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* 1. Generally, how is your family/household feeling about getting through the next couple of months?

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* 2. Tell us about the things that are concerning you most during this time of isolation

  Extremely Concerned Very Concerned Mildly Concerned Neutral Not a problem
Not being able to get health care if needed
Contracting the virus when leaving home for essential errands
Not being able to properly care for a sick person at home
Dealing with the financial stress of loss of income
Feeling of isolation and being cut-off from family and friends
Keeping school aged children engaged with their education 
Having enough food and supplies on hand

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* 3. Do you feel you will have enough food and supplies to get through the next couple of months?

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* 4. How well do you feel people in our area are abiding by social distancing guidelines?

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* 5. How is everyone in your household doing health wise right now?

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* 6. How is your job situation right now?

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* 7. How are you planning to get by financially for the next couple of months?  Check all that apply.

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* 8. What systems would be helpful to the community as we go through this difficult time of isolation?

  Great idea we need to do this Good idea it may work Let's think a little more about this one Probably not needed at this time
Provide an exchange board of needed items that could be traded
Create an on-line place to  share best ideas on getting through this time
Find volunteers who could run errands and deliver supplies for those in isolation 
Phone call tree to reach out to those living alone or feeling isolated
Devise a method, ie window signs, to let your neighbors know things are going ok or if you could use a hand with something
Create safe activities for children like a historic building search around town or teddy bear hunt
Find volunteers to help out at our grocery stores and other vital services
Create ways the community can support and promote our local business through this difficult time
Research the resources specifically available to our community and provide this information

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