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* 1. How has the COVID-19 crisis impacted you and your family?

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* 2. If it has impacted you and your family, what are the impacts? (Select all that apply.)

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* 3. Are you the owner or an employee of a business impacted by the COVID-19 crisis?

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* 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?

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* 5. Are you eligible for unemployment benefits and have you received such benefits?

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* 6. Are you eligible for the federal economic impact (direct) payment and have you received payment?

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* 7. To which, if any, of the following areas do you think the federal government should provide further emergency funding and other assistance? (Please select no more than three.)

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* 8. Do you support or oppose the current 14-day quarantine on visitors or returning residents flying into Hawai'i?

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* 9. Do you support or oppose a requirement that air passengers to Hawai'i be tested for COVID-19 before they are allowed to board planes? 

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* 10. What information or assistance on COVID-19 do you need?

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* 11. What other questions, comments, inputs or concerns do you have on COVID-19 or any other subject? 

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* 12. Where do you live (or which is closest to where you live)?

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Mahalo!

T