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California COVID-19 survey
Thank you for taking time to provide feedback.
Please be advised this survey is for informational purposes only. If you are experiencing an emergency, please dial 911 or your local authorities.
OK
1.
How are you feeling?
Frustrated
Anxious
Thankful
I’m doing fine
Optimistic
Lonely
Other (please specify)
2.
Which actions are you taking? Select all that apply.
Continuing to stay home as much as possible
Interacting with the public for work
Washing my hands often
Staying 6 feet away from others
Gathering with others outside of your household
Wearing a mask when outside my home
Living my life as I want to
Other (please specify)
3.
How do you feel about the following activities:
Very risky
Risky
Not sure
Safe
Very safe
Eating at a dine-in restaurant
Very risky
Risky
Not sure
Safe
Very safe
Gathering indoors with others outside of your household
Very risky
Risky
Not sure
Safe
Very safe
Visiting a beach or park
Very risky
Risky
Not sure
Safe
Very safe
Sending students and teachers back to school
Very risky
Risky
Not sure
Safe
Very safe
Shopping (retail, groceries, etc)
Very risky
Risky
Not sure
Safe
Very safe
Going to a bar
Very risky
Risky
Not sure
Safe
Very safe
4.
Which
three
are most important to you? (Select three.)
Finding a job
Keeping me and my family healthy
Socializing with family and friends
Flattening the curve to keep Californians healthy
Returning to work
Re-building California’s economy
Being free to do as I choose
Reopening schools
Other (please specify)
5.
Have you or any family or friends gotten sick from COVID-19?
Yes
No
Other (please specify)
6.
How old are you?
Under 18
18 - 29
30 - 41
42 - 53
54 - 64
65+
7.
What is your zip code?
8.
As fellow Californians, we’d like to know how you're doing. Please share anything you think we should know.
9.
What do you think the State should be doing?
10.
Please check here if you consent to allowing the State of California to anonymously use and/or quote your feedback.
I agree
Current Progress,
0 of 10 answered
