Covid-19 Impact Questions

We value your input and invite you to complete this 5 minute survey designed to better understand the impact of COVID-19 on the community. The data obtained will provide valuable insight toward the establishment of community recovery efforts as facilitated by the City of Topeka, Shawnee County and The Greater Topeka Partnership.

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* 1. How are you receiving information about the COVID-19?: Check all that apply.

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* 2. How have education and schooling in the household been impacted by Covid-19?: Check all that apply

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* 3. How have you and your families health and medical needs been impacted by Covid-19?: Check all that apply

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* 4. How have you and your families well-being in the household been impacted by Covid-19?: Check all that apply

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* 5. How have wages and employment in your household been impacted by Covid-19?: Check all that apply

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* 6. Covid Symptoms:

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* 7. Are you afraid to receive medical assistance due to the fear of potentially exposure?:

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