Table 1. Questionnaire for all patients.
| Question | Answer | No. of patients | Category names for MCA | No. of patients | Abbreviation (for MCA) |
|---|---|---|---|---|---|
| A. Baseline information | |||||
| A-1. Age | Above 60 years | 32 | Above 60 years | 32 | ag_a |
| 60 years or less | 70 | 60 years or less | 70 | ag_l | |
| A-2. Gender | Female | 39 | Female | 39 | f |
| Male | 63 | Male | 63 | m | |
| A-3. Ethnicity [1] | Dalit | 1 | Others |
36 | et_n |
| Disadvantaged Janajati |
6 | ||||
| Disadvantaged non-Dalit Terai caste groups | 1 | ||||
| Religious minorities | 1 | ||||
| Relatively advantaged Janajati | 27 | ||||
| Upper caste groups | 66 | Upper | 66 | et_y | |
| A-4. Religion | Hindu | 95 | Hindu | 95 | re_h |
| Buddhist | 5 | Others | 7 | re_o | |
| Muslim | 0 | ||||
| Christian | 1 | ||||
| Others | 1 | ||||
| A-5. Education qualification | Higher education | 7 | Higher and Secondary |
21 | ed_h |
| Secondary | 14 | ||||
| Primary | 35 | Primary, Able, and Illiterate | 81 | ed_p | |
| Able | 23 | ||||
| Illiterate | 23 | ||||
| A-6. Occupation | Professional | 8 | Others | 73 | oc_o |
| Technical | 6 | ||||
| Managerial Clerical Sales | 3 | ||||
| Skilled | 9 | ||||
| Unskilled | 47 | ||||
| Agriculture | 29 | Agriculture | 29 | oc_a | |
| A-7. Diabetes | Diabetes_Yes | 81 | Diabetes_Yes | 81 | Di_d |
| Diabetes_No | 21 | Diabetes_No | 21 | Di_n | |
| A-8. Hypertension | Hypertension_Yes | 51 | Hypertension_Yes | 51 | Hy_h |
| Hypertension_No | 51 | Hypertension_No | 51 | Hy_n | |
| B. Self-perceived difficulty | |||||
| B-1. Are you currently taking medicines for chronic conditions? | Yes | 94 | Not used in MCA | ||
| No | 8 | Not used in MCA | |||
| B-2. How difficult was it for you to obtain your medication owing to the COVID-19 pandemic or social distancing rules? | Unable or very difficult | 3 | Yes | 31 | dm_y |
| Very | 14 | ||||
| Slightly | 14 | ||||
| No | 63 | No | 71 | dm_n | |
| Answered “No” to question B-1 | 8 | ||||
| B-3. How difficult was it for you to access routine medical care that you need owing to the COVID-19 pandemic or social distancing rules? | Difficulty | 17 | Yes | 60 | dc_y |
| Very | 15 | ||||
| Slightly | 28 | ||||
| None | 42 | No | 42 | dc_n | |
| C. Precautionary behavior regarding COVID-19 Which of the following actions have you taken in the last several days to keep yourself safe from COVID-19 (in addition to those you normally do)? (Select all that apply) | |||||
| C-1. Worn a face mask | Yes | 92 | Yes | 92 | Fa_y |
| No | 10 | No | 10 | Fa_n | |
| C-2. Washed/sanitized hands | Yes | 92 | Yes | 92 | Sa_y |
| No | 10 | No | 10 | Sa_n | |
| C-3. Avoided public places/ crowds | Yes | 88 | Yes | 88 | Ac_y |
| No | 14 | No | 14 | Ac_n | |
| C-4. Avoided in-person contact with high-risk people | Yes | 28 | Yes | 28 | Ap_y |
| No | 74 | No | 74 | Ap_n | |
| C-5. Canceled a doctor’s appointment | Yes | 21 | Yes | 21 | Cd_y |
| No | 81 | No | 81 | Cd_n | |
| C-6. Avoided in-person contact with friends or family | Yes | 19 | Yes | 19 | Af_y |
| No | 83 | No | 83 | Af_n | |
| C-7. Canceled/postponed travel | Yes | 13 | Yes | 13 | CT_y |
| No | 89 | No | 89 | CT_n | |
| C-8. Stockpiled food/water | Yes | 12 | Yes | 12 | St_y |
| No | 90 | No | 90 | St_n | |
| C-9. Prayed | Yes | 10 | Yes | 10 | Pr_y |
| No | 92 | No | 92 | Pr_n | |
| C-10. Visited a doctor in person | Yes | 9 | Yes | 9 | Vi_y |
| No | 93 | No | 93 | Vi_n | |
| C-11. Isolated myself from others who live with me | Yes | 8 | Yes | 8 | Is_y |
| No | 94 | No | 94 | Is_n | |
| C-12. Had a “telehealth visit” with a doctor or other healthcare provider | Yes | 8 | Yes | 8 | Te_y |
| No | 94 | No | 94 | Te_n | |
| C-13. Worked or studied at home | Yes | 5 | Yes | 5 | Ho_y |
| No | 97 | No | 97 | Ho_n | |
| C-14. Canceled/postponed work or school activities | Yes | 4 | Yes | 4 | Ca_y |
| No | 98 | No | 98 | Ca_n | |
| D. Psychological impact of the COVID-19 pandemic | |||||
| D-1. How concerned are you about the COVID-19 pandemic? |
Very concerned | 25 | Yes | 60 | co_y |
| Somewhat | 35 | ||||
| Not at all | 42 | No | 42 | co_nt | |
| D-2. While watching the news and listening to stories on COVID-19 via social media, I become nervous or anxious. | Strongly agree | 14 | Agree | 38 | ne_a |
| Agree | 24 | ||||
| Neither agree nor disagree | 29 | Not agree (Included Neither agree nor disagree) | 64 | ne_n | |
| Disagree | 31 | ||||
| Strongly disagree | 4 | ||||
| E. Lifestyle behavior changes | |||||
| E-1. Compared with the months before the outbreak began, how frequently did your communication with close friends and family change? | I communicate with them less often than before. | 64 | Less | 64 | fr_l |
| I communicate with them about the same as before. | 30 | Not less | 38 | fr_n | |
| I communicate with them more often than before. | 8 | ||||
| E-2. How often has your sleep been interrupted or disturbed because of your concerns about the outbreak of COVID-19? | Not at all | 86 | No | 86 | sl_n |
| Somewhat | 11 | Yes | 16 | sl_y | |
| A lot | 5 | ||||
| E-3. Do you smoke? | Yes | 13 | Yes | 13 | sm_y |
| No | 89 | No | 89 | sm_n | |
| E-4. Do you drink alcohol? | Yes | 10 | Yes | 10 | dr_y |
| No | 92 | No | 92 | dr_n | |
| E-5. Before this outbreak, were you doing physical (light or rigorous) activity? | Yes | 57 | Yes | 57 | ph_y |
| No | 45 | No | 45 | ph_n | |
[1] The items are similar to those in the STEPS survey.