JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID-19 Ex-Worker Questionnaire
The 5Demands.global Strike Hotline wants to connect with people who are out of work and are feel like they have no options for gaining control over their ability to meet their needs and provide for their loved ones.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What city do you live in?
*
Your answer
Did you have a job before the pandemic hit?
*
Yes
No
If so, what kind of work were you in and what was your position?
*
Your answer
Do you believe that more is politically and socially possible now than before the coronavirus pandemic?
*
Yes
No
What do you hope for coming out of the pandemic?
Your answer
Are you looking for work?
Yes
No
Clear selection
Are you worried about not being able to pay your rent or mortgage during a strike? If so, would you like to connect with local groups fighting for housing for all?
*
Your answer
Do you know other people who are out of work?
*
Yes
No
If so, have you found ways of materially supporting each other through the pandemic? What have you been helping each other?
Your answer
Do you worry about increasing your exposure to COVID-19 if you find a job?
*
Yes
No
Are you doing any volunteer work or are you a part of any mutual aid groups? If not, are you interested in connecting with such groups organizing to help people meet their needs during the pandemic?
Your answer
Have you heard of any groups like the Unemployed Councils or The Restaurant Workers' Council (in NYC) to organize and increase the power of unemployed workers during the pandemic and beyond?
*
Yes
No
Have you considered ways of putting control over the resources and goods available at shuttered workplaces in the hands of your community? If so, what are your thoughts?
*
Your answer
Have you thought about ways of joining forces with people who are still employed to mutually increase your power over the role of the market in deciding how well you live? If so, what are your thoughts?
*
Your answer
Does your immigration status present obstacles to receiving government aid?
Yes
No
Clear selection
Have you heard reports of managers calling the cops on people walking off and protesting at their workplaces?
Yes
No
Clear selection
Do you have friends or family members who are employed and worried about COVID-19 exposure at work?
Yes
No
Clear selection
Can you imagine a world in which the five demands have been met? What does that look like to you?
Your answer
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
