Question 1 of 5

Select your county

Question 2 of 5

How old are you?

Question 3 of 5

Do you work as a:

Essential workers work in industries too critical to be halted during the pandemic, such as agriculture and food production, energy or critical retail (e.g. grocery stores and pharmacies).

Question 4 of 5

Do you have health conditions that put you at increased risk for severe illness from COVID-19?

For example, medical conditions such as diabetes, heart conditions, chronic kidney disease, obesity and others.

Question 5 of 5

Do you live in or work at a nursing home, homeless shelter or prison?