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COVID Impact Survey - FINAL

Survey to assess impact of the COVID-19 pandemic on TB programs, services, and patients

This survey was developed to better understand the challenges and opportunities TB programs face in response to the COVID-19 pandemic. We are trying to get this out to as many TB Programs as possible so that we have a more complete understanding of the impact of COVID and the opportunities/barriers being faced. To that end, we are disseminating this to all COAG recipients and NTCA local health department (LHD) program members. State TB controllers/programs managers are asked to forward onto the LHDs within their state with TB programs but ask that only ONE survey per LHD be submitted which may require coordination at the LHD level.

We estimate that the survey will take 15-20 minutes of you/your designee's time.

The primary purposes for conducting this survey are three:
  • Assess impact of COVID on TB Programs, including early evidence of TB-COVID co-infections
  • Identify strategies for addressing COVID impact on TB Programs
  • Evaluate potential need for additional resources to TB Programs due to COVID-19
Please note that the survey has a Save and Continue Later feature. Click the link on the tops of pages two+  to save your work for a later session or if you plan to leave your computer for over 15 or 20 minutes before continuing with the survey. When you click the Save and Continue Later link, you'll be asked for your email address. Use the link sent by email to re-open your survey response. 
1. Please enter your name, city, state, and email address in the fields below. This information will NOT be used for any other purpose than to ensure we have a complete representation of TB programs throughout the United States. This information will also help us identify where we might have concerns about duplicate enumeration of TB-COVID-19 co-infection.

To ensure anonymity, this information will NOT be tied to your responses. NTCA takes very seriously the confidentiality of our survey respondents! The responses below are required but, please know, the information will ONLY be used to better understand how representative is the response to this survey. Please note:  In an effort to include our USAPI colleagues, we included "Territory." Any respondent not from one of the USAPI  programs will need to insert NA for this required field.  *This question is required.
2. 1. Is your program a  *This question is required.
3. 2. What is your role in the TB program? (check all that apply) *This question is required.
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