Thank you for participating in our COVID-19 Community Health Needs Assessment. With this survey, we hope to get a better idea of the health needs that exist in the community since the COVID-19 (coronavirus) pandemic started, and how to better meet them going forward. Please answer honestly and carefully. We appreciate your time!

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* 1. Has the COVID-19 (coronavirus) pandemic made any of the these more difficult for you? (Check all that apply)

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* 2. Since the start of the COVID-19 (coronavirus) pandemic, have you tried to get a COVID-19 test near you?

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* 3. If so, was it easy or difficult was it to get tested?

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* 4. Was it easy or difficult was it to get a result?

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* 5. How many days a week are you exercising?

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* 6. Is this more or less than before the COVID-19 (coronavirus) pandemic?

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* 7. Since the start of the COVID-19 (coronavirus) pandemic, do you feel that your mental health is better, worse, or stayed the same?

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* 8. In the last month, how often have you felt nervous or stressed?

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* 9. How often do you feel isolated from others?

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* 10. Would you like to speak to a specialist about any of these topics?

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* 11. Have you had trouble meeting any health needs during the COVID-19 (coronavirus) pandemic?

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* 12. If yes, what have you had trouble with?

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* 13. What other challenges have you or your family faced during the COVID-19 (coronavirus) pandemic?

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* 14. Would you like to take the flu vaccine?

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* 15. Would you like to take the COVID-19 vaccine?

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* 16. What is your racial background?

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* 17. What is your gender identity?

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* 18. Which age group are you in? 

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* 19. What is your zip code?

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