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* 1. Would you like the 24/7 group home live-in model to continue?

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* 2. If yes, how long do you think this model should continue

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* 3. If no, when would you like it to end

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* 4. Would you like the modified staffing/hours to continue for In-Home Supports?

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* 5. If yes, how long do you think this model should continue

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* 6. If no, when would you like it to end

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* 7. If you relocated to family members home, when would you like to return to your personal home?

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* 8. Are you concerned about visitors (family, friends, off duty staff) coming to your home?

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* 9. If someone you live with becomes sick with COVID-19, would you like them to;

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* 10. Will you be scared that you will get COVID-19 when leaving the house to go on community activities?

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* 11.  Will you be scared that you will get COVID-19 if someone you live with leaves the house to go to work?

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* 12. How would you like to see your family member?

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* 13. How often would you like to see your family member?

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* 14. How often would you like to talk to your family/Friends?

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* 15. How would you like to talk with your family/friends?

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* 16. When do you want to return, in person, to the day program/work?

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* 17. What days of the week do you want to go to work? (choose all that apply)

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* 18. What do you need to return to your day program/place of employment?

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* 19. How do you get to work/day program? (choose all that apply)

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* 20. Will you be scared that you will get COVID-19 if you go to work?

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* 21. Will you be scared that you will get Covid-19 riding public transportation to work?

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* 22.  What Personal Protective Equipment would you like to wear when going out into the community?

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* 23. Do you feel that your home is safe from COVID-19?

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