Texas Public Radio COVID-19 survey
RequiredRequired Question(s)
Required 1.
What questions or concerns do you have about COVID-19? How is it affecting our community? 
 

1000 characters left.
Required 2.
Please share an example or personal experience about how COVID-19 has impacted your life.
 

1000 characters left.
3.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com