COVID Survey

Take the Survey Here!
Thank you for participating in our COVID-19 Survey. To thank you for your participation, each person who completes the survey in full has a chance to win a $500 gift card to Whole Foods. We will select the winner at random on February 28th and contact the winner via e-mail. Your answers will help us craft articles for our special coverage on “COVID-19: 1 Year Later.” Although we will use the data collected in this survey to write follow-up articles, all responses are anonymous.

Must be 18 or older to participate in this survey. By clicking this box, you are verifying that you are 18 or older.
I understand that my answers may be used in follow-up articles; however, no identifying factors (such as name or e-mail address) will be used. Any answers published will be used in aggregate, and/or anonymously.
Email*
E-mail address is required to be eligible to win the $500 gift card to Whole Foods
I don’t want to provide my e-mail address. I understand this makes me ineligible to participate in the prize drawing.
I’d like to receive the Williamson Source e-mail newsletter.
I’d like to receive the Rutherford Source e-mail newsletter.

Physical Health
How is your physical health now versus one year ago?*

The sameWorseBetter
Has your exercise routine changed over the last year (prior to March 2020)?*

Significantly IncreasedSlightly IncreasedSignificantly DecreasedSlightly DecreasedThe Same
Has COVID-19 caused you to change your perspective on your physical health?*

Mental Health
Over the past year, did you experience any of the following:*Mark all that apply*

AnxietyDepressionInsomniaLonelinessOtherNone of the above
Please Specify
If so, did you reach out for professional help:*

YesNoDoes not apply

As live events were canceled and social distancing measures put in place, how did you cope? Pivot to virtual experiences, move events to an area that allowed for social distancing, etc...*

Education
Do you have school aged children?*

YesNo
Did your child(ren) participate in remote learning for any period of time over the past year?*

YesNo

If your children participated in remote learning, what would you identify as the biggest struggle? Example: technology, learning loss, working remotely while children are learning remotely, etc…*

Take the Survey Here!