Mask Wearing Experience

Thank you for your interest in public health and the recent state health order about wearing masks.

We appreciate any information you can share about the violation that you have observed. Please provide as much detailed information as possible; we encourage you to share your feedback, questions, and concerns.

Name

First Last

Phone

Name of the location of your experience

Address of your experience

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please describe your experience, providing as much detail as possible

Masks

Mask Wearing Experience