Protocol - Effects of COVID-19 Outbreak - Adult

1. In what ways has the COVID-19 outbreak affected your overall healthcare? (Mark all that apply)

01[ ]I did not go to healthcare appointments because I was concerned about entering my healthcare provider’s office

02[ ]My healthcare provider canceled appointments

03[ ]My healthcare provider changed to phone or online visits

04[ ]My healthcare provider told me to self-isolate or quarantine

05[ ]None of these apply

2. Which of the following behaviors have you done less because of the COVID-19 outbreak? (Mark all that apply)

01[ ]In-person contact with people inside the home (that is, you are quarantined separately from one or more family or household members)

02[ ]In-person contact with family who live outside the home

03[ ]In-person contact with friends

04[ ]In-person contact with colleagues at work

05[ ]In-person events in the community, including religious events

06[ ]None of these apply

3. Which of the following behaviors have you changed because of the COVID-19 outbreak? (Mark all that apply)

01[ ]Eat more home-cooked meals

02[ ]Eat more takeout / delivered food

03[ ]Get more physical exercise

04[ ]Get less physical exercise

05[ ]Spend more time outdoors in nature

06[ ]Spend less time outdoors in nature

07[ ]None of these apply

4. In what ways has the COVID-19 outbreak affected your work? (Mark all that apply)

01[ ]I moved to working remotely or from home

02[ ]I lost my job permanently

03[ ]I lost my job temporarily, or was not told for how long

04[ ]I got a new job

05[ ]I reduced my work hours

06[ ]I increased my work hours

07[ ]My job put me at increased risk of getting COVID-19

08[ ]I laid off employees

09[ ]I did not have a paying job before the COVID-19 outbreak

10[ ]None of these apply

5. In what ways has the COVID-19 outbreak affected your spouse/partner’s work? (Mark all that apply)

00[ ]Not applicable – I do not have a spouse/partner → If marked, skip to Question 6.

01[ ]My spouse/partner moved to working remotely or from home

02[ ]My spouse/partner lost his/her job permanently

03[ ]My spouse/partner lost his/her job temporarily, or was not told for how long

04[ ]My spouse/partner got a new job

05[ ]My spouse/partner reduced his/her work hours

06[ ]My spouse/partner increased his/her work hours

07[ ]My spouse/partner’s job put him/her at increased risk of getting COVID-19

08[ ]My spouse/partner laid off employees

09[ ]My spouse/partner did not have a paying job before the COVID-19 outbreak

10[ ]None of these apply

6. How has the COVID-19 outbreak affected your regular childcare? (Mark all that apply)

01[ ]I had difficulty arranging for childcare

02[ ]I had to pay more for childcare

03[ ]My spouse/partner or I had to change our work schedule to care for our children ourselves

04[ ]My regular childcare has not been affected by the COVID-19 outbreak

05[ ]I do not have a child in childcare.

7. What have been your greatest sources of stress from the COVID-19 outbreak? (Mark all that apply)

01[ ]Health concerns

02[ ]Financial concerns

03[ ]Impact on work

04[ ]Impact on your child

05[ ]Impact on your community

06[ ]Impact on family members

07[ ]Access to food

08[ ]Access to baby supplies (e.g., formula, diapers, wipes)

09[ ]Access to personal care products or household supplies

10[ ]Access to medical care, including mental health care

11[ ]Social distancing or being quarantined

12[ ]I am not stressed about the COVID-19 outbreak

8. What have you done to cope with your stress related to the COVID-19 outbreak? (Mark all that apply)

01[ ]Meditation and/or mindfulness practices

02[ ]Talking with friends and family (e.g., by phone, text, or video)

03[ ]Engaging in more family activities (e.g., games, sports)

04[ ]Increased television watching or other “screen time” activities (e.g., video games, social media)

05[ ]Eating more often, including snacking

06[ ]Increasing time reading books, or doing activities like puzzles and crosswords

07[ ]Drinking alcohol

08[ ]Using tobacco (e.g., smoking, vaping)

09[ ]Using marijuana (e.g., vaping, smoking, eating) or cannabidiol (CBD)

10[ ]Talking to my healthcare providers more frequently, including mental healthcare provider (e.g., therapist, psychologist, counselor)

11[ ]Volunteer work

12[ ]I have not done any of these things to cope with the COVID-19 outbreak

9. Please indicate the extent to which you view the COVID-19 outbreak as having either a positive or negative impact on your life.

01[ ]Extremely negative

02[ ]Moderately negative

03[ ]Somewhat negative

04[ ]No impact

05[ ]Slightly positive

06[ ]Moderately positive

07[ ]Extremely positive

10. Since becoming aware of the COVID-19 outbreak, how often have you felt happy and satisfied with your life?

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

For rows 11.a through 11.i below, please mark ‘Not at all’, ‘Rarely’, ‘Sometimes’, ‘Often’, or ‘Very often’ for how often you have had the experience since becoming aware of the COVID-19 outbreak.

11. Since becoming aware of the COVID-19 outbreak, how often have you …

a. had difficulty sleeping

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

b. startled easily

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

c. had angry outbursts

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

d. felt a sense of time slowing down

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

e. felt in a daze

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

f. tried to avoid thoughts and feelings about COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

g. tried to avoid reading or watching information about COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

h. had distressing dreams about COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

i. been distressed when I see something that reminds me of COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often