JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Preserving This Historic Moment
Placer County Museums would like you to help us to document how our communities are feeling and coping during this time when history is in the making right before our eyes.
Please consider answering the following questions so that the future may have a better understanding of how real people experienced the COVID-19 global pandemic as well as the other monumental historic moments we are now facing in our society.
Responses will be preserved at the Placer County Archive for generations to come. Any insight you can provide will be greatly appreciated!
Sign in to Google
to save your progress.
Learn more
Your Name (Optional - But at least a first name would help us to better document this time)
Your answer
What would you be doing right now or this coming weekend if COVID were not impacting your life?
Your answer
How are you spending your time these days?
Your answer
How do you feel about the current times and how citizens of the world, the USA, and/or your community are reacting?
Your answer
What words of advice would you give yourself from one year ago (2019) if you could go back in time?
Your answer
What would you like someone 100 years from now (the year 2120) to understand about today's important cultural and political moments as well as global pandemic we are living through?
Your answer
Any other thoughts you would like to share?
Your answer
Please describe your "community" (is it rural, suburban, apartments, etc.) This will help us to better understand the individual nature of your experience.
Your answer
Your Age
0-13 Years
14-18 Years
19-25 Years
26-35 Years
36-45 Years
46-55 Years
56-65 Years
66-75 Years
75 + years
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
