Please take our survey here:

How has our public health emergency impacted you and your family? What do you want to see in new response legislation? Please take my survey to share your thoughts with me here and to join my email updates.

Listening to you helps me better advocate for the needs of our community in Congress and informs my decision making.

What’s your priority for economic and coronavirus response legislation?

Health care funding: Support hospitals with more protective equipment like masks, gloves, ventilators, and more.

Relief for small businesses: Zero interest loans and grants for small businesses that are under extreme hardship.

Support for workers and families: Expanded paid family leave, bans on evictions and foreclosures during the pandemic, and emergency unemployment insurance.

Accountability: If a large company accepts a government bridge loan to stay afloat, it can’t be used for things like executive pay, stock buybacks, or lobbying.

Student loan debt relief so we can put money back into pockets of people who need it.

Direct cash payments to families so people can have resources stay afloat as we move through this crisis.

Other / I don’t know.

How has the coronavirus public health emergency impacted you and your family? Check all that apply.

I have to work remotely from home now and am facing added pressures with taking care of children who aren't in school and other family matters.

I work for an essential service or business so I still have to physically report to work while taking all the precautions I can to protect my health.

I’m in a higher risk category for a more severe COVID-19 infection, so I’m staying at home and socially isolating.

I’m a small business owner who has been experiencing a much harder time because of the crisis.

I lost my job or my hours have been reduced because of the crisis.

We have had to put off major purchases and financial decisions because of the crisis.

I know someone who has been personally impacted by COVID-19.

Other.

Required

Optional: How has this public health situation impacted you and your family personally? What do you think is most important for Congress to focus on? Please leave any other thoughts you’d like to here.

Now just enter some basic information and you're all set:

First name: *

Last name: *

Email address: *

Zip code: *

Submit

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.