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* 1. If you would be willing to talk to a reporter, on or off the record, please tell us your name and contact information below. Otherwise you may answer the survey anonymously if you choose.

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* 2. Even if you would like to proceed anonymously, please provide the town you live in

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* 3. Has COVID-19 affected your life? If yes, how so?

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* 4. What kind of changes have you seen in your community as a result of COVID-19 concerns? (e.g. changed behaviors, cancelled events, etc.) Are you changing your behaviors? Why or why not, and if yes, how so?

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* 5. Are you satisfied by the response from leaders at the local, state, federal level, and from health-care organizations? Why or why not?

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* 6. What questions do you have about the worldwide COVID-19 outbreak in general? What remains unclear to you?

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* 7. What questions do you have about the outbreak of COVID-19 in your community?

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* 8. What sort of preparations is your workplace undertaking to prepare for COVID-19?

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* 9. If you are a healthcare worker, what are your personal and professional concerns relating to COVID-19 as you care for your general patients?

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* 10. If you are a healthcare worker, what else do you think we should know or consider as our coverage continues?

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