Coronavirus Pandemic Impact Survey

Thank you for taking a few minutes to tell us how the coronavirus crisis is impacting you.

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U.S. and U.S. territories only

CONTACT INFORMATION

Name*

Email address*

Street address

ZIP Code*

Postal code

Phone

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Questions:

Has your job and/or livelihood been significantly impacted by the coronavirus pandemic?*

Yes

What is your occupation?*

Health care provider

Restaurant or nightlife industry

Retail worker

Hospitality industry

Educator

Other

Please share more about your job, and if it has been impacted by the coronavirus pandemic, tell us how.

Based on your personal situation, which actions by the federal government would be most helpful in providing immediate relief?*

Provide direct cash relief to individuals and families

Mandate paid sick leave for all workers

Mandate a freeze on rent, mortgage, and other payments

Stop student loan and other debt collection

Something else

If you selected "Something else" above, please share your thoughts.

What do you think the Trump administration's biggest failure has been when it comes to its handling of the coronavirus pandemic and how has it impacted you in particular?

Would you be willing to do any of the following?

Share your story with other MoveOn members

Share your story with the media

Record a video of yourself telling your story

Have people in your local community organized to provide support and relief to neighbors? If so, please tell us about it.

Is there anything else you'd like to tell us?

Coronavirus Pandemic Impact Survey

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CONTACT INFORMATION

Questions:

Contact

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Get Involved

MoveOn.org Civic Action

MoveOn.org Political Action

Coronavirus Pandemic Impact Survey

Welcome, !

CONTACT INFORMATION

Questions:

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Contact

Support

Get Involved

MoveOn.org Civic Action

MoveOn.org Political Action