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QUICK COVID-19 PRIMARY CARE SURVEY SERIES 34 FIELDED DECEMBER 1014, 20211. YOU SAID ASK US THIS! Because of low staffing, we Please check all that are true for you or your practice. O o o o o o o

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Individuals who want to report or share the impacts of COVID-19 in Oregon can visit www.oregon.gov/oha/FOD/impacts-of-covid-19-on. This form is specifically designed to gather information and insights about how the pandemic has affected individuals' lives, health, employment, and other aspects. It is open to anyone residing in Oregon who wishes to contribute their experiences to help analyze and understand the broader impacts of COVID-19 in the state.

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What is wwworegongovohafodimpacts of covid-19 on?

It provides information on the impacts of Covid-19 on the state of Oregon.

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Businesses and individuals who have been impacted by Covid-19 in Oregon are required to file.

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You can fill out the form online on the Oregon government website.

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The purpose is to assess the economic and social impact of Covid-19 in Oregon.

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Information such as business closures, job losses, financial losses, and community support efforts must be reported.

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