A Global Women & COVID 19 Survey
Thank you for your voluntary participation in this survey.

We want to hear your feedback so we can better understand how COVID-19/Coronavirus has affected you, as a woman. Please fill this quick survey and let us know your thoughts (your answers will be anonymous).

Visit www.Herstoryuntold.com if you would like to share your empowering journey to inspire other women around the globe!
What is today's date? *
MM
/
DD
/
YYYY
What is your gender *
Which country are you located at? *
Which city do you live in? *
What language(s) do you speak? (The list below is not exhaustive and captures only the languages that have the most speakers - please note in other your specific language(s). *
Required
Do you think your country has enough available resources to help women during this global pandemic? E.g. access to support services, financial support, child care support.. Please share why or why not. *
Are you currently experiencing any sort of domestic violence? (This is private and remains anonymous). *
What is your age group *
What is the highest degree or level of school you have completed? If currently enrolled, highest degree received. *
Required
What is your marital status? *
Do you have children? *
Employment Status *
Required
Has your job been affected because of COVID-19 Global pandemic? Please share how it has affected you. *
Has your relationship with your significant other been affected? If so, please explain if it has brought you and your partner/spouse closer or further apart? *
What are your biggest stressors now? *
How are you finding ways to cope with all the changes?
Have you ever taken the COVID-19 test before?
Clear selection
Will you take the COVID-19 vaccine when it becomes ready and available? *
Do you wear masks when you go outside of your home *
If you do not wear a mask, what is the reason? *
How has COVID-19 changed your daily living. (check all that applies. )
What do you miss most about pre-covid times?
When do you think the COVID-19 global pandemic will end? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy