This research aims to assess the COVID-19 pandemic’s impact on older women. This will be a follow-up to a survey conducted in mid-2020 that collected data on COVID-19 associated effects on health care utilization, difficulties in obtaining medications, quality of life, mental health, compliance with prevention guidelines, and rates of testing and infection in subgroups at high risk for adverse effects. The research team will conduct a follow-up survey to assess rates of infection and testing, prevention behaviors, mental health, access to health care (e.g., delays in receiving care and conversion to telemedicine), and vaccination rates and reasons for not having a vaccination. In addition, they will examine disparities associated with race and ethnicity, and between urban and rural residences. This information will help determine successes and failures in protecting the elderly from the pandemic’s impact on cancer screening and treatment and on broader health needs of this large and vulnerable population and guiding interventions to promote vaccination.