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Ethnicity OMB.1997
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In the past two weeks have you experienced the following as a result of covid-19?
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In the past seven days, have you?
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Avoid going to a social gathering with friends, peer or coworkers (not including relatives)
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In the past 30 days, have you been sick for more than one day with an illness that included any of the following: fever, cough, sore throat, or runny or stuffy nose?
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Have recommendations for socially distancing caused stress for your families and loved ones?
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If I get sick, I believe I can stay home for 14 days?
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If I get sick, I believe I can stay home for 7 days?
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I believe that I am at risk of being infected with COVID-19
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Was the test for novel coronavirus positive?
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Avoid going to a family gathering like a birthday party or wedding or funeral
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For this illness, were you tested for novel coronavirus (COVID-19)?
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Employment Status
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In the last 7 days, have you:
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To cope with social distancing and isolation, are you doing any of the following?
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In the past week have the following behaviors increased in your household:
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I believe that COVID-19 is a serious disease.
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How much information do you feel you know about COVID-19?
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I believe I can protect others from COVID-19
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To the best of your knowledge, which of the following can protect someone from COVID-19?