Dear consumer/member,

As public places open up, BCIL and DPC are reaching out to learn what concerns you have. Do you want to work in-person with a BCIL staff member, and what needs do you have related to Covid and the pandemic?

We hope you can fill out our short survey. If you need PPE you can find info at this link: https://www.surveymonkey.com/r/MasksAndGloves.

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* 1. What is your biggest concern as Massachusetts significantly loosens restrictions around Covid?

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* 2. Have you been using public transportation (MBTA, The RIDE, Uber/Lyft, other)?

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* 3. Do you have any concerns taking public transportation? If yes, what are they?

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* 4. If you need services, would you:

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* 5. Have you been vaccinated or do you plan to get vaccinated?

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* 6. Are you going out in the public or remaining mostly in some level of quarantine?

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* 7. Have you received a booster shot or third dose?

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* 8. Have you received your Flu shot?

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* 9. If you use PCA services...

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* 10. Do you have any accessibility concerns about getting the Covid-19 vaccine? If yes, please explain.

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* 11. Do you have any general accessibility concerns since the start of the pandemic? If yes, please explain

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* 12. Do you need PPE?

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* 13. Other comments?

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* 14. Name (optional)

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* 15. Email address (optional)

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* 16. Phone number (optional)

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* 17. Where you live (city or neighborhood if in Boston) (optional):

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* 18. What is your primary spoken language (optional):

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* 19. Disability (optional):

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* 20. Do you wish to be contacted (optional):

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