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. 2020 Sep 15;118:105469. doi: 10.1016/j.childyouth.2020.105469

Table 1.

Translated questionnaire sent to parents and legal guardians of children aged 0–12 years old.

Question Options
1. What city and state do you live in?
2. How old are you?
3. Regarding minors living in your house. You are: Mother; Father; Other (the volunteer could write the answer)
4. How many people live in your house (consider you)? 2; 3; 4; 5 or more people
5. Which activities you used to do and have not done during the pandemic due to fear of getting COVID-19 (volunteer could select one or more options). Go to health offices/clinics (doctor, dentist, psychologist, etc.); Go to grocery stores; Go out for leisure; Visit relatives and friends; Go to work; Go to school/college; I am not doing any of the listed activities; I am doing all the activities I used to do; other (the volunteer could write the answer).
6. On a scale of 0 to 10, where 0 is no fear and 10 is terror, indicate the option that best describes your fear of the pandemic. 0; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10
7. Which alternative best describes the impact of the pandemic on your family income. Family income not impacted; Slightly reduced; Drastically reduced; Total loss of income; Increased during the pandemic.
8. There has been any change in food consumption in your home during the pandemic? Yes, we are eating cheaper foods; Eating less than before; Eating more than before; There was no change in food intake; Other (the volunteer could write the answer).
9. There has been any change in eating habits at your home during the pandemic? (volunteer could select one or more options). We are consuming more processed food with sugar such as soft drinks, sweets and cookies; Consuming more pasta and carbohydrates; Consuming more healthy food such as fruits and vegetables; Consuming more snacks and/or frozen food; Nothing has changed.
10. How is your family's daily routine during the pandemic? We are not leaving the house for anything; Leaving the minimum necessary (pharmacy, supermarket, etc.); Leaving just to work; Leaving the house as usual.
11. Do you or anyone in your household have had symptoms of COVID-19? Yes, but the person was not tested; Yes, the test was negative for COVID-19; Yes, the test was positive for COVID-19; No one has had symptoms or has been diagnosed with COVID-19.
12. How many children between 0 and 12 years old do you? 1; 2; 3; 4 or more.
13. Were any of your children (0–12 years old) undergoing dental treatment before the pandemic? (volunteer could select one or more options). No; Yes, orthodontic treatment; Yes, caries treatment; Yes, because of toothache; Yes, because of dental trauma; Other (the volunteer could write the answer).
14. Would you take your child to a dental appointment during the pandemic? Yes, for any procedure; Yes, but only for urgent treatments; No; Other (the volunteer could write the answer).
15. If not, for what reason? Risk of contracting COVID-19; the dental treatment is not urgent; My child/I has/have symptoms of COVID-19.
16. Have you been able to brush your children's teeth during the pandemic? Yes; No; Sometimes.
17. Has any of your children experienced dental trauma during the pandemic? No; Yes, I sought care right after the trauma and my child was assisted; Yes, but I did not seek care; Yes, I sought care, but we were not assisted; Other (the volunteer could write the answer).
18. Have you noticed any cavities/caries in your children's teeth during the pandemic? No; Yes, I sought care and my child was assisted; Yes, but I did not seek care; Yes, I sought care, but we were not assisted; Other (the volunteer could write the answer).
19. Has any of your children experienced toothache during the pandemic? No; Yes, I sought, and my child was assisted; Yes, but I did not seek care; Yes, I sought care, but we were not assisted; Other (the volunteer could write the answer).