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Faculty at Georgetown University recently observed distressing incidents of hardship among students. We also encountered stories of resilience and creative problem-solving in the face of new or uncertain work, school, and living conditions. These emerged as a result of disruption caused by the novel SARS-CoV-2 coronavirus, the ongoing COVID-19 disease pandemic, and the responses of governments and institutions to them. We want to provide students an opportunity to share their diverse situations in a straightforward and simple manner. We have worked with faculty at various universities to design this short questionnaire assessing the impact of COVID-19 on students. The information provided on living and working conditions will be shared on a public platform while fully protecting anonymity and confidentiality.