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* 1. How likely are you to get back to life as normal once the Covid-19 at-home recommendations are lifted?

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* 2. How important is it to you that businesses, gyms and restaurants reopen as soon as possible?

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* 3. When will you go to your local gym, restaurant, mall or other local businesses?

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* 4. When will you feel confident to attend large events such as stadium events, concerts, air shows, etc?

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* 5. How would you feel about participating in a health screening such as our charity's mobile hearing clinic?

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* 6. How could we better provide this service after the Covid-19 pandemic?

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* 7. How soon will you feel confident about participating in a hearing or other health screening?

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* 8. How important is hearing health to you?

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* 9. ENTER YOUR STATE OF RESIDENCE:

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* 10. How can we improve our CHARITY HEARING SCREENING PROGRAM overall?

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* 11. To be entered to WIN prizes for your participation, provide your email address. Thank you!

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