Pike County is here for you as we respond to COVID-19

Use this form to share any concerns or needs you have related to COVID-19 in Pike County. Your responses are intended to be confidential and will be used to inform Pike County's policies, programs, and decision making so that our community is supported throughout this pandemic. We will not respond to individuals who complete the survey; however, you may provide your name and contact information in case we need additional information.

For more information about Pike County's response to COVID-19, go to PikeForward.com.

Question Title

* 1. What is the nature of your concern?

Question Title

* 2. Please describe your concern.

Question Title

* 3. What is your name (optional)?

Question Title

* 4. What is your email address (optional)?

Question Title

* 5. Would you like to receive email updates from PikeForward.com?

Question Title

* 6. What is your phone number? (optional)

Question Title

* 7. Are you representing a business or organization?

T