Survey: Your Views on COVID-19? Question Title * 1. How has the COVID-19 crisis impacted you and your family? Severely Moderately Some Not at all Comments: Question Title * 2. If it has impacted you and your family, what are the impacts? (Select all that apply.) Health Job Money / Finances Family Other (please specify) Question Title * 3. Are you the owner or an employee of a business impacted by the COVID-19 crisis? Yes No Comments: Question Title * 4. If you are the owner or an employee of an impacted business, did the business apply for federal assistance and did it receive that assistance? Business did not apply Business applied but has not received Business applied and has received but not full amount expected Business applied and has received full amount expected Not applicable (not an owner or employee of impacted business) Comments: Question Title * 5. Are you eligible for unemployment benefits and have you received such benefits? Not eligible for unemployment benefits Eligible but have not applied or been able to apply Eligible and applied but not received Eligible, applied and received Comments: Question Title * 6. Are you eligible for the federal economic impact (direct) payment and have you received payment? Not eligible for the direct payment Eligible but have not received Eligible and have received Don't know if I'm eligible Comments: Question Title * 7. Where do you think the federal government should provide more emergency funding and other assistance? (Please select no more than three.) Scientific research (immunizations, vaccines, better testing) Businesses and employers Unemployment benefits Direct payments to citizens State and local governments Hospitals and health care providers Rent, mortgage, loan and debt payments Social services and safety net Other (please specify) Question Title * 8. What information or assistance do you need that you are not getting now? (Select all that apply.) COVID-19 prevention, testing and treatment Businesses and employers Employees, including unemployment benefits Direct payments Health care providers Rent, mortgage, loan and other debt relief Social services and safety net Government initiatives Other / Comments: Question Title * 9. What other questions, comments, inputs or concerns do you have on COVID-19 or any other subject? Question Title * 10. Where do you live (or which is closest to where you live)? East Honolulu Central Honolulu Salt Lake - Moanalua Aiea - Pearl City Waipahu - Waikele - Waipio Mililani Ewa - Kapolei - Ko Olina Somewhere else in Hawai'i Not in Hawai'i Please note that because this is anonymous I cannot reply to your comments here. If you need assistance or would like a response from me, please contact me directly here.Mahalo! Done
