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Survey: COVID-19
Survey: COVID-19
The COVID-19 outbreak has dramatically altered our daily lives. As your State Representative, I want to hear from you! Please take a moment to fill out this survey and let your voice be heard in Sacramento!
1. On a scale of 1-5, how would you evaluate the State of California's handling of COVID-19? (with 5 being excellent)
1
2
3
4
5
2. Which statement do you most align with?
Lift all COVID restrictions
Allow outdoor services and modified indoor services (masks and social distancing)
I agree with the Governor’s current lockdown order for health/safety
3. Has your employment status changed as a result of COVID-19? Please select your current status:
Classified as an essential worker
I had my work hours reduced
Furloughed
I lost my job (non-business owner)
My business is on the verge of closing
I had to close my business completely
Self-employed/not working
Working from home
My work has not been impacted/changed
I am retired
4. What kind of relief would be HELPFUL for you? (Select all that apply)
Child care
Healthcare
Housing assistance
Rental assistance
Small business loan or grant
Unemployment extension
None
5. If you are a parent/guardian, has your child's education exceeded or fallen below expectations in regards to learning remotely?
Exceeded expectations
Met expectations
Below expectations
N/A I am not a parent/guardian
6. On a scale of 1-5, how are you coping with the mental stress of this pandemic? (with 5 being extremely stressed)
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5
7. Additional Comments: