AAPI COVID-19 Needs Assessment Interest Form

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As part of a larger project examining the impact of the COVID-19 pandemic on communities of color and indigenous communities, we are conducting a survey to examine how the COVID-19 pandemic is impacting Asian American and Pacific Islander communities in the United States and what are our communities most pressing needs. If you are interested in participating, please fill out this form.

Email *

Please enter your full name *

Are you 18 years old or older? *

Yes

Do you currently live in the United States? *

Yes

Have you lived in the United States since March 13, 2020? *

Yes

Where do you currently live in the United States? Please indicate the city and state.

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