Pandemic Relief Survey
Thank you for filling out ExtendPUA.org’s survey.
We need to better understand our community so we can better serve your needs in our advocacy for pandemic relief, workers’ needs, and more. When we make new choices on what issues are most important, your collective voice will be offered a vote. Thank you for joining us.
You will be entered in a random drawing to win one of 8 $100 gift cards for completion of this survey. We know it's not much, but we wanted to offer something. The gift cards were generously donated by a partner organization.
Your privacy is of primary importance to us. You can fill out this survey anonymously (though anonymous responses are ineligible for the gift card drawing). If you do provide your name and contact info, any identifying information collected will be accessible only to ExtendPUA and Rescue Agreement (our developing parent organization for future projects - same team, different name). You email address will only be used to notify you if you've won and for direct communication from our organization. All other information gathered will be used as a collective survey of answers and de-identified from your name and email. A description of the selection protocol for the Gift Card giveaway can be obtained by emailing Legal@ExtendPUA.org.
What state do you live in?
How old are you?
Prefer Not To Say
What is your race?
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
An option does not exist for my race (please specify below so we can add it)
Prefer Not to Answer
If we are missing your race please specify and we will add it.
What gender do you identify with?
Prefer not to say
If we are missing your gender please specify and we will add it.
Which major political party do you most identify with?
Prefer Not To Say
What industry do you usually work in?
Administrative and support services
Amusement, Gambling, and Recreation Industry
Arts and Culture (NOT live events and entertainment)
Bars and Restaurants
Essential Services Worker (not hospital related)
Film & TV
Live Events and Live Entertainment (Theatre, Concerts, etc)
Medical - Frontline COVID
Medical - non-COVID
What is your typical employment status?
Full Time Employee (W2)
Part Time Employee (W2)
Freelancer paid through W2s
Freelancer paid through 1099s
Mixed Income (W2s and 1099s)
Small Business Owner
What is your Current Employment Status? (can check more than one)
Unemployed, but with a sporadic day or two of work (still collecting UI)
Underemployed (less HOURS than pre-pandemic, no longer collecting UI)
Underemployed (less PAY than pre-pandemic, no longer collecting UI)
Underemployed, collecting partial UI
Employed now, but was at some point unemployed due to the pandemic
Employed outside my usual industry or field due to the pandemic
Employed - Never Lost My Job
Self - Employed and Working at Normal Rates/Hours
If you have taken a job outside your usual field, is that change permanent or temporary?
I don't know
Do you have children or others who rely on your income?
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