A SURVEY DESCRIBING CULTURAL BEHAVIOR CHANGES IN LAIKIPIA COUNTY DURING COVID-19 OUTBREAK
The Laikipia County Government in partnership with Ajiry has come up with a research survey to find out the impact, effect and changes in behavior patterns of the people in Laikipia during the Novel Virus. We plan to use the information collected to better mitigate and help the society in stopping the spread of COVID-19.  
1. Gender *
2. Age *
3. Which ward do you reside in ? *
4. What do you know about Corona Virus? *
Required
5. Which one of the following media do you first get updates on Corona Virus in Kenya? *
6. Which ones of the following are myths about Corona Virus?   *
Required
7. What measures are you personally taking to protect yourself form the virus? *
Required
8. What measures are you finding difficult to follow (whether knowingly or unknowingly) due to underlining factors? *
9. Which one of the following is a reason you would not (knowingly or unknowingly) follow a protective measure directed by the government? *
10. Do you know who a high risk individual is? *
11. Who among the following is not likely to be a high risk individual?
Clear selection
12. How has the outbreak of Corona Virus affected your life-style? *
Required
13. Have the measures put in place by the government affected your movement around the county? *
14. If yes, how?
15. Are social gatherings still taking place in your community? *
16. If yes, which one?
17. How has the situation affected children in your area? *
18. To your knowledge has the government taken any step to help the most vulnerable in the community like the street children or the elderly? *
19. If yes, how?
Clear selection
20. From your observation how have supermarkets/open air markets adjusted to stopping the spread of the virus? *
Required
21. How has the outbreak of Corona Virus affected your transactions? (how you receive and pay for products and services) *
22. Do you know the signs and symptoms of Corona Virus *
23. Which ones of the following are symptoms of Corona Virus?
Clear selection
24. Would you go to hospital for a test if you had any of the symptoms? *
25. If not, what would be the reason?
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
Google Forms