We Want to Talk to People Working or Living on the Front Lines of Coronavirus in Florida. Help Us Report.
Are you a public health worker, medical provider, patient or other person with a unique perspective on COVID-19? We’re looking for information and sources. Help make sure our journalism is responsible and focused on the right issues.
A NOTE ABOUT OUR COMMITMENT TO YOUR PRIVACY: We appreciate you sharing your story and we take your privacy seriously. The Tampa Bay Times is gathering this information for our reporting, but we won't publish anything without contacting you directly. If you'd prefer, you can also send information via
tampabay.com/tips/
* Required
Email address
*
Your email
Name
*
Your answer
What would you like to share with us?
*
I want to provide you with a tip or story idea.
I'm willing to answer reporters’ questions if they arise.
Required
What’s your connection to the emerging threat of COVID-19?
*
I’m a doctor
I'm a nurse
I’m an emergency response professional
I’m a hospital employee
I work for a government agency
I work in a nursing home or assisted living facility
I work in a laboratory
I work in the pharmaceutical/drug industry
I work in public health in another capacity
I work in medical equipment manufacturing or the supply chain
I have personally been affected by COVID-19, or someone I know has been affected.
I work in social services
Other:
Required
What county, city, do you live in?
Your answer
How is the coronavirus affecting the communities you serve? We’re particularly interested to hear about your access to and ability to see clients/patients.
Your answer
Does your job have adequate back-up staffing if you get sick?
Yes
No
Clear selection
Do you feel prepared to help your clients get proper treatment/testing for COVID-19?
Yes
No
Not applicable
Clear selection
What is the name of your health organization?
Your answer
Has your organization been able to adequately do its part to prepare for COVID-19?
Yes
No
Clear selection
Do you believe you have the supplies you need to respond to COVID-19?
Yes
No
Clear selection
What is your workplace doing to protect you from infection?
Your answer
Do you believe these protections are strong enough?
Yes
No
Unsure
Clear selection
Do you believe you have the supplies you need to respond to COVID-19?
Yes
No
Unsure
Clear selection
What story or stories do you think we should pursue in Florida? Are there any specifics you can provide? Information about dates, locations or people involved are helpful as we follow up.
Your answer
Are there any public records you would suggest we request?
Your answer
Are there any documents or other files you think we should see? Send them to
tampabay.com/tips
Your answer
We may have follow-up questions. What's your phone number? This isn't for publication. A reporter may contact you with additional questions
Your answer
What's the best way to reach you?
Email
Phone
Other
Do you have ideas for getting the word out? Who else should we talk to?
Your answer
Submit
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy