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!
* Required
What is today's date?
*
MM
/
DD
/
YYYY
What is your gender
*
Female
Male
Other:
Which country are you located at?
*
Choose
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colmbia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic (Czechia)
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
DR Congo
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Saint Kitts & Nevis
Saint Lucia
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St. Vincent & Grenadines
State of Palestine
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Which city do you live in?
*
Your answer
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).
*
English
Mandarin Chinese
Hindi
Spanish
French
Standard Arabic
Bengali
Russian
Portuguese
Indonesian
Japan
Western Punjabi
Marathi
Turkish
Korean
German
Vietnamese
Tamil
Polish
Other:
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.
*
Your answer
Are you currently experiencing any sort of domestic violence? (This is private and remains anonymous).
*
Yes
No
N/A
What is your age group
*
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65-74 years old
75 years or older
What is the highest degree or level of school you have completed? If currently enrolled, highest degree received.
*
No schooling completed
Elementary School - Nursery to 8th grade
High school graduate, diploma or the equivalent (for example: GED)
Some college credit, no degree
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
Other:
Required
What is your marital status?
*
Single, never married
Married or common-law (domestic partnership)
Widowed
Divorced
Separated
Do you have children?
*
0
1
2
3
4
5
Other:
Employment Status
*
Employed for wages
Self-employed
Out of work and looking for work
Out of work but currently not looking for work
Homemaker
Student
Military
Retired
Unable to work
Other:
Required
Has your job been affected because of COVID-19 Global pandemic? Please share how it has affected you.
*
Your answer
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?
*
Your answer
What are your biggest stressors now?
*
Your answer
How are you finding ways to cope with all the changes?
Your answer
Have you ever taken the COVID-19 test before?
Yes
No
Other:
Clear selection
Will you take the COVID-19 vaccine when it becomes ready and available?
*
Yes
No
Other:
Do you wear masks when you go outside of your home
*
Yes
No
Sometimes
Other:
If you do not wear a mask, what is the reason?
*
Your answer
How has COVID-19 changed your daily living. (check all that applies. )
How you buy groceries
How you interact with others
How you interact with your children
Your job
Your commute to work
Other:
What do you miss most about pre-covid times?
Your answer
When do you think the COVID-19 global pandemic will end?
*
Winter 2020
Spring 2021
Summer 2021
Fall 2021
Winter 2021
Other:
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