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* 1. Can you please tell us your name and email?

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* 2. What is your biggest concern/fear during the COVID-19 crisis?

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* 3. Has someone connected with you in a meaningful way today? This week?

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* 4. Have you reached out and connected with someone you consider at risk of being isolated recently?

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* 5. Is there anything we can do to support you to feel more connected? (phone you regularly, set up a video chat, reach out to someone you know to suggest you stay connected)

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* 6. Have you done something to support others? (shopped for groceries or other necessities, picked up medication or run an errand for someone?)

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* 7. Is there anything we can do to support you? (shop for groceries or other necessities, pick up medication, run an errand)

0 of 7 answered
 

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