For families who have children the age of 5 and under.   
As the COVID-19 Public Health Emergency unwinds we are gathering information regarding the impact of COVID-19 Pandemic on families of young children.  We are also gathering information about current needs of families.  Would you please take the following ten minute survey to help us gather this information?

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* 1. What was the most helpful resource for your family during the COVID-19 Pandemic?

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* 2. What services did you have difficulty obtaining during the Pandemic for you/your partner?
(Check those that apply)

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* 3. What needs did you have difficulty obtaining during the Pandemic for your child/children?
(Check those that apply)

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* 4. The adults in our household had difficulty maintaining social connections during COVID-19

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* 5. The children in our household had difficulty maintaining social connections during COVID-19

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* 6. What resources/programs were most helpful to you/your family during the Pandemic?
(Check those that apply.)

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* 7. Is anyone in your household currently having difficulty obtaining any of the following?
(Check those that apply)

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* 8. Is your difficulty obtaining these items due to  supply shortages?

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* 9. Is your difficulty related to not qualifying for programs?

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* 10. Are you currently having difficulty obtaining what you need because the Public Health Emergency has ended and you no longer qualify for assistance?

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* 11. If  yes, which services? Please Share More

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* 12. On a scale of 1-5 how much do you consider COVID-19 before making plans to leave your home

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* 13. Check those that apply (in relation to question above):

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* 14. Are you or do you have a family member who is immune compromised living in your home?

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* 15. Did you feel this family members unique needs were protected during COVID-19?

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* 16. Did you participate in a telehealth visit (this includes phone calls) during the Pandemic?

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* 17. Did your child participate in a telehealth visit (this includes phone calls) during the Pandemic?

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* 18. Do you hope to have telehealth offered as an ongoing option for your family?

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* 19. What did you see as the biggest impact on your child during the Pandemic?
(Check those that apply)

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* 20. How did COVID-19 affect your ability to parent your children

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* 21. What else could have been done to make getting through the Pandemic easier for you and your family? 

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* 22. Is there anything else you would like to tell us about your experiences during the COVID-19 Pandemic? What have we forgotten to ask about? 

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