Are you on the front lines of the coronavirus? Help us report on the pandemic
Are you a front line medical provider or a public health worker? Do you work with a government agency involved in the effort to protect the public? Have you or your family personally been affected? Do you know someone currently living or working in a nursing home? Help make sure our journalism is focused on the right issues, by sharing your experience, or serving as an expert to ensure we’re on track.
We want to know about the latest research in the works, or the mutual aid efforts you’ve seen in your neighborhood. We also want to hear how local, state and federal systems are affecting — or failing — you and your families. If you have gotten sick, struggled to cope at work, or lost people important to you, we want to hear about your experience. Our reporting relies on you to help us identify important stories
We take your privacy seriously, and promise not to share any of the information in this form without your explicit permission. If you have any questions, feel free to email us at
Your phone number
What would you like to share with us?
I have a tip or an idea for a story
I'm willing to answer questions if they arise
How are you connected to the COVID-19 coronavirus outbreak?
I'm a health care worker (doctor, nurse, volunteer)
I’m an emergency response professional
I work in a nursing home
I work at a grocery store
I work in deliveries
I’m a small-business owner
I work for a government agency
I’m a hospital employee
I work in research
I work in the pharmaceutical/drug industry
I work in medical equipment manufacturing or the supply chain
I work in social services
I have personally been affected by COVID-19, or someone I know has been affected
I know someone currently living in a nursing home
What information would you like to share?
What is the best way to reach you should we have follow-up questions?
Would you like to be added to WHYY News’ free daily newsletter?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service