Coronavirus Survey (English)
Hello, we are a team of students working together to create a solution to the Covid-19 pandemic.

Thank you for filling out this survey. We will use the results to gauge the severity of the Covid-19 pandemic in your area and inform our proposed solution. We will re-send it every week, and would really appreciate your continued participation so we can analyze the change in results over time.

While we will collect your email address, we will not share them with anyone and will only use them to re-send the form to track changes in results over time. We also anonymize all data before analysis.
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Email *
Which country are you in (options based on responses from round 1) *
What type of area do you live in? *
Is there enough food in supermarkets? *
Not at all
Everything is normal
Is the confinement strict in your country? *
Not at all
Extremely so
Do you have good access to medicines and healthcare services? *
Not at all
Extremely
How easy is it to get tested in your area? *
Not at all easy
Extremely easy
How many toilet paper rolls does your household currently have? (Just input number) *
Are you aware of neighborhood support groups or organizations to support the elderly and vulnerable in your area? *
Can you still get deliveries to your house, e.g. from Amazon? *
Required
What is your main source of news regarding the Covid-19 pandemic? *
How many people are in your household? *
Has anyone in your household lost their job as a result of Covid-19? *
How many people in your household have lost their job as a result of Covid-19? *
Which businesses are still open in your area? Select all that apply. *
Required
How long do you think the food in your house would last you and your family if supermarkets were to close? (days) *
Are you able to go outside for daily exercise? *
How long do you spend exercising per day? (minutes) *
Is your school still open ? *
Have you reached out to a neighbour/family member/someone who may be in need to ask them if they are doing well?
Clear selection
How many hours do you spend on social media per day? (hours) *
How long do you spend looking at the news each day? (hours) *
How many people are working at their usual offices in your family? *
How many people are working from home in your family? *
How many days has it been since you last went outside your home? *
Have you begun to reuse masks? *
How many unused masks do you currently have in your household? *
How many people do you personally know who have tested positive for Covid-19? *
Do you know anyone who has one or more symptoms of Covid-19 but has not gotten tested? *
Would you be comfortable going to the doctor for symptoms unrelated to those of Covid-19? *
We are drafting a solution to the Coronavirus crisis and want to hear from you. Do you have any ideas or opinions to share on how to approach this pandemic?
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