COVID Response Community Check-In

What's your name?

You don't need to give it, unless you'd like us to follow up with you.

How has COVID19 affected you? Your family? How have you been dealing with all these changes?

Do you have someone to talk to about what stresses you?

Select

If yes, who?

What tools, tricks or skills are you using to help deal with stress?

Select all that apply

Select

Any other tools, ticks or skills you're using?

Are you able to access resources for the needs you have?

(connect to Resource Connections)

Select

Is there something Peer Seattle can support you with?

Select

Do you have recovery resources?

Select

Please provide your contact information below if your recovery includes opioids and you're interested in getting support.

Name and email OR phone number are required for getting access to opioid support.

Your name

Email address

Phone number

Send me a copy of my responses

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