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Sanitation in Public Places
Please answer the following questions.
* Indicates required question
What is your sex?
Male
Female
Prefer not to say
Other
Clear selection
What is your ethnicity?
White
Black
Asian
Hispanic/Latino
Native American
Other
Prefer Not to say
Clear selection
How old are you?
Age 1-10 years old
Age 11-20 years old
Age 21-30 years old
Age 31-40 years old
41+ years old
Clear selection
How well are sanitization products supplied for public areas in your community?
*
Very poorly supplied
1
2
3
4
5
Very well supplied
Do you feel sanitation products such as: wipes, hand sanitizer, etc. are available when you need/want it?
*
Always
Most of the Time
Some of the Time
Never
Do all of your teachers keep hand sanitizer and new masks in their classroom?
*
Always
Most of the Time
Some of the Time
Never
Not Applicable
On a daily basis, how many times do you wash your hands?
*
1-2 times a day
2-4 times a day
More than 4 times a day
I don't wash my hands
Does your teacher sanitize desks, surfaces and other things to prevent the spread of COVID-19?
*
Always
Most of the Time
Some of the Time
Never
Does your school still require you to wear masks in class?
*
Yes
No
Not Applicable
Is there a limit to the number of people in social interactions such as lunch in facilities you are often in such as school?
*
Yes
No
I'm not sure
Do any of your teachers leave classroom windows open for ventilation? (Ventilation reduces the amount of virus particles in the air)
*
Always
Most of the Time
Some of the Time
Never
Where do you feel there is a need for more sanitation in our community?
*
School
Stores/Mall
Work
Other:
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