California COVID-19 Survey

Thank you for taking time to provide feedback. We estimate this will take 5 minutes of your time.

It is more important than ever that our state government hear from Californians. This survey is an effort to give Californians the opportunity to share their experiences related to COVID-19 and its impact.

Question Title

* 1. Over the past week, how would you describe the change, if any, in your level of anxiety?

I feel less anxious

No change

I feel more anxious

Question Title

* 2. Looking ahead to the next few weeks, how do you expect circumstances related to the pandemic in California to change?

I expect things to stay the same

I expect things to improve

I expect things to get worse

Question Title

* 3. Rate your current level of concern for the following.

	Very Concerned	Somewhat Concerned	Not Sure	Not Concerned	Not at all Concerned
Getting non-COVID health care if I need it	Getting non-COVID health care if I need it Very Concerned	Getting non-COVID health care if I need it Somewhat Concerned	Getting non-COVID health care if I need it Not Sure	Getting non-COVID health care if I need it Not Concerned	Getting non-COVID health care if I need it Not at all Concerned
Taking public transportation	Taking public transportation Very Concerned	Taking public transportation Somewhat Concerned	Taking public transportation Not Sure	Taking public transportation Not Concerned	Taking public transportation Not at all Concerned
Getting sick with COVID	Getting sick with COVID Very Concerned	Getting sick with COVID Somewhat Concerned	Getting sick with COVID Not Sure	Getting sick with COVID Not Concerned	Getting sick with COVID Not at all Concerned
Going to work outside of my home	Going to work outside of my home Very Concerned	Going to work outside of my home Somewhat Concerned	Going to work outside of my home Not Sure	Going to work outside of my home Not Concerned	Going to work outside of my home Not at all Concerned
Being able to vote	Being able to vote Very Concerned	Being able to vote Somewhat Concerned	Being able to vote Not Sure	Being able to vote Not Concerned	Being able to vote Not at all Concerned

Question Title

* 4. How many times have you engaged in the following activities this past week?

	0 times	1–2 times	3–4 times	5–7 times	8+ times
Non-grocery retail shopping (in person)	Non-grocery retail shopping (in person) 0 times	Non-grocery retail shopping (in person) 1–2 times	Non-grocery retail shopping (in person) 3–4 times	Non-grocery retail shopping (in person) 5–7 times	Non-grocery retail shopping (in person) 8+ times
Eating indoors at a restaurant	Eating indoors at a restaurant 0 times	Eating indoors at a restaurant 1–2 times	Eating indoors at a restaurant 3–4 times	Eating indoors at a restaurant 5–7 times	Eating indoors at a restaurant 8+ times
Gathering outdoors with people not in my immediate household	Gathering outdoors with people not in my immediate household 0 times	Gathering outdoors with people not in my immediate household 1–2 times	Gathering outdoors with people not in my immediate household 3–4 times	Gathering outdoors with people not in my immediate household 5–7 times	Gathering outdoors with people not in my immediate household 8+ times
Attending indoor worship services	Attending indoor worship services 0 times	Attending indoor worship services 1–2 times	Attending indoor worship services 3–4 times	Attending indoor worship services 5–7 times	Attending indoor worship services 8+ times
Eating outdoors at a restaurant	Eating outdoors at a restaurant 0 times	Eating outdoors at a restaurant 1–2 times	Eating outdoors at a restaurant 3–4 times	Eating outdoors at a restaurant 5–7 times	Eating outdoors at a restaurant 8+ times
Grocery shopping (in person)	Grocery shopping (in person) 0 times	Grocery shopping (in person) 1–2 times	Grocery shopping (in person) 3–4 times	Grocery shopping (in person) 5–7 times	Grocery shopping (in person) 8+ times
Gathering indoors with people not in my immediate household	Gathering indoors with people not in my immediate household 0 times	Gathering indoors with people not in my immediate household 1–2 times	Gathering indoors with people not in my immediate household 3–4 times	Gathering indoors with people not in my immediate household 5–7 times	Gathering indoors with people not in my immediate household 8+ times

Question Title

* 5. How do you feel about the following activities?

	Very Risky	Risky	Not Sure	Safe	Very Safe
Eating indoors at a restaurant	Eating indoors at a restaurant Very Risky	Eating indoors at a restaurant Risky	Eating indoors at a restaurant Not Sure	Eating indoors at a restaurant Safe	Eating indoors at a restaurant Very Safe
Eating outdoors at a restaurant	Eating outdoors at a restaurant Very Risky	Eating outdoors at a restaurant Risky	Eating outdoors at a restaurant Not Sure	Eating outdoors at a restaurant Safe	Eating outdoors at a restaurant Very Safe
Grocery shopping (in person)	Grocery shopping (in person) Very Risky	Grocery shopping (in person) Risky	Grocery shopping (in person) Not Sure	Grocery shopping (in person) Safe	Grocery shopping (in person) Very Safe
Gathering outdoors with people not in my immediate household	Gathering outdoors with people not in my immediate household Very Risky	Gathering outdoors with people not in my immediate household Risky	Gathering outdoors with people not in my immediate household Not Sure	Gathering outdoors with people not in my immediate household Safe	Gathering outdoors with people not in my immediate household Very Safe
Non-grocery retail shopping (in person)	Non-grocery retail shopping (in person) Very Risky	Non-grocery retail shopping (in person) Risky	Non-grocery retail shopping (in person) Not Sure	Non-grocery retail shopping (in person) Safe	Non-grocery retail shopping (in person) Very Safe
Gathering indoors with people not in my immediate household	Gathering indoors with people not in my immediate household Very Risky	Gathering indoors with people not in my immediate household Risky	Gathering indoors with people not in my immediate household Not Sure	Gathering indoors with people not in my immediate household Safe	Gathering indoors with people not in my immediate household Very Safe
Attending indoor worship services	Attending indoor worship services Very Risky	Attending indoor worship services Risky	Attending indoor worship services Not Sure	Attending indoor worship services Safe	Attending indoor worship services Very Safe

Question Title

* 6. How do you feel about the following travel-related activities?

	Very Risky	Risky	Not Sure	Safe	Very Safe
Staying overnight with friends or family	Staying overnight with friends or family Very Risky	Staying overnight with friends or family Risky	Staying overnight with friends or family Not Sure	Staying overnight with friends or family Safe	Staying overnight with friends or family Very Safe
Staying in a short term rental (Airbnb, VRBO, etc.)	Staying in a short term rental (Airbnb, VRBO, etc.) Very Risky	Staying in a short term rental (Airbnb, VRBO, etc.) Risky	Staying in a short term rental (Airbnb, VRBO, etc.) Not Sure	Staying in a short term rental (Airbnb, VRBO, etc.) Safe	Staying in a short term rental (Airbnb, VRBO, etc.) Very Safe
Traveling long distances by car, van, or RV	Traveling long distances by car, van, or RV Very Risky	Traveling long distances by car, van, or RV Risky	Traveling long distances by car, van, or RV Not Sure	Traveling long distances by car, van, or RV Safe	Traveling long distances by car, van, or RV Very Safe
Traveling by plane	Traveling by plane Very Risky	Traveling by plane Risky	Traveling by plane Not Sure	Traveling by plane Safe	Traveling by plane Very Safe
Staying in a hotel	Staying in a hotel Very Risky	Staying in a hotel Risky	Staying in a hotel Not Sure	Staying in a hotel Safe	Staying in a hotel Very Safe

Question Title

* 7. How do you feel about the following activities related to school starting?

	Very Risky	Risky	Not Sure	Safe	Very Safe
Organized team or club sports	Organized team or club sports Very Risky	Organized team or club sports Risky	Organized team or club sports Not Sure	Organized team or club sports Safe	Organized team or club sports Very Safe
In-person, on-campus learning full time	In-person, on-campus learning full time Very Risky	In-person, on-campus learning full time Risky	In-person, on-campus learning full time Not Sure	In-person, on-campus learning full time Safe	In-person, on-campus learning full time Very Safe
Hybrid, combined in-person and remote learning	Hybrid, combined in-person and remote learning Very Risky	Hybrid, combined in-person and remote learning Risky	Hybrid, combined in-person and remote learning Not Sure	Hybrid, combined in-person and remote learning Safe	Hybrid, combined in-person and remote learning Very Safe
Small, in-person learning pods	Small, in-person learning pods Very Risky	Small, in-person learning pods Risky	Small, in-person learning pods Not Sure	Small, in-person learning pods Safe	Small, in-person learning pods Very Safe
Remote learning full time	Remote learning full time Very Risky	Remote learning full time Risky	Remote learning full time Not Sure	Remote learning full time Safe	Remote learning full time Very Safe
Sending a child to daycare	Sending a child to daycare Very Risky	Sending a child to daycare Risky	Sending a child to daycare Not Sure	Sending a child to daycare Safe	Sending a child to daycare Very Safe

Question Title

* 8. Looking to the week ahead, what are you most concerned about?

My mental/emotional health

Seeing family and friends

Losing my job

Paying bills that aren't rent or mortgage

Finding a new job

Paying rent or mortgage

My physical health

Accessing COVID testing

Other (please specify)

Question Title

* 9. Looking to the week ahead, how worried are you about accessing food?

Medium

Low

High

None

Other (please specify)

Question Title

* 10. Have you or any family or friends gotten sick from COVID-19?

Yes

Demographic Information

Question Title

* 11. How old are you?

Under 18

18 - 29

30 - 41

42 - 53

54 - 64

65+

Question Title

* 12. What is your zip code?

Question Title

* 13. How many people live in your home, including yourself?

Question Title

* 14. What is your current living situation?

I live alone

I live with roommates who are not my family

I live with immediate family

I live with multiple generational family that includes elderly people

Question Title

* 15. Which of the following best describes your current employment status?

On paid furlough

On unpaid furlough

I lost my job due to COVID

I was unemployed before COVID started

I am employed

I am self-employed

I don't work (retired, stay-at-home-parent, student, other)

Question Title

* 16. Which best describes your current workplace?

My home

An office

A building with a lot of public activity (e.g. retail, schools, airports, hospitals)

Warehouse/factory

Restaurant or bar

Outdoors

Other (please specify)

Question Title

* 17. As fellow Californians, we’d like to know how you’re doing. Please share with us any ideas, concerns, and etc. that you have top of mind. We read every comment.

Question Title

* 18. Please check here if you consent to allowing the State of California to anonymously use and/or quote your feedback.

I agree

California COVID-19 Survey

Thank you for taking time to provide feedback. We estimate this will take 5 minutes of your time.

Question Title

* 1. Over the past week, how would you describe the change, if any, in your level of anxiety?

Question Title

* 2. Looking ahead to the next few weeks, how do you expect circumstances related to the pandemic in California to change?

Question Title

* 3. Rate your current level of concern for the following.

Question Title

* 4. How many times have you engaged in the following activities this past week?

Question Title

* 5. How do you feel about the following activities?

Question Title

* 6. How do you feel about the following travel-related activities?

Question Title

* 7. How do you feel about the following activities related to school starting?

Question Title

* 8. Looking to the week ahead, what are you most concerned about?

Question Title

* 9. Looking to the week ahead, how worried are you about accessing food?

Question Title

* 10. Have you or any family or friends gotten sick from COVID-19?

Question Title

* 11. How old are you?

Question Title

* 12. What is your zip code?

Question Title

* 13. How many people live in your home, including yourself?

Question Title

* 14. What is your current living situation?

Question Title

* 15. Which of the following best describes your current employment status?

Question Title

* 16. Which best describes your current workplace?

Question Title

* 17. As fellow Californians, we’d like to know how you’re doing. Please share with us any ideas, concerns, and etc. that you have top of mind. We read every comment.

Question Title

* 18. Please check here if you consent to allowing the State of California to anonymously use and/or quote your feedback.

Question Title

* 19. We’d like to learn more about your experience. If you’re interested in joining our research outreach list, please share your email address.