Thank you for participating in our brief survey to let us know how COVID-19 has impacted your life.

Gift cards were available on a first-come, first-served basis.  We welcome your participation by completing the survey but please note that we are no longer providing incentive gift cards.  Thank you!

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* 1. How is your life different as a result of COVID-19 (Coronavirus) pandemic? ( Select all that apply)

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* 2. How has your employer responded to your needs arising from the pandemic? (Please check all that apply)

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* 3. Do you have access to mental health services to help you cope with disruptions in your daily life?

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* 4. Does your school-aged child have adequate resources to participate in remote learning?

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* 5. What disruptions have you experienced in your daily life?

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* 6. What have been your greatest needs during this time?

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* 7. What has helped you to cope or maintain during this time?

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* 8. Who have you been able to turn to?

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* 9. Where do you get your information?

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* 10. What is your zip code?

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* 11. In what neighborhood do you reside?

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* 12. What is your age?

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* 13. Ethnicity:  Are you of Hispanic, Latino, or of Spanish origin?

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* 14. Race:  How would you describe yourself?

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* 15. What is your annual income level?

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* 16. What is the highest degree or level of education you have completed?

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