Northern Will County Special Recreation Association (NWCSRA) COVID-19 Questionnaire Entering Phase IV
Please provide your responses to the answer that most closely identifies with your comfort level and participant's ability to meet the current public interaction requirements regarding social distancing and face coverings.
How would you best describe your current comfort level with interactions outside of your home entering into stage 4 of the COVID-19 pandemic?
Do not leave my home except for exercise
Leave for essentials only - work, shopping, & other essential functions.
Leave for essentials, plus limited fun things (utilize social distancing & face coverings).
Leave for all activities currently available (utilize social distancing and face coverings).
Ready for all day to day activities, not as concerned with social distancing & face coverings.
My family member who currently participates in LCSRA/NWCSRA programs is best described as able to maintain 6 ft of social distance, wear face coverings, independently feed/toilet self, and maintain currently recommended hygiene on their own:
All of the time without assistance
All of the time with prompting (close contact assistance not required)
All of the time with close contact assistance required
Unable to do so all of the time even with prompting and/or close contact assistance required
What type of program offering(s) are you currently comfortable signing up your participant? (Check all that apply)
Non-Contact In-Person Programming
In-Person Programming (Social Distancing & Face Coverings) with No Outings
In-Person Programming (Social Distancing & Face Coverings) with Limited Outings
Not Comfortable at this time - Wanting to wait a little longer because of pandemic
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