COVID-19 Survey for Industrial-Regional-Offshore Members

The purpose of this survey is to understand the ongoing impacts of the current COVID-19 pandemic on our members. In this unprecedented time, we want to ensure we have the most up to date and in depth information on your experience. This information will be essential in our ongoing advocacy, lobbying, and outreach efforts.

Your participation in this survey is voluntary.

If you choose to participate, the information will be completely confidential and we are not collecting any identifying details.

Question Title

* 1. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 2. Email Address

Question Title

* 3. 1) Are you considered high-risk in relation to COVID-19 (ex: underlying health conditions)?

Yes