Black Policy Lab "COVID while Black" Survey
From trying to get testing to being misinformed about COVID, the Black Policy Lab is gathering our experiences during 2020 COVID-19. Please take a moment to share. THIS INFORMATION IS COMPLETELY CONFIDENTIAL AND PROVIDING YOUR NAME IS OPTIONAL.
Be as safe as you can be!
Black Policy Lab Team
* Required
Email address
*
Your email
Since COVID, have you been able to work from home?
*
Yes
No
My job status changed because of COVID
I was not employed when COVID happened
Other:
If "No" what is your job?
Healthcare professional
Food service professional
Transportation professional
Supermarket/grocery store professional
Cleaning services professional (including janitorial or laundry services)
Other:
Clear selection
Have you gotten tested for COVID-19
*
Yes
No
If yes, how difficult was it to get a test?
Very Difficult
Somewhat Difficult
Not Difficult
Clear selection
If no, did you try to get tested?
Yes
No
Clear selection
Do you know anyone close to you that tried to get testing but was denied?
*
Yes
No
How many people are in your home?
*
Only Me
Me and another person
3 people
More than 3 people
Have the "basics," like housing or food, been a concern?
*
Yes
No
Sometimes
At any point, did you feel you had COVID symptoms?
*
Yes
No
Unsure
If you answered yes, what were the symptoms?
Your answer
IF YOU WANTED TO GET TESTING BUT DIDN'T, WE WANT TO HEAR FROM YOU
How many times did you try to get testing?
Wanted to, but never tried
Just once
Twice
More than three times
Clear selection
If you tried to get testing, why couldn't you get testing?
I was told I didn't have COVID symptoms
I was told there were no tests
I was told my symptoms weren't that bad and I should monitor it
Other:
Clear selection
If you have a pre-existing condition what is it?
Your answer
What is your preferred gender?
*
Female
Male
Prefer not to say
Other:
Is there a story, feeling or thought you want to share about this moment?
Your answer
Who/what is your support system right now? (check all that apply)
*
Family
Friends
Co-workers
Pet
Netflix
Exercise
Faith
I don't have support
Other:
Required
We honor those who have transitioned. Is there anyone you want us to remember?
Your answer
Is there anyone you want us to pray for/send good vibes to?
Your answer
Please use this space to share concerns that you'd like to see prioritized in light of this epidemic.
Your answer
Check here if interested in being a part of a virtual Black Policy Lab session to discuss and design responses to "COVID while Black"
Count me in!
THANK YOU!
Launched in 2018, Black Policy Lab creates space for experts, leaders and community to design policies for Black communities to thrive, succeed and be whole.
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