Crawford County Community Survey
Thank you for participating in our survey.

Crawford County is collecting input from citizens regarding the impact Coronavirus policies, mandates and orders have had on our community.
Please fill this quick survey and let us know your thoughts (your answers will be anonymous).
Are you a resident of Crawford County? *
Please specify gender. *
What is your racial or ethnic identification? *
What is your annual pretax income? *
Please select the category that includes your age. *
COVID has negatively affected my employment or caused my business to lose money. *
COVID has negatively affected my healthcare or my ability to receive healthcare services. *
COVID has caused me stress, anxiety, depression and/or negatively affected my mental health. *
As a result of COVID, I have sought out medical treatment for mental health distress. *
COVID has disrupted or resulted in the loss of daycare for my child(ren). *
The County Health Officers disburses information in a timely manner that is easily accessible for the public. *
County level information regarding COVID is easy to find and access via web site and social media. *
I am confident in the abilities of the County Commissioners and Health Officers to protect the public health interests of Crawford County. *
I plan on getting the Coronavirus vaccine once it becomes available. *
Any additional comments?
Never submit passwords through Google Forms.
This form was created inside of Crawford County Kansas. Report Abuse