Situation
|
Yes/no Yes/no Yes/no |
Infection status
-
4
Over the last few weeks have you had to self-isolate because of any of the below reasons:
-
•
You displayed symptoms of Covid-19
-
•
Someone in your household displayed symptoms
-
•
You are in the vulnerable category
-
•
Someone in your household is in the vulnerable category
-
5
Have any of your close friends or family outside of your household displayed symptoms of or been confirmed to have Covid-19?
-
6
Have any of your close friends or family had to have hospital treatment due to Covid-19 infection?
|
Yes/no Yes/no Yes/no |
BereavementIf yes, is their death due to Covid-19? |
Yes/no Yes/no |
Mental HealthIf yes, has the pandemic had an impact on this mental health difficulty? |
Yes/no No-it's the same Yes-it has been worse Yes-it has been better |
External contact-
9
In the last week how often have you: a. Spent time with friends or family that you don't live with, using the telephone or video call?
|
-
1
-not at all
-
2
-once
-
3
-once every few days
-
4
-once a day
-
5
-several times a day
|
Understanding and impact of COVID-19-
10
To what extent do you agree with the follow statements:
-
a
I feel well informed about the Covid-19 situation in my country
-
b
I have followed government advice for my country (e.g. social/physical distancing, shielding, handwashing)
-
c
My daily routine has been disrupted
-
d
My plans for the future have been affected
-
e
I have a good level of social support
-
f
I feel more lonely now than before the pandemic
-
g
I have lost income or will likely lose income as a result of the Covid-19 situation
|
|