We are interested in learning how children and their parents, guardians, and caregivers are coping with the challenges created by the COVID-19 pandemic. Your response to these few questions will help us understand their basic needs, challenges to accessing services, and who is caring for them during this difficult time.

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* 1. What county in WV do you live in?

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* 2. How old are you?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 4. My approximate average household income is:

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* 5. The highest level of education I have completed is:

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* 6. Do you currently have a child or children living with you? 

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* 7. If so, how many children currently live with you? 

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* 8. These children are (check all that apply):

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* 9. Are you caring for a child who is not in your legal custody, such as consent guardianship? 

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* 10. Are you caring for a child under the age of 5? 

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* 11. Is a child in your care due directly or indirectly to substance use within their family?

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* 12. Since the start of the pandemic, I have: (check all that apply)

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* 13. Are you interested in becoming a part of this project, "Protecting Kids During the Pandemic?" 

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* 14. If "yes," please share your email address: 

Think Kids is a West Virginia-based 501(c)(3) nonprofit organization. A better West Virginia begins with its kids. Find us at http://thinkkidswv.org. 
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