COVID Questionnaire - Social/Behavioral
NameDescriptionQuestion text
W11_covid_beh_13Behavior - Social distanceSocial distancing is staying at least 6 feet away from other people. In the past two weeks, how often have you practiced social distancing?
W11_covid_beh_14Behavior - MaskIn the past two weeks, when you leave your home, are the other people around you wearing a mask
W11_covid_beh_16Behavior - Mask selfIn the past two weeks, when you went to places with other people around, how often did you wear a mask?
W11_covid_cope_1Cope isolation - breaksTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Taking breaks from watching, reading, or listening to news stories, including social media.)
W11_covid_cope_2Cope isolation - bodyTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Taking care of your body, such as taking deep breaths, stretching, or meditating.)
W11_covid_cope_3Cope isolation - healthyTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Engaging in healthy behaviors like trying to eat healthy, well-balanced meals, exercising regularly, getting plenty of sleep, or avoiding alcohol and drugs.)
W11_covid_cope_4Cope isolation - relaxTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Making time to relax.)
W11_covid_cope_5Cope isolation - connectingTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Connecting with others, including talking with people you trust about your concerns and how you are feeling.)
W11_covid_cope_6Cope isolation - healthcareTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Contacting a healthcare provider.)
W11_covid_cope_7Cope isolation - smokingTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Smoking more cigarettes or vaping more.)
W11_covid_cope_8Cope isolation - alcoholTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Drinking alcohol.)
W11_covid_cope_9Cope isolation - prescription drugsTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Using prescription drugs (like valium, etc.).)
W11_covid_cope_10Cope isolation - non-prescription drugsTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Using non-prescription drugs.)
W11_covid_cope_11Cope isolation - CannabisTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Using cannabis or marijuana.)
W11_covid_cope_12Cope isolation - SugarTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Eating high fat or sugary foods.)
W11_covid_cope_13Cope isolation - Self-injuryTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Cutting or self-injury.)
W11_covid_cope_14Cope isolation - Over ExcersizeTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Over exercise.)
W11_covid_cope_15Cope isolation - More FoodTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Eating more food than usual.)
W11_covid_cope_16Cope isolation - Less FoodTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=Eating less food than usual.)
W11_covid_cope_17Cope isolation - NoneTo cope with social distancing and isolation are you doing any of the following? (Select all that apply) (choice=None of the above)
W11_covid_cig_1Covid cigarettes - UrgeI wanted to smoke cigarettes...
W11_covid_cig_2Covid cigarettes - SmokedI smoked cigarettes...
W11_covid_cig_3Covid cigarettes - QuitI quit smoking cigarettes
W11_covid_cig_4Covid cigarettes - AttemptI tried to quit smoking cigarettes but couldn't
W11_covid_cig_5Covid cigarettes - SwitchI switched from smoking cigarettes to a different nicotine product
W11_covid_ecig_1Covid ecig - UrgeI wanted to vape nicotine...
W11_covid_ecig_2Covid ecig - VapedI vaped nicotine...
W11_covid_ecig_3Covid ecig - QuitI quit vaping nicotine
W11_covid_ecig_4Covid ecig - AttemptI tried to quit vaping nicotine but couldn't
W11_covid_ecig_5Covid ecig - SwitchI switched from vaping nicotine to a different nicotine product
W11_covid_mj_1Covid mj - UrgeI wanted to use marijuana...
W11_covid_mj_2Covid mj - UsedI used marijuana...
W11_covid_mj_3Covid mj - QuitI quit using marijuana
W11_covid_mj_4Covid mj - AttemptI tried to quit using marijuana but couldn't
W11_covid_alc_1Covid alc - UrgeI wanted to drink alcohol...
W11_covid_alc_2Covid alc - DrankI drank alcohol...
W11_covid_alc_3Covid alc - QuitI quit drinking alcohol
W11_covid_alc_4Covid alc - AttemptI tried to quit drinking alcohol but couldn't
W11_covid_outside_1Outside - OutdoorOver the past two weeks, how often have you... Gone to outdoor recreational public places (e.g., parks, beach, hiking trails)
W11_covid_outside_2Outside - IndoorOver the past two weeks, how often have you... Gone to indoor recreational public places (e.g., mall)
W11_covid_outside_3Outside - WalkOver the past two weeks, how often have you... Gone for a walk near your house
W11_covid_outside_4Outside - Public transportationOver the past two weeks, how often have you... Used public transportation (bus, metro)
W11_covid_outside_5Outside - PartyOver the past two weeks, how often have you... Attended a gathering or party with more than 10 people
W11_covid_outside_6Outside - HostedOver the past two weeks, how often have you... Hosted a gathering or party at your house with more than 10 people
W11_covid_outside_7Outside - Small gatheringOver the past two weeks, how often have you... Attended a gathering of 2-9 people
W11_covid_outside_8Outside - DiningOver the past two weeks, how often have you... Gone out to a restaurant, bar, club, or other place where people gather
W11_covid_outside_9Outside - Visit othersOver the past two weeks, how often have you... Gone to a friend, neighbor or relative's house (that is not your own)
W11_covid_outside_10Outside - Faith gatheringOver the past two weeks, how often have you... Gone to a faith based gathering such as a church, synagogue, temple or mosque
W11_covid_handleCovid handling How well are you handling the COVID-19 pandemic?
W11_covid_perc_2Covid perception - ContractHow likely do you think it is that you will contract COVID-19 coronavirus?
W11_covid_perc_3Covid perception - AverageHow likely do you think it is that the average person your age will contract COVID-19 coronavirus?
W11_covid_perc_4aCovid perception - No symptomsIf you were to get COVID-19 coronavirus, how likely do you think you would be to: Have any symptoms at all
W11_covid_perc_4bCovid perception - SevereIf you were to get COVID-19 coronavirus, how likely do you think you would be to: Have really severe/painful symptoms
W11_covid_perc_4cCovid perception - HospitalIf you were to get COVID-19 coronavirus, how likely do you think you would be to: Have to stay overnight in a hospital
W11_covid_perc_4dCovid perception - Long covidIf you were to get COVID-19 coronavirus, how likely do you think you would be to: Have permanent health problems resulting from the virus
W11_covid_perc_4eCovid perception - DieIf you were to get COVID-19 coronavirus, how likely do you think you would be to: Die
W11_covid_perc_5Covid perception - SymptomsOn a scale from 1 to 10, how severe do you think your symptoms will be if you get sick with COVID-19 coronavirus?
W11_covid_83aCovid exp - Paying for foodPlease rate your level of agreement with the following: I am worried about or already having trouble paying for food to eat
W11_covid_83bCovid exp - Enough to eatPlease rate your level of agreement with the following: I am worried about not having enough to eat or to feed my family
W11_covid_83cCovid exp - Access foodPlease rate your level of agreement with the following: I am worried about or cannot find key foods or other essential items (e.g., toilet paper) anywhere
W11_covid_83dCovid exp - Cost of foodPlease rate your level of agreement with the following: I am worried about or already spending more than I usually do on food
W11_covid_83eCovid exp - Change of eating habitsPlease rate your level of agreement with the following: I am worried about or already eat much more or much less than I usually do
W11_covid_84aCovid exp - HomelessnessPlease rate your level of agreement with the following: I am worried about being evicted or losing my home, or not having a place to live
W11_covid_84bCovid exp - EvictionPlease rate your level of agreement with the following: I have been evicted or lost my home.
W11_covid_85aCovid exp - Losing my jobPlease rate your level of agreement with the following: I am worried about losing my job or having my hours and pay reduced
W11_covid_85dCovid exp - EconomyPlease rate your level of agreement with the following: I am stressed about how the pandemic is affecting / is going to affect the economy
W11_covid_85eCovid exp - EmploymentPlease rate your level of agreement with the following: I am worried about employment opportunities 6 months from now
W11_covid_85fCovid exp - MoneyPlease rate your level of agreement with the following: I am worried about not having enough money to live
W11_covid_85gCovid exp - Family and friendsPlease rate your level of agreement with the following: I am worried about my friends or family not having enough money to live
W11_covid_85hCovid exp - EducationPlease rate your level of agreement with the following: I am worried about how my education will be affected, or about how it has already been affected
W11_covid_85iCovid exp - JobPlease rate your level of agreement with the following: I have lost my job or my hours and pay have been reduced
W11_covid_85jCovid exp - Increased work hoursPlease rate your level of agreement with the following: I am working more hours than usual
W11_covid_85kCovid exp - Financial problemsPlease rate your level of agreement with the following: I am having serious financial problems
W11_covid_children_ynCovid exp - ChildrenPlease rate your level of agreement with the following: Do you have children living at home with you?
W11_covid_88aCovid exp - ChildcarePlease rate your level of agreement with the following: I have had difficulty arranging childcare
W11_covid_88bCovid exp - Childcare costPlease rate your level of agreement with the following: I have incurred increased costs for childcare
W11_covid_88cCovid exp - Childcare difficultPlease rate your level of agreement with the following: Childcare has become significantly more difficult
W11_covid_88dCovid exp - VisitingPlease rate your level of agreement with the following: I see my family/friends much less than I used to
W11_covid_88eCovid exp - Video callsPlease rate your level of agreement with the following: I have had video calls with my family/friends
W11_covid_88fCovid exp - Online gatheringsPlease rate your level of agreement with the following: I have organized or participated in online gatherings with family or friends
W11_covid_88gCovid exp - IsolatedPlease rate your level of agreement with the following: I am feeling very isolated from family/friends or feel very lonely
W11_covid_88hCovid exp - Socializing lessPlease rate your level of agreement with the following: I am socializing with family/friends much less than I used to
W11_covid_89aCovid exp - OverreactingPlease rate your level of agreement with the following: I think people are overreacting to the pandemic fears
W11_covid_89bCovid exp - Hand washingPlease rate your level of agreement with the following: I spend a lot of time thinking about whether I have washed my hands enough or sanitized items in my home enough
W11_covid_89cCovid exp - LearningPlease rate your level of agreement with the following: I spend a lot of time on social media to learn about COVID-19
W11_covid_89dCovid exp - NewsPlease rate your level of agreement with the following: I spend a lot of time reading or watching the news about COVID-19
W11_covid_89eCovid exp - SeriousPlease rate your level of agreement with the following: The COVID-19 coronavirus is a serious worldwide health problem
W11_covid_89fCovid exp - RiotsPlease rate your level of agreement with the following: I am worried about riots/disorder in my community
W11_covid_89gCovid exp - RacismPlease rate your level of agreement with the following: Since the pandemic began, people have avoided me or insulted me more often because of my race/ethnicity
W11_covid_89hCovid exp - CompliancePlease rate your level of agreement with the following:I am worried about other people not following state or local city orders (e.g., to stay indoors and not leave the house)
W11_covid_judge_1Covid judge - SeriousHow much do you agree with the following statements? People are not taking COVID-19 seriously enough
W11_covid_judge_2Covid judge - MasksHow much do you agree with the following statements? Everyone should be wearing masks when out in public
W11_covid_judge_3Covid judge - Common coldHow much do you agree with the following statements? COVID-19 is like the common cold/flu
W11_covid_judge_5Covid judge - GovernmentHow much do you agree with the following statements? The government shouldn't tell us that we have to wear a mask
W11_covid_judge_6Covid judge - SchoolHow much do you agree with the following statements? Kids should be able to go back to school in-person
W11_covid_judge_7Covid judge - Public spacesHow much do you agree with the following statements? All public places should be opened back up
W11_covid_judge_8Covid judge - Stay homeHow much do you agree with the following statements? Everyone should stay home as much as possible during COVID-19