The purpose of this survey is to gain a better idea of how many people in our area have been impacted by the COVID-19 pandemic and what that impact was. 1 Start 2 Complete Name * Address * City, Zip * How did the pandemic impact you? * Please indicate how the pandemic effected you or your family. Choose as many options as apply to you. Reduced Work Hours Loss Of Job Loss of Childcare Mentally or Emotionally Physically More about how you were effected * Please give us a short description of how your family was impacted by the COVID-19 pandemic.