Songs for Sound Charity: Hearing Health Tour & Covid-19 Survey
Help us SERVE America Again.

Question Title

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

Very; I cannot wait to get back to my normal routine!

Somewhat; I may make a few lifestyle, but look forward to a routine.

Not at all; I am very concerned about how this will change my lifestyle.

Question Title

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

Very

Somewhat

Not important

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

May-June

July-August

Sept-October

November-December

6+ months

Question Title

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

1-2 months

3-4 months

5-6 months

6+ months

Right away; I can't wait to go to an event!

N/A I don't attend these events

Question Title

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

Extremely interested

Very interested

Somewhat interested

Not so interested

Not at all interested

Question Title

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

I would take it aboard your mobile clinic as is!

I would take it aboard your mobile clinic with some changes such as safe distances between hearing kiosks & continuous cleaning of equipment.

I would prefer to take it in a room with significant safe distances between kiosks & continuous cleaning of equipment.

I would prefer a free virtual hearing test (over an ipad/computer)...a.k.a. "telehealth".

I would not participate in a hearing screening at this time.

Question Title

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

Immediately

1-2 months

3-4 months

5-6 months

6+ months

Question Title

* 8. How important is hearing health to you?

A great deal

A lot

A moderate amount

A little

None at all

Songs for Sound Charity: Hearing Health Tour & Covid-19 Survey
Help us SERVE America Again.

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 8. How important is hearing health to you?

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* 9. ENTER YOUR STATE OF RESIDENCE:

Question Title

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

Question Title

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

Songs for Sound Charity: Hearing Health Tour & Covid-19 SurveyHelp us SERVE America Again.

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 8. How important is hearing health to you?

Question Title

* 9. ENTER YOUR STATE OF RESIDENCE:

Question Title

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

Question Title

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

Songs for Sound Charity: Hearing Health Tour & Covid-19 Survey
Help us SERVE America Again.