COVID-19 Impact Survey KleinLife Question Title * 1. How worried are you about the coronavirus pandemic in general? Very worried Somewhat worried Not so worried Not worried at all No opinion Question Title * 2. How worried are you about the impact of coronavirus specifically on your health and safety? Very worried Somewhat worried Not so worried Not worried at all No opinion Question Title * 3. Once the senior center is fully open, how easy do you think it will be for you to return to the senior center? Very easy Somewhat easy Neither easy nor difficult Somewhat difficult Very difficult Question Title * 4. Under what conditions would you return to the senior center? I am already using the gym/pool by appointment at the center As soon as the center fully re-opens When my doctor says it's safe for me to return When the pandemic is over When I am vaccinated Don't know if I will return to the center Other (please specify) Question Title * 5. What concerns do you have about returning to the senior center? Too hard to social distance/stay away from others Building won't be sanitized enough People won't wear masks Using equipment that others touch Not enough people will be there No concerns Other (please specify) Question Title * 6. What are the top three challenges you are currently facing? Don't have access to accurate information about the coronavirus Not being able to get enough food General anxiety about the impact of coronavirus on my life Not being connected to fellow senior center members, family and/or friends Caregiving for someone else at home Managing my own health and/or have been sick I do not have transportation to get supplies and food Finding ways to exercise at home Not getting enough exercise Managing feelings of loneliness Managing fear, anxiety, and/or depression Boredom No challenges Other (please specify) Question Title * 7. Have you participated in any of the online programs that the senior center has offered? Yes No Not Sure Question Title * 8. Did you find that the classes you participated in made you feel more connected and less lonely? Yes No Not sure Question Title * 9. If you did not participate in online programming, why not? I don't have a computer I don't have a good internet connection I need help to learn how to participate online Not interested in any of the programs Not applicable - I did participate in online programs Other (please specify) Question Title * 10. Would you like the online/virtual programs to continue when the senior center re-opens? Yes No Not Sure Other (please specify) Question Title * 11. What is your age? 50-59 60-69 70-79 80-89 90-99 100+ Done