COVID-19 Constituent Survey
We want to know how COVID-19 is impacting your family and community. Please share what issues you would like to see our office prioritize at this time.
Email address *
Name *
Your answer
I'm experiencing financial insecurity because I or someone in my family lost income due to COVID-19 *
Disagree
Agree
I'm concerned about the accessibility and security of our upcoming elections *
Disagree
Agree
I'm a frontline worker or I'm concerned about protecting our frontline workers *
Disagree
Agree
I'm concerned about protecting our most vulnerable residents (e.g. people experiencing homelessness, in long-term care facilities, or those incarcerated) *
Disagree
Agree
I'm concerned about adequate testing and/or personal protective equipment for a safe reopening *
Disagree
Agree
Which of these issues would you like to see Delegate Levine's office prioritize? *
Required
How have you been impacted by COVID-19? Do you feel prepared for Virginia to reopen? Tell us more about you and your community's needs
Your answer
I'm a constituent of the 45th House District *
Required
Zip Code *
Your answer
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