We would like to connect with members of our community. What are your needs? We're here to help.

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* 1. Have you or someone you know been tested positive with COVID-19?

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* 2. Are you currently in isolation?

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* 3. Do you have access to resources (ie: food, cleaning products, etc.)

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* 4. What is your current employment status?

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* 5. Have you been able to communicate with friends, family, and/or colleagues through various means?

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* 6. How are you feeling with everything going on? (ie; physical, mental)

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* 7. Do you believe any of the following items will be anticipated needs post-isolation from COVID-19?

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* 8. Would you be interested in participating in any webinars or support groups from CDCI?

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* 9. If you have a disability, impairment, and/or condition, please choose which category most closely fits (can choose multiple).

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* 10. Would you like to receive assistance from an advocate in addressing any of the barriers mentioned above? Please enter your contact information below.

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