Toggle navigation Load unfinished survey Resume later You have completed 0% of this survey 0% default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Your responses are completely anonymous and will be managed in accordance with our privacy policy. Please do not use the back button on your browser or you will encounter an error. What are your main concerns at the moment regarding COVID-19? Please rate your feelings at the moment. This will help us understand how feelings change as the situation changes. Please select one answer per row Not at all A little Moderately Very much so Don’t know I feel frightened Not at all A little Moderately Very much so Don’t know I feel nervous Not at all A little Moderately Very much so Don’t know I feel worried Not at all A little Moderately Very much so Don’t know I feel confused Not at all A little Moderately Very much so Don’t know I feel prepared Not at all A little Moderately Very much so Don’t know I feel satisfied Not at all A little Moderately Very much so Don’t know I feel steady Not at all A little Moderately Very much so Don’t know I am happy Not at all A little Moderately Very much so Don’t know I feel relaxed Not at all A little Moderately Very much so Don’t know I feel calm Not at all A little Moderately Very much so Don’t know I feel secure Not at all A little Moderately Very much so Don’t know (This question is mandatory) In what ways, if any, has COVID-19 impacted on you?You can choose more than one answer per row Negative impact No impact Positive impact Not applicable Feelings of safety Negative impact No impact Positive impact Not applicable Physical health Negative impact No impact Positive impact Not applicable Leisure activities and events Negative impact No impact Positive impact Not applicable Food and grocery shopping / availability Negative impact No impact Positive impact Not applicable spare2 Negative impact No impact Positive impact Not applicable Religious / faith based activities Negative impact No impact Positive impact Not applicable Negative impact No impact Positive impact Not applicable Financial position Negative impact No impact Positive impact Not applicable Exercise activities Negative impact No impact Positive impact Not applicable Housing / accommodation Negative impact No impact Positive impact Not applicable Work / employment Negative impact No impact Positive impact Not applicable Mental health Negative impact No impact Positive impact Not applicable Parenting responsibilities Negative impact No impact Positive impact Not applicable Negative impact No impact Positive impact Not applicable Spending time with family and friends Negative impact No impact Positive impact Not applicable If there are other significant impacts not covered by this list, please tell us about them below. Next Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
