Winter Survey 2020 December 23, 2020 Javascript must be enabled to properly view this page. * Indicates Required Field Title First Name * Middle Initial Last Name * Suffix Phone Number Mobile Number Email * Address (Street Address, P.O. Box, Company Name, c/o)* Street Address, P.O. Box, Company Name, c/o Address Line 2 (Street Address, P.O. Box, Company Name, c/o) Suite, Unit, Building, Floor, etc. Apt Number City * State * Zip 5 * 1. Age Range 18-24 years old. 25-34 years old. 35-44 years old. 45-54 years old. 55-64 years old. 65+ years old. Prefer not to say. 2. Please select your gender: Male Female Other 3. Please select your ethnicity below: Native American African American Hispanic White Asain Native Hawaiian Other Pacific Islander 2 or more races Prefer not to say 4. Are you a veteran? Yes No 5. What kind of health insurance do you currently have? Private Insurance Public Insurance (ex. Medicaid, Medicare, VA) I do not have insurance 6. Do you believe your health care is affordable? Yes No 7. Do you feel you will be able to afford health care in the future? Yes No 8. If you are currently uninsured, please choose one of the following reasons as to why. Too expensive I don't need healt insurance I do not know where to get health insurance N/A, I have insurance 9. Are you able to pay your current medical bills? Yes No 10a. Have you used telehealth services since March 2020? Yes No 10b. If so, were you satisfied with the quality of the service? Yes No 10c. If so, did you feel that your current mobile technology and internet bandwidth was sufficient to connect to telehealth services? Yes No 10d. If so, do you plan to continue to use telehealth services after it is no longer necessary due to the pandemic? Yes No 11. What are your current major concerns regarding COVID-19? Check all that apply: Contracting COVID-19 Transmitting COVID-19 to friends and/or family with comorbidities Nursing home safety Economic impact and job security State budget cuts Access to PPE None of the Above Other: 12. “Qualified immunity holds that government officials such as police officers cannot be held accountable in civil court unless the rights that were violated are already clearly established in existing case law. This doctrine allows many officers who have engaged in misconduct and abuse to walk freely with little or no consequences.” Do you support the end of qualified immunity to the furthest extent possible under New York State law? Yes No 13. “Civil asset forfeiture is the practice of confiscating money or assets when it is believed that they were obtained as proceeds of a crime or used to commit a crime. Civil asset forfeiture started as a way to undermine the profitability of large illicit drug operations, but has since been used in conjunction with small infractions. Even when an individual has criminal charges dismissed, that does not clear their belongings. The legal cost to obtain the lost goods or money is often in excess of the value, which leads to many people walking away from their property despite their innocence of the initial purported crime.” Do you agree that there should be reforms made to civil asset forfeiture? Yes No 14. Should municipalities such as Syracuse require police officers to live within the city limits? Yes No 15. Should the state close businesses such as restaurants and gyms if COVID-19 positivity rates indicate a high degree of community spread? Yes No 16. Do you support New York’s new policy of allowing out-of-state travelers to “test out” of the 14-day quarantine requirement if they receive a negative test result on their 4th day of quarantine? Travelers are also required to complete a test before departing to New York. Yes, travelers should be able to leave quarantine if all test results are negative No, all travelers should complete the 14-day requirement Travelers should only have testing requirements Travelers should not have quarantine or testing requirements 17. Should students be required to get a COVID-19 vaccine, when it becomes available, before attending school? Yes No 18. Do you believe New York State should pursue new revenue raisers in response to the COVID-19 related budget shortfall? Please check all that apply: The legalization and taxation of mobile sports betting The legalization and taxation of recreational marijuana An ultra-millionaire tax A stock transfer tax A pied-a-terre tax (A tax on high-value second homes) None of the above
