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Survey of Behaviour and Trends Surrounding Covid-19
Have you done any of the following in response to Covid-19?
Got tested for CoVID-19 because you had symptoms consistent of CoVID-19
Got tested for CoVID-19 because you had been exposed to someone who may have or tested positive for CoVID-19
Practiced social distancing measures
Wear a Mask indoors
Wear a Mask outdoors
Isolated voluntarily as much as possible
Isolated involuntarily
Keeping away from people at risk (older or weak or immune compromised)
Watched far too much CoVID-19 news on TV
Researched CoVID-19 cures
Other
Please choose all that apply in regards to the following statement - I am physical distancing because:
I am afraid to get sick
I am afraid to get others sick
To keep the numbers down
I trust my government to lead the way
The government requires it
My employment requires it
My spouse requires it
Please choose all that apply - I am not physical distancing because:
I need to work to earn an income
I take care of others outside of my home
I am a social person and don't like being isolated
I don't think physical distancing is healthy
I don't think physical distancing is doing anything to stop the spread of CoVID-19
I’d like to help get to natural herd immunity
How severe do you think most cases of CoVID-19 are?
Almost everyone survives
Most survive, some die
Many survive, many die
Some survive, most die
Almost everyone dies
Other
Did you prepare for, or respond to the outbreak with any of the following measures? Choose all that apply
Nothing
Wash hands with soap and water regularly
Stopped going to work by choice
Stopped going to work by force
Keeping distance from sick people
Keeping physical distance from everyone that is not a member of your household
Stopped going to social gatherings
Wearing face mask
Stocking up home supplies and medicine
Making family / communication plans
Changing / cancelling travel plans
The information you received about how to prepare for the outbreak is:
Not available/accessible
Somewhat informative
Informative
Extremely Informative
The information you receive about the spread of the epidemic is:
Not available or inaccessible
Somewhat Misleading / not the whole truth
Terrible
Mediocre
Good
Great
Excellent and Accurate
Other
How would you rate your knowledge about how to protect yourself from getting sick?
I depend on what the government says
I depend on my Doctor
I am uninformed
I am confused because the news keeps reporting different info
Ok, but I could use some more info
Good
Excellent
Extremely well informed, I do my research from multiple sources
Other
Your trust in official information about Covid-19 from the authorities in your area of residence
Zero confidence, I don't trust my government
Little confidence
Somewhat confident
Confident
Total confidence, I have complete faith government advise is the best
Other
Your assessment of the ability of the authorities in your country to control the spread of Covid-19
I have no confidence that the spread can be controlled
They are doing their best but it's still spreading
They are doing a good job controlling the spread
They are doing a great job controlling the spread
They are doing an excellent job controlling the spread and I have full confidence in the authorities
Other
Your own ability to protect yourself from Covid-19 is:
Non-existent - I don't believe the spread can be controlled
I have some confidence that I can protect myself
I am very confident that I can protect myself
I am extremely confident that I can protect myself
Other
How are you coping with the current situation
I am not coping well as this is a scary and stressful time
I am coping fairly well
I am coping extremely well
I haven't changed my life in any way since Covid-19 has hit
Other
Is your community mandated to shelter in-place or isolate right now?
Yes
No
Are non-essential businesses closed in your community right now?
Yes
No
Are there current restrictions to local mobility in your community?
Yes
No
In your opinion, how appropriate are the current measures in your community to control COVID-19?
Terrible - more control is needed
Ok - but more could be done
Good - things are on the right path
Excellent - our community is doing everything it needs to do
I think the measures are too much and should be reduced
I think we should protect the ‘at risk’ and everyone else go back to normal
I think all the ‘measures' should be stopped and we go back to normal
Other
Since the outbreak, how often have you been bothered by feeling nervous, anxious or on edge?
Not at all
Several days
More than half the days
Nearly every day
Other
Since the outbreak, how often have you been bothered by feeling down, depressed, or hopeless?
Not at all
Several days per month
More than half the days
Nearly every day
Other
Have you been forced to stay at home?
Yes
No
Have you lost your employment due to Covid-19?
Yes
No
Have you had your employment or pay decrease or has your business suffered a loss of customers?
Yes
No
Other
Have you been tested for Covid-19?
Yes
No
Do you think you have had COVID-19?
Yes
No
Unsure
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Additional Comments