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.

Question Title

* 1. How are you feeling?

Question Title

* 2. Which actions are you taking? Select all that apply.

Question Title

* 3. How do you feel about the following activities:

  Very risky Risky Not sure Safe Very safe
Sending students and teachers back to school
Going to a bar
Eating at a dine-in restaurant
Shopping (retail, groceries, etc)
Visiting a beach or park
Gathering indoors with others outside of your household

Question Title

* 4. Which three are most important to you? (Select three.)

Question Title

* 5. Have you or any family or friends gotten sick from COVID-19?

Question Title

* 6. How old are you?

Question Title

* 7. What is your zip code?

Question Title

* 8. As fellow Californians, we’d like to know how you're doing. Please share anything you think we should know.

Question Title

* 9. What do you think the State should be doing?

Question Title

* 10. Please check here if you consent to allowing the State of California to anonymously use and/or quote your feedback.

0 of 10 answered
 

T