Occupational Survey

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Occupational Survey

Your participation will determine Will County resources needed for the community
No personal information is needed. We are here to assess the needs of the community to see if we can be of some assistance. The pandemic has affected us all; Community Health Navigation has resources for you if and when you need them.

What is your age?

12-24 years old

25-54 years old

55-75years old or older

Clear selection

What is your gender?

Female

Male

Prefer not to say

Clear selection

What is your ethnicity?

White/Caucasian

Hispanic or Latino

Black or African

Native American or American Indian

Asian/Pacific Insider

Prefer not to answer

Other

Clear selection

Are you or anyone in your family receiving Government Assistance?

Wic

Snap/ Ebt

Cash Assistance

Medicaid

Medicare

other

Clear selection

Which of these best describes your personal income?

Less than<$9,999

$10,000-$24,000

$25,000-$49,000

$50,000-$74,999

$75,000-$99,999

$100,000 or greater

Prefer not to say

Clear selection

What is your marital status

Single, never married

Married or domestic relationship

Widowed

Divorced

Separated

Prefer not to answer

Clear selection

Are you currently...?

Employed for wages

Self-employed

Out of work and looking for work

Out of work and but currently not looking for work

Housemaker

A student

Military

Retired

Unable to work

Clear selection

Are you respecting COVID-19 quarantine restrictions?

Yes, Im staying at home

Yes, but im going for a walk once a day

Yes, but im only going out to do errands (expl; Shopping, groceries etc)

Clear selection

Do you know the symptoms of COVID-19?

yes

Clear selection

Did covid open up a different point of view of how you do things?

yes

Has covid opened up other opportunities for you?

Yes

Clear selection

Does your employer provide you with protective wear?(masks, desinfectant, hand sanitizer, and 6feet distance)

Yes

Clear selection

Did you change jobs (company,downsize, location) due to covid?

yes

Did you have to change your work industry due to covid?

Yes

Clear selection

Did you have to quit your job?

Yes

Clear selection

If given the choice are you comfortable working remotely?

Yes

Clear selection

Do you miss your work environment?

Yes

Clear selection

Submit

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