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* 1. I have/had COVID-19.

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* 2. A close friend/family member/care provider has/had COVID-19.

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* 3. COVID-19 has had an increased impact on my life because of my SCI/D.

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* 4. I leave my home:

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* 5. I wear a mask/facial protection:

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* 6. I think Shelter In Place protocols:

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* 7. I will be ready to resume traveling:

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* 8. I think my life will be back to "normal" in:

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* 9. COVID-19 has impacted my life in the following ways : (check all that apply)

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* 10. Please use this space to share your story and address any COVID-related issues you have faced.

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