Sick Essential Workers and their Families
 If you or someone you live with is sick (with COVID-19 symptoms or otherwise) but still going to work because you have a job in healthcare, sanitation, food services, postal work, or any number of other industries deemed an essential service during the coronavirus pandemic, we want to hear from you.
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What's your email address? (Required just to verify that you're a real person.) *
What's your name?
How old are you? *
What is your race or ethnicity? *
Where do you live? (City, state, or general area of the country is fine.) *
Who in your household is an essential worker, and what kind of work do they do? *
What kind of symptoms do you or does this household member have? Are they suspected or confirmed to be COVID-19 symptoms? *
How has your employer or your household member’s employer handled the news of these symptoms, if you’ve chosen to tell them? Were you or they able to take any time off (paid or otherwise)? Are you or they continuing to work now? *
What steps have you taken as a household to protect yourselves? (Self-isolating in different parts of your home, having friends/family run errands, etc). *
Has anyone (friends, family, strangers, people on the internet) expressed anger or judgment at you or your household member for continuing to work despite having potential COVID-19 symptoms? *
How could people in your community, from neighbors to friends to local/state/federal governments, help you and your household right now?
Can we follow up with you with any further questions? *
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