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* 1. Please select which county you are living in

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* 2. What is your zip code?

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* 3. Please select our age.

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* 4. Are you, or someone in the household, disabled?

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* 5. What local needs have you seen arise due to the COVID-19 pandemic?

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* 6. How would you like to see COVID-19 funds used in your community?

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* 7. Please rate the following on a scale of 1 through 6. 1 being the least important and 6 most important. 
What is your primary concern currently?

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* 8. What is your primary concern, personally, once the pandemic ends for you and your family?

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* 9. What is your primary concern for the community, once the pandemic ends?

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* 10. Please tell us about any concerns not previously listed. 

0 of 10 answered
 

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