How has the coronavirus (COVID-19) outbreak changed your life?
COVID-19, also known as coronavirus, has become a worldwide pandemic. First and foremost a health crisis, coronavirus is also impacting the global economy, as well as the everyday lives of countless individuals.
History is in the Making! The Pueblo City-County Library District wants to hear from you about how you, your family, and your communities are being affected. Please tell us your story so we can add your voice to the history of our state - for us to look back on in the future.
Please use this form to share your story with us.
In order to accept your survey via this Google Form, we require you confirm:
1) you are 18 years of age or older,
2) have a valid email address, and
3) your first and last name.
If you are unable to meet all three requirements, we can still collect your stories in other forms!
Under 18: If you are under 18 and would like to participate - or are a teacher who would like to use this form for a student project - please contact us at
for more information *before* completing this form or submitting any journals, photos, or videos by email.
No valid email address and/or wish for anonymity: please contact us by email at
or by phone at (719)562-5626.
Questions? Contact us at
Sign in to Google
to save your progress.
By completing this form, you hereby grant ownership without restriction to the Pueblo City-County Library District, for the use of any and all materials submitted here. Use of the materials may include, but is not limited to, research, education, exhibitions, programs, marketing, reproductions, and promotional purposes. Please click here for further information about informed consent:
Tell Us About You
... by answering the questions below
How old are you?
What is your gender?
Prefer to self-describe (please use 'other' field)
Prefer not to say
What is your zip code?
How are you navigating the new Covid-19 environment?
I stay at home
I have food and other necessities delivered
I limit my outside trips
I limit my social contact to less than 5 people who live outside my home
I limit my social contact to less than 15 people
I wear a mask when I leave home
I maintain a six-foot distance between myself and others
I seek outdoor spaces with low public use
I don't worry about social distancing or masks
What is your ethnicity?
Latino/a/x, Hispanic, Chicano/a/x, Latin American
Native American, American Indian, Alaskan Native, Indigenous
Asian American, Asian
African American, Black, African
Middle Eastern, Arab American, Arab
Native Hawaiian, Pacific Islander, Filipino
How did you learn about this survey?
The Pueblo City-County Library District (email, newsletter, etc.)
News Outlet (TV station, radio, newspaper, etc.)
Social Media (Facebook, Twitter, Instagram, etc.)
Word of mouth
An organization I belong to or follow (please indicate which in "other" field)
Are you part of a Pueblo City-County Library District community project or connected to a local Colorado historical or genealogical society? If yes, which one?
I completed a previous version of this form. (Please help us pair your surveys by using the same email address as your previous submission.)
What have been the biggest challenges that you have faced so far since the pandemic started? What issues are you most concerned about the COVID-19 pandemic? How have your concerns changed since the pandemic started in March?
With many significant historic events occurring in 2020 (the COVID-19 pandemic, protests against systemic racism, the upcoming elections, evolving global tensions), what are your feelings and thoughts about the times you are living in and what are some of the challenges you and your community have faced?
What kind of crises or unprecedented times have you experienced and how does this compare? For example: 9/11, the Polio epidemic, 1970s Energy Crisis, Great Recession, World War II, or the Great Depression.
In the future, what do you want your children, grandchildren, or the next generation to know about what is happening today?
Never submit passwords through Google Forms.
This form was created inside of Pueblo City-County Library District.