Lockdown Experience Survey Form
Thank you for letting us know your experience.
Name
Email
Age(optional)
Which option best describes what you are feeling right now?
Good
Normal
Bad
Should this lockdown be extended for some more time?
Definitely
Maybe
Not sure
What do you think are the correct advices against COVID-19? (Check all that apply)
Wash your hands frequently
Maintain social distancing
Avoid touching eyes, nose and mouth
Practice respiratory hygiene
If you have fever, cough and difficulty breathing, seek medical care early
Stay informed and follow advice given by your healthcare provider
Any comments or suggestions?
Submit