the following as a result of COVID-19?
(check all that apply)

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* 8. I feel like the best course of action is to:

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* 9. I feel like the government is:

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* 10. The pandemic and response have had:

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* 11. Were you or someone close to you infected by the coronavirus?

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* 12. US residents: What’s your zip code?
(otherwise enter your country)

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