No.	Statements	1	2	3	4	5
64.	I’m washing my hands with soap and water for 20 s.	1	2	3	4	5
65.	I’m using disinfectants to maintain the hygiene of the room.	1	2	3	4	5
66.	I’m wearing protective mask.	1	2	3	4	5
67.	I’m wearing protective gloves.	1	2	3	4	5
68.	I do not touch my face (eyes, nose, mouth).	1	2	3	4	5
69.	I do not shake hands with acquaintances.	1	2	3	4	5
70.	I do not hug with family members, friends, acquaintances.	1	2	3	4	5
71.	I do not kiss in cheek with family members, friends, acquaintances.	1	2	3	4	5
72.	I maintain a recommended distance of 2 m in relation to the people.	1	2	3	4	5
73.	I respect the restriction of movement in public places.	1	2	3	4	5
74.	I avoid contacts with people over 65.	1	2	3	4	5
75.	I do not meet with family members with who do not live in the same household, friends, acquaintances.	1	2	3	4	5
76.	I use a disinfectant to clean my shoes and clothing in which I went to make my purchases, to the workplace.	1	2	3	4	5
77.	I am disinfecting the paws of pet upon returning from the walk.	1	2	3	4	5
78.	I’ve moved pets out of the living place and no longer have contact with them.	1	2	3	4	5
79.	I’ve made a plan with the members of my household about the modes of isolation if needed.	1	2	3	4	5
80.	I’ve made a plan for the diet and necessary food with household members.	1	2	3	4	5
81.	I have enough supplies of groceries needed for 3 days of isolation.	1	2	3	4	5
82.	I have enough supplies of groceries needed for 3–7 days of isolation.	1	2	3	4	5
83.	I have enough supplies of groceries for a month and longer.	1	2	3	4	5