Needs Assessment for Senior Citizens during the COVID-19 Pandemic Question Title * 1. Do you live in Lassen County? Yes No OK Question Title * 2. How many people are in your household? OK Question Title * 3. What is your age? (Optional) OK Question Title * 4. Are you experiencing any hardships due to the COVID-19 Pandemic? Please describe. OK Question Title * 5. Is there anything that you need that you are unable to get/find/buy during this time? Please describe. OK Question Title * 6. Are there any necessary services/resources that you are unable to access in some way during this time? Please describe. OK Question Title * 7. Personal Information (Optional) Name Phone Number Email Address OK DONE