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Tell Us What You Think

1. Contact Information *This question is required.
2. Select the topic you would like to provide feedback on. *This question is required.
3. Do you have regular access to the internet today? (Please check all that apply)
3. Are you satisfied with your current method of internet access?
3. Approximately what % of your monthly income do you spend on your home broadband subscription?
3. Are you satisfied with your current method of internet access? 
This question requires a valid number format.
3. Have you ever tried to pay for broadband through the federal Lifeline program?
3. Have you ever tried to secure broadband access through an internet provider’s affordable access program targeted at individuals participating in certain government assistance programs (e.g., Spectrum Internet Assist, Altice Advantage, Comcast Internet Essentials)?
3. Are you a medical provider?
3. Do you use telehealth in your medical practice?
3. Do you view the quality of care you provide as being on par with that of in-person care?
Significantly WorseWorseSameBetterSignificantly Better
3. Have you ever had a telehealth visit as a patient?
3. On a scale from 1 to 5, how likely are you to use telehealth again?
Not Very LikelyNot LikelyNeutralLikelyVery Likely
3. Have you foregone a medical visit because you preferred to avoid telehealth?
3. Which of the following best describes your employment situation?
3. Have you lost or partially lost employment in 2020?
3. Are you hoping to return to your job or industry that you were previously employed in?
3. Are you looking to enter a different industry or occupation?
3. Have you enrolled or considered enrolling in a job training program to obtain that new position?
3. Has your workplace had to undergo changes to continue operating during COVID-19?
3. If your work situation has changed, do you anticipate those changes will persist when work is able to return to normal?
3. What support has been offered to employees?
3. Do you feel financially secure?
3. Do you feel physically safe?
3. What is the approximate size of your business?
3. How much has COVID-19 impacted your operations?
Not at allBarelySomewhatMinor effectsMajor effects
3. Have you laid off or furloughed employees?
3. What percentage of your workforce?
3. If you have made changes to you work arrangements for your employees (e.g. remote work), do you anticipate that these changes will persist when work is able to return to normal?
3. Have you tried to access government support services for assistance?
3. Do your current employees have the skills needed to adapt to COVID-19 business operations?
All responses are subject to New York’s Freedom of Information Law.  Accordingly, please do not share any confidential, personal, or patient information. To protect privacy, responses will be attributed by first name only to the extent practicable and consistent with State law.