• 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.

  • COVID-19 & You

  • Have you, or someone in your immediate social circles, tested positive for COVID-19? *Mark all that apply*
  • If you have tested positive for COVID-19, please rate the severity of  your symptoms.*
  • Have you known anyone to die from COVID-19?*
  • Do you plan to, or have you already, received the COVID-19 Vaccine?*
  • Over the past year, have you traveled? Check all that apply.*
  • Did you cancel any travel plans due to COVID-19?*
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  • When dining out over the past year, have you preferred outdoor dining, indoor dining, takeout, or delivery?*
  • Have you dined at restaurants the same, more or less than before COVID-19 was detected in Tennessee (prior to March 2020)?*
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  • Physical Health

  • How is your physical health now versus one year ago?*
  • Has your exercise routine changed over the last year (prior to March 2020)?*

  • Mental Health

  • Over the past year, did you experience any of the following:*Mark all that apply*
  • If so, did you reach out for professional help:*

  • Economic Health

  • Did COVID-19 affect your work status?*
  • At any point since the start of the pandemic, did you voluntarily change jobs?*
  • If you remained employed, did you work remotely due to COVID-19?*
  • If you transitioned to working from home, do you want to return to your office or prefer to stay working from home?*
  • Many parents were faced with the dilemma of working from home and tackling childcare and/or helping children with remote learning (especially during stay at home orders).  Have you had to balance working from home while having child(ren) in the home?*
  • Are you a small business owner?*
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  • Did COVID-19 force you to close your place of business at any time over the past year?*
  • Did you lay off staff for any period of time over the last year?*
  • Do you work in the arts (musician, actor, artist, etc…)?*
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  • Education

  • Do you have school aged children?*
  • Did your child(ren) participate in remote learning for any period of time over the past year?*
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  • Demographic Information 

  • Age*
  • Occupation*
  • What is the highest degree or level of school you have completed? If currently enrolled, highest degree received on Level*
  • Should be Empty: