Novel Coronavirus Survey Form

Name

Email

Age

Which option best describe your knowledge about Covid-19? Select Knowledge status I know about it I have been infected already I don't know about it

Do you take precaution against Covid-19?

Definitely Maybe Not Sure

What is the best way to be protected?(Check all that apply)

Washing hand frequently Never get outside of home Sanitize whenever possible Meet people only when absolutely necessary Be carefree

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