Stratford Heights Church Covid-19 Demographic Survey

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* 1. Are you male or female?

Male

Female

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* 2. What is your age range?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Are you married?

Yes

No

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* 4. If married, am I the primary wage earner in my home?

No, my spouse is

Yes, I am

We equally share the household income

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* 5. What was your employment status prior to the Covid-19?

Employed Full Time

Employed Part Time

Stay-at-Home Parent

Retired

Other non-employed

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* 6. Have you had an employment change due to Covid-19?

I had no change in employment

I lost my job

My hours decreased

I was furloughed

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* 7. Do you own a small business?

Yes

No

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* 8. At anytime during the Covid-19 pandemic, did or will you shut-down the business you own?

Yes

No

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* 9. Will you re-open your business after the stay-at-home orders are listed from Covid-19?

Yes

No