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* 1. Are you responsible for providing care for people other than yourself at home?

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* 2. If yes, choose all that apply.

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* 3. Are any of the above immunocompromised or at high risk of complications for COVID-19?

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* 4. What are your biggest concerns right now regarding your work and family/caretaker responsibilities? Please select all that apply.

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* 5. Has your supervisor or department offered resources or accommodations to your work schedule?

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* 6. If yes, what are they?

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* 7. If no or unsure, what would you need or want?

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* 8. How can we best support each other in the coming months? Please select all that apply.

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* 9. Are you in the PPS school district?

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* 10. If no, please include your school district, private school, and/or daycare if you are comfortable sharing.

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