2020 COVID-19 Youth Needs
The City of Worcester’s Division of Youth Opportunities has designed this survey to gather young people’s perspectives about the COVID-19 pandemic and how it has impacted your well-being and mental health as well as to learn how young people are currently coping in these challenging times.

Your responses will show us how to best support young people during the COVID-19 pandemic and be used to inform the design of new ways for young people to access the information and support that they have identified they need.

We deeply appreciate your participation during these challenging times! We will share the survey findings upon completion of the analysis.

All of the information you provide will be confidential. When the results of the survey are presented, no information that identifies you, as an individual, will be reported.
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1. Please enter you zip code: *
2. What is your current gender/ gender identity? *
Gender/ gender Identity. Self describe as:
3. Please indicate your age:
Clear selection
4. Please indicate your race and ethnicity *
5. Are you homeschooling during this time?
Clear selection
6. What type of electronic devises do you have at home? Check all that apply.
7. How much access do you have to these devices?
Clear selection
8. On a scale of 1 (not at all) to 4 (severely), please answer the following questions: *
Not at all
Somewhat
Considerably
Severely
How has COVID-19 affected you personally?
How has COVID-19 affected your mental health?
How has COVID-19 affected your family?
How has COVID-19 affected your financial stability?
How has COVID-19 affected your access to basic needs such as food, housing, and medicine?
9. Please describe your general feelings about the COVID-19 pandemic in 1-3 words. *
10. What are your primary sources of information about the Covid-19 pandemic? Check all that apply. *
Required
11. What are your primary sources of information for staying mentally healthy during COVID-19? Check all that apply. *
Required
12. Do you feel well-informed about prevention of COVID-19? *
13. Are you staying at home as much as possible? *
14. Were you working/employed before the pandemic? *
 If yes, are you still working? *
15. How are you taking care of your mental health and physical safety at this time?  Check all that apply. *
Required
16. Are you taking care of or helping to take care of someone else during this time? *
If yes, how do you know them? *
17. How many hours are you taking care of others a week? *
18. What type of support are you providing for others? Check all that apply. *
Required
19. If you or anyone you know require mental health support, who would you like to reach out to? Check all that apply. *
Required
20. How would you like to receive the mental health support? *
Required
21. What additional information would you like to have in order to support your mental health and well-being? *
Required
22. How are you staying connected with other young people during the COVID-19 pandemic? Please describe up to three ways: *
23. What brings you hope right now during this shut down? Please describe up to three examples: *
24. Do you know of any specific organizations, local programs, or social services providing mental health support to young people right now? Please describe. *
25. Provide feedback on options, resources, or youth mental health ideas you have or have seen elsewhere that you want to see in your community. *
26. Do you know of any specific organizations or local programs that you can reach out to to access basic needs, food, medicine, sanitizing products, financial assistance, etc.? *
Please list them below:
27. If you are interested in receiving information from the Division of Youth Opportunities, please provide an email address and/or cell phone number:
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