I can't get a test for COVID-19
Do you have symptoms of COVID-19 and can't get a test? We want to hear from YOU (people living in the United States only please).
We are gathering this data for a week of action to demand tests. Public health starts with us knowing if we are sick.
We are Heroes 4 Healthcare and the Center for Popular Democracy (
) and we have worked on a range of healthcare campaigns including to save the Affordable Care Act, to end the opioid epidemic and to reduce the high cost of prescriptions drugs. Please do not share information in this form that you want to keep confidential. We are organizers and we want to get as many people together (even if it's virtually) as possible who can show how damn hard it is in this country to get a test for this deadly virus.
Sign in to Google
to save your progress.
Phone (optional, but we'd love to talk more and keep you updated)
Why did you feel a test was necessary?
Where did you go or who did you talk to in order to get tested?
What were you told?
Would you be willing to share your story publicly? -
Yes! Alert the media!
Not sure. I would like to talk to someone first.
No, but you can share my story anonymously
Are you willing to get involved in organizing for COVID-19 tests and vaccines?
Not sure. I would like to talk to a Center for Popular Democracy organizer first.
Maybe after I'm feeling better
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Center for Popular Democracy.