Mental Health of Undergraduate
Students Survey
Survey Flow
Block: Consent Form (2 Questions)
Standard: Demographic Information (16 Questions)
Standard: Block 11 (1 Question)
Standard: Orientation to Recreation and Academics (2 Questions)
Standard: Exercise (5 Questions)
Standard: Sleep (4 Questions)
Standard: Social Support (2 Questions)
Standard: Mindfulness (2 Questions)
Standard: Emotion Regulation (1 Question)
Standard: Mental Health (2 Questions)
Standard: COVID 19: Pre (4 Questions)
Standard: Covid-19: Post (4 Questions)
Page Break
Page 1 of 33
Start of Block: Consent Form
Q2 The Mental Health of Undergraduate Students and the Impact of COVID-19 You are
invited to participate in a study entitled Mental Health of Undergraduate Students that is being
conducted by Dr. Theone Paterson and Jennifer Reeves at the University of Victoria. This
document describes what will be required of you if you choose to participate in this study, and
the potential risks and benefits of participation. As an undergraduate honours student,
Jennifer Reeves is required to conduct research as part of her requirements for her degree in
Psychology. This research is being conducted under the supervision of Dr.
Paterson. Purpose and Objectives The purpose of this research project is to investigate
the impacts of various factors, including the COVID-19 pandemic and public health response,
year of study, self-care habits, and orientation to academics and recreation, on the mental
health of undergraduate students in Canada. Importance of this Research Research of
this type is important because it will give us a better understanding of how mental health differs
for students across the years of an undergraduate degree, and will further our understanding of
how self-care habits impact this fluctuation. Additionally, this research will examine the impact of
COVID-19 on undergraduate students. Participants Selection You are being asked to
participate in this study because you have expressed an interest in participation, and you are
enrolled in a 4-year undergraduate program in Canada. What is involved If you consent to
voluntarily participate in this research, your participation will entail completing the following
survey which will take approximately 15 minutes of your time, and can be completed within an
internet browser, on a desktop or laptop computer, smartphone, or tablet. The survey will ask
you about aspects of your mental health, as well as your self-care habits and the importance
you place on various activities. This survey will also ask demographic questions, including but
not limited to your age, ethnicity, gender identity, and biological sex. The purpose of these
questions is to better understand how these factors may impact mental
health. Inconvenience Participation in this study may cause some inconvenience to you,
however, this is limited to your time spent completing the survey. Risks There are no
anticipated risks to you by participating in this research. However, the survey does include
questions regarding your mental health and COVID-19. As such, if you were able to experience
any level of distress while completing this survey, please consider accessing the resources
provided at the bottom of this consent form (and provided again at the end of the survey).
There is some minimal risk regarding data security because this survey is hosted online.
However, the study is hosted by QualtricsCoreXM using a UVic license. This platform complies
with the BC Freedom of Information and Protection of Privacy Act (FIPPA), and thus your data
is safely secured in Canada. Qualtrics uses Transport Layer Security encryption, password-
protection, and trusted servers to protect data. Some identifying information (i.e., your email) will
be collected if you express interest in being contacted about future research opportunities
and/or request entry in the prize draw. This data will be collected into a separate Qualtrics form,
and stored separately from your anonymous survey responses. Thus, in the event of a security
threat, the anonymity of your survey responses will continuously be protected. Benefits The
potential benefits of your participation in this research include increasing our knowledge of the
mental health of undergraduate students. This type of research is essential for developing
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appropriate and effective interventions and policies. Compensation Although there is no
specific compensation for completing this survey, participants can opt to be entered to win one
of two $50.00 gift cards for a Major Canadian Retailer (such as Amazon.ca, Bestbuy.ca,
Starbucks Canada, Tim Hortons, Roots Canada, or Chapters/Indigo). If you wish to be entered
in to the draw for the gift card, you may provide your email at the end of the
survey. Voluntary Participation Your participation in this research must be completely
voluntary. If you do decide to participate, you may withdraw at any time without any
consequences or any explanation. If you do withdraw from the study the data you have provided
up to the point in the survey where you discontinue may be retained and where useable,
included in data analyses. If you discontinue the survey before reaching the end, you will not be
provided the option of entering the draw to win a gift card, as this is at the end of the survey.
Participants can opt not to respond to specific items within the survey if they do not wish to, and
are still eligible for the prize draw once they reach the end of the survey. Anonymity All of
your survey responses will be collected anonymously, and no identifying information is being
collected as part of the study. If you choose to provide your email for the prize draw at the end
of the survey, or because you would like to be contacted about future research opportunities by
Dr. Paterson, your email will be securely stored in a separate secure online or local digital
database, and will be completely dissociated from your survey responses. Email data provided
only for the prize draw will be securely destroyed after prizes have been claimed. Email data
provided because you would like to be contacted for future research opportunities will be stored
in an encrypted database file only accessible to Dr. Paterson and her research
team. Confidentiality Your survey data is anonymous and will not be connected to any
personally identifying information. Anonymous survey response data will be stored in a secure
online or local digital database at UVic. Your identifying data (your email address, if you provide
it) will never be shared outside of the research team, and will only be used for purposes you
agree to (i.e., participation in the prize draw and/or to contact you about future research
opportunities). Dissemination of Results It is anticipated that the results of this study will
be shared with others in the following ways: Results may be published in academic journals,
dissertations or theses, blogs, and in the media, or infographics describing study results, and
may also be presented in-person to peers. This could include PowerPoint presentations or
academic conference posters. In all cases, only aggregate data will be presented, and no
personally identifying information will be included. Storage and Disposal of Data Email
addresses provided for the prize draws will be securely deleted immediately following the prizes
being claimed. Email addresses provided so that Dr. Paterson’s research team may contact you
about future research opportunities will be retained by the research team and stored in an
encrypted file on a local UVic hard-drive or server completely separate from the anonymous
survey data. If at any time you wish to no longer be contacted about future research
opportunities, you may contact Dr. Paterson and ask to have this information deleted from the
database. Anonymous survey data will be stored in password protected/encrypted digital files
on encrypted external hard-drives or UVic based network storage server within Canada.
Anonymous data will be kept in perpetuity (i.e., securely stored locally at UVic, or deposited into
a Canadian data repository). Anonymous data may also be shared with other researchers to
support replication and/or secondary analysis of data. By completing this survey, you are
providing your consent to the UVic research team to share the anonymous survey data with
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other research teams, and for it to be used in future research. Contacts Individuals that
may be contacted regarding this study include Jennifer Reeves, at [email protected], and
the Principal Investigator, Dr. Theone Paterson, who may be contacted via the Behavioral
Research on Aging and Illness in Neuropsychology (BRAIN) Laboratory at [email protected] or by
phone at 250-721-7547. In addition, you may verify the ethical approval of this study (HREB
#20-0360), or raise any concerns you might have, by contacting the Human Research Ethics
Office at the University of Victoria (250-472-4545 or [email protected]). Resources If, in
completing this survey, you feel you have been affected by any of the issues described in this
questionnaire and need access to mental health support, please consult the Government of
Canada's guide to accessing services here, contact your doctor/health professional, or contact
one of the following services: · Crisis
Services Canada: https://www.crisisservicescanada.ca/en/looking-for-local-resources-
support/ · Canadian Mental Health Association: https://cmha.ca · To find a suicide prevention
crisis centre phone number or website in your province, visit the Canadian Association for
Suicide Prevention's webpage at http://suicideprevention.ca/need-help. · To find a rape crisis
or women's centre phone number or website in your province, visit the Canadian Association of
Sexual Assault Centres' webpage at www.casac.ca/content/anti-violence-centres. · Teens can
call at 1-800-668-6868 or visit http://org.kidshelpphone.ca. · 211 is a free service that provides
referrals for community, government, and social services. Dial 211 or visit the 211 webpage
at http://211.ca for more information and availability. You can download a list of resources for
your province or territory Here . By clicking the arrow below to complete the survey,
YOUR FREE AND INFORMED CONSENT IS IMPLIED and doing so indicates that you
understand the above conditions of participation in this study and that you have had the
opportunity to have your questions answered by the researchers. If you would like to
download a PDF copy of this consent form, please click Informed consent.
Q43 I am currently enrolled in a 4-year Canadian university or college program
o Yes (1)
o No (2)
End of Block: Consent Form
Start of Block: Demographic Information
Q4 What is your age?
▼ 16 (1) ... 60 or older (45)
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Q6 What is your ethnicity?
o Caucasian (1)
o Asian (2)
o Indigenous (3)
o Metis (7)
o Hispanic or Latino (4)
o Black (5)
o Other (6) ________________________________________________
Q8 What is your biological sex? (Sex assigned at birth)
o Male (1)
o Female (2)
o Intersex (3)
Q7 What is your gender identity?
o Male (1)
o Female (2)
o Non-binary / Genderqueer (3)
o Other / Not listed above (12)
Page 5 of 33
Q9 What is your current academic year of study? This is based on the number of credits you
have completed.
o Year 1 (Freshman) (1)
o Year 2 (Sophomore) (2)
o Year 3 (Junior) (3)
o Year 4 (Senior) (4)
o Post-Year 4 (e.g., "Victory lap", "super senior", etc.) (5)
Q26 What is your actual year of study, based on the number of calendar years you have spent
attending a postsecondary institution?
o Year 1 (1)
o Year 2 (2)
o Year 3 (8)
o Year 4 (3)
o Year 5 (4)
o Year 6 (5)
o Year 7 (6)
o Year 8 + (7)
Q45 What is your program of study?
▼ Business (1) ... Social Science (8)
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Q10 Are you a part-time or a full-time student?
o Part-time (1)
o Full-time (2)
Q46 Will this be your first undergraduate university or college degree?
o Yes (1)
o No, I have previously completed one degree (2)
o No, I have previously completed two degrees (4)
o No, I have previously completed three or more degrees (3)
Q40 Do you identify as a student with a disability?
o Yes (1)
o No (2)
o Prefer to not answer (4)
Q11 What is your current living situation
o Residences/ On-campus (1)
o Off-campus with family (2)
o Off-campus with friends/roommates (3)
o Off-campus alone (4)
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Q44 Which province or territory do you typically reside in during your program?
▼ British Columbia (1) ... Nunavut (13)
Q47 Are you an international student?
o Yes (1)
o No (2)
Q12 Are you currently employed?
o Yes, full-time (1)
o Yes, part-time (2)
o No (3)
Q27 Do you participate in volunteer work, and if so, how many hours per week on average do
you volunteer?
o No (5)
o Yes, between 1-5 hours per week (1)
o Yes, between 6-10 hours per week (2)
o Yes, between 11-15 hours per week (3)
o Yes, more than 15 hours per week (4)
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Q13 What are your plans for after graduation?
o Pursue employment/Begin career (2)
o Enter a trade (e.g., carpentry, plumbing apprenticeship, Gold Seal training culinary arts,
etc.) (4)
o
(3)
Pursue a professional program (e.g., law, or medical, nursing, veterinary school, etc.)
o Pursue graduate studies, such as a Masters/PhD program (1)
o Neither employment or further studies (e.g., planning to be a homemaker; not planning
to enter the labour market, etc.) (5)
o Undecided (6)
End of Block: Demographic Information
Start of Block: Block 11
Q45 Please select all of the fruit
▢ Apple (1)
▢ Car (3)
▢ Dog (4)
▢ Banana (2)
End of Block: Block 11
Start of Block: Orientation to Recreation and Academics
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Q24 The following questions will evaluate how important you view certain activities to be.
Not at all Slightly Moderately Very Extremely
important (1) important (2) important (3) important (4) important (5)
How
important is
participating
in athletics,
such as
varsity sports o o o o o
or
intramurals,
to you? (1)
How
important is
partying or
going out to
bars and o o o o o
clubs to you?
(2)
How
important is
playing
games, such
as video
games or o o o o o
board games,
with friends to
you? (3)
How
important is
watching
online
recreational
content such o o o o o
as on Netflix
or Youtube to
you? (4)
How
important is
participating
in academic
organizations o o o o o
and research
to you? (5)
How
important is o o o o o
Page 10 of 33
studying to
you? (6)
How
important is
attending
office hours o o o o o
to you? (7)
How
important is
utilizing
educational
resources,
such as the o o o o o
library and
online tools,
to you? (8)
Page 11 of 33
Q24 The following questions will evaluate how much time you spend per week on certain
activities.
Less More
1-2 3-5 6-10 11-15 16-20
than 1 than 20
hours (2) hours (3) hours (4) hours (5) hours (6)
hour (1) hours (7)
How many
hours per
week do you
spend
participating
in athletics,
such as o o o o o o o
varsity sports
or
intramurals?
(1)
How many
hours per
week do you
spend
partying or
going out to
o o o o o o o
bars and
clubs? (2)
How many
hours per
week do you
spend
playing
games, such
as video o o o o o o o
games or
board
games, with
friends? (3)
How many
hours per
week you do
spend
watching
online
recreational o o o o o o o
content such
as on Netflix
or Youtube
(4)
Page 12 of 33
How many
hours per
week do you
spend
participating
in academic o o o o o o o
organizations
and
research? (5)
How many
hours per
week do you
spend o o o o o o o
studying? (6)
How many
hours per
week do you
spend
attending o o o o o o o
office hours?
(7)
How many
hours per
week do you
spend
utilizing
educational
resources, o o o o o o o
such as the
library and
online tools?
(8)
End of Block: Orientation to Recreation and Academics
Start of Block: Exercise
Q17 During a typical 7-day period (a week), how many times on average do you do the
following kinds of exercise for more than 15 minutes during your free time?
Page 13 of 33
Q18 Strenuous exercise (Heart beats rapidly)
( e.g., running, jogging, hockey, football, soccer, squash, basketball, cross country skiing, judo,
roller skating, vigorous swimming, vigorous long distance bicycling)
▼ 0 (20) ... 28 + (57)
Q19 Moderate exercise (Not exhausting)
(e.g., fast walking, baseball, tennis, easy bicycling, volleyball, badminton, easy swimming,
alpine skiing, popular and folk dance)
▼ 0 (4) ... 28 + (32)
Q20 Mild exercise (minimal effort)
(e.g., yoga, archery, fishing from river bank, bowling, horseshoes, golf, snowmobiling, easy
walking)
▼ 0 (4) ... 28 + (32)
Q22 When you exercise, are you engaging primarily in aerobic or anaerobic exercise?
o Aerobic exercise - exercise where you are moving your body for longer periods in a
sustained manner (e.g., jogging, walking, cycling, lane swimming). (1)
o Anaerobic exercise - exercise that requires maximum physical effort that can only be
sustained for short periods of time (e.g., sprinting, heavy weight lifting). (2)
o Both equally (3)
End of Block: Exercise
Start of Block: Sleep
Q21
Page 14 of 33
Below is a list of several statements reflecting people’s beliefs and attitudes about sleep.
Please indicate to what extent you personally agree or disagree with each statement.
There is no right or wrong answer. For each statement, use the scale provided to mark the
number that corresponds to your own personal belief.
Please respond to all items even though some may not apply directly to your own situation.
Neither
Strongly Somewhat Agree Strongly
Disagree Somewhat Agree
Disagree Disagree Nor Agree
(2) Agree (5) (6)
(1) (3) Disagree (7)
(4)
Sleep is a
necessity. (1) o o o o o o o
I am inclined
to skip sleep
in order to
socialize o o o o o o o
longer. (2)
Getting a
good night’s
sleep makes
me happy (3)
o o o o o o o
I usually
choose
schoolwork as
a more
important
activity than
o o o o o o o
my sleep
schedule. (4)
I look forward
to a full night
of sleep. (5) o o o o o o o
In the past, I
haven't made
time for
adequate
sleep in my
o o o o o o o
schedule. (6)
I often pick
other activities
over going to
bed early. (7)
o o o o o o o
Getting a full
night of sleep o o o o o o o
Page 15 of 33
is satisfying to
me. (8)
I enjoy a good
night’s sleep.
(9) o o o o o o o
I sleep less so
I have more
hours during
the day to get
work o o o o o o o
accomplished.
(10)
Q32 How many hours of sleep do you get on an average night?
▼ 4 or less (1) ... 12 or more (9)
Q33 Do you feel well rested when you wake up?
o Yes, I do (1)
o Somewhat (2)
o No, I do not (3)
Q34 Do you wish that you were able to sleep more?
o Yes, I wish I could sleep more (1)
o No, I am happy with how much sleep I am currently getting (2)
o No, I sleep too much now (3)
End of Block: Sleep
Page 16 of 33
Start of Block: Social Support
Q19 The following questions relate to the amount of social support you actively seek from
others.
Page 17 of 33
Q20 To what extent, if at all, do you....
Occasionally Sometimes
Not at all (1) Rarely (2) A lot (5)
(3) (4)
Join new
groups (e.g.
sporting,
hobby,
interest
o o o o o
groups) (1)
Make an
effort to catch
up with
friends and/or
family that
you have not o o o o o
seen/heard
from in a
while (2)
Use going to
university as
an
opportunity to
make new
o o o o o
friends (3)
Invite friends
or family to
your home
(4)
o o o o o
Organise a
day or an
evening out
with friends o o o o o
or family (5)
Ask for
emotional
support from
family or
close friends
o o o o o
(6)
Attend social
functions
organised by
your work,
university or o o o o o
community
(7)
Page 18 of 33
Remain open
to developing
new
relationships o o o o o
(8)
Participate
with friends in
activities that
are unrelated o o o o o
to study (9)
When I am
feeling
unhappy, I
phone or visit
a o o o o o
friend/family
member (10)
Make an
effort to
balance your
study time
and your
o o o o o
social life (11)
Use social
media sites to
connect with
friends. (12)
o o o o o
End of Block: Social Support
Start of Block: Mindfulness
Page 19 of 33
Q17
People have a variety of ways of relating to their thoughts and feelings. For each of the items
below, rate how much each of these ways applies to you.
Rarely/ Not at all Almost always
Sometimes (2) Often (3)
(1) (4)
It is easy for me
to concentrate
on what I am
doing. (1)
o o o o
I am
preoccupied by
the future. (2) o o o o
I can tolerate
emotional pain.
(3) o o o o
I can accept
things I cannot
change. (4) o o o o
I can usually
describe how I
feel at the
moment in
considerable
o o o o
detail. (5)
I am easily
distracted. (6) o o o o
I am
preoccupied by
the past. (7) o o o o
It’s easy for me
to keep track of
my thoughts and
feelings. (8)
o o o o
I try to notice my
thoughts without
judging them. (9) o o o o
I am able to
accept the
thoughts and
feelings I have. o o o o
(10)
Page 20 of 33
I am able to
focus on the
present moment.
(11)
o o o o
I am able to pay
close attention to
one thing for a
long period of o o o o
time. (12)
Q31 Below, rate the frequency of with which you engage in mindfulness. Mindfulness practice is
time dedicated to bringing your conscious awareness towards yourself, including your feelings,
thoughts, and body. For example, this may include sitting meditation.
Sometimes
Never (1) Rarely (2) Often (4) Very often (5)
(3)
How often do
you
purposefully
engage in
mindfulness
or
o o o o o
meditation?
(1)
End of Block: Mindfulness
Start of Block: Emotion Regulation
Page 21 of 33
Q18 Please indicate how often the following statements apply to you by clicking the appropriate
number on the scale below on the line beside each item.
About half Most of the Almost
Almost never Sometimes
the time (36- time (66- always (91-
(0-10%) (1) (11-35%) (2)
65%) (3) 90%) (4) 100%) (5)
I have
difficulty
making sense
out of my o o o o o
feelings. (1)
I am confused
about how I
feel. (2) o o o o o
When I am
upset, I have
difficulty
getting work o o o o o
done. (3)
When I am
upset, I
become out of
control. (4)
o o o o o
When I am
upset, I
believe that I
will remain
that way for a
o o o o o
long time. (5)
When I am
upset, I
believe that I’ll
end up feeling
very
o o o o o
depressed. (6)
When I am
upset, I have
difficulty
focusing on
other things.
o o o o o
(7)
When I am
upset, I feel
out of control.
(8)
o o o o o
Page 22 of 33
When I am
upset, I feel
ashamed with
myself for
feeling that
o o o o o
way. (9)
When I am
upset, I feel
like I am
weak. (10)
o o o o o
When I am
upset, I have
difficulty
controlling my
behaviors.
o o o o o
(11)
When I am
upset, I
believe that
there is
nothing I can
do to make
o o o o o
myself feel
better. (12)
When I am
upset, I
become
irritated with
myself for o o o o o
feeling that
way. (13)
When I am
upset, I start
to feel very
bad about o o o o o
myself. (14)
When I am
upset, I have
difficulty
thinking about
anything else.
o o o o o
(15)
When I am
upset, my
emotions feel
overwhelming.
o o o o o
Page 23 of 33
(16)
End of Block: Emotion Regulation
Start of Block: Mental Health
Page 24 of 33
Q16 Please read each statement and pick a response which indicates how much the statement
applied to you over the past week. There are no right or wrong answers. Do not spend too
much time on any statement.
Applied to me to Applied to me to Applied to me
Did not apply to some degree, or a considerable very much or
me at all (1) some of the time degree or a good most of the time
(2) part of time (3) (4)
I found it hard to
wind down (1) o o o o
I was aware of
dryness of my
mouth (2) o o o o
I couldn’t seem
to experience
any positive
feeling at all (3)
o o o o
I experienced
breathing
difficulty (e.g.
excessively rapid
breathing,
breathlessness o o o o
in the absence of
physical
exertion) (4)
I found it difficult
to work up the
initiative to do
things (5)
o o o o
I tended to over-
react to
situations (6) o o o o
I experienced
trembling (e.g. in
the hands) (7) o o o o
I felt that I was
using a lot of
nervous energy
(8)
o o o o
I was worried
about situations
in which I might
panic and make o o o o
a fool of myself
Page 25 of 33
(9)
I felt that I had
nothing to look
forward to (10) o o o o
I found myself
getting agitated
(11) o o o o
I found it difficult
to relax (12) o o o o
I felt down-
hearted and blue
(13) o o o o
I was intolerant
of anything that
kept me from
getting on with
what I was doing
o o o o
(14)
I felt I was close
to panic (15) o o o o
I was unable to
become
enthusiastic
about anything o o o o
(16)
I felt I wasn’t
worth much as a
person (17) o o o o
I felt that I was
rather touchy
(18) o o o o
I was aware of
the action of my
heart in the
absence of
physical exertion
(e.g. sense of
heart rate
o o o o
increase, heart
missing a beat)
(19)
Page 26 of 33
I felt scared
without any good
reason (20) o o o o
I felt that life was
meaningless
(21) o o o o
Q30 Have you been officially diagnosed with any specific mental
health/psychological/psychiatric disorder by a health care practitioner? If so, please specify
o Yes (1) ________________________________________________
o No (2)
o Prefer to not answer (3)
End of Block: Mental Health
Start of Block: COVID 19: Pre
Q41 For the following items, please try to specifically think about how you were feeling before
the COVID-19 outbreak (i.e., before March 2020).
Q36 During the two weeks prior to the COVID-19 outbreak, how often were you been
bothered by the following problems?
More than half Nearly every day
Not at all (1) Several days (2)
the days (3) (4)
Feeling nervous,
anxious, or on
edge (1) o o o o
Not being able to
stop or control
worrying (2) o o o o
Page 27 of 33
Q48 During the two weeks prior to the COVID-19 outbreak, how often were you been bothered
by the following problems?
More than half Nearly every day
Not at all (1) Several days (2)
the days (3) (4)
Little interest or
pleasure in doing
things (1) o o o o
Feeling down,
depressed, or
hopeless (2) o o o o
Page 28 of 33
Q38 The questions in this scale ask you about your feelings and thoughts in the month before
the COVID-19 outbreak. In each case, you will be asked to indicate how often you felt or
thought a certain way in the month before the COVID-19 outbreak.
Almost Never Sometimes Fairly often Very Often
Never (1)
(2) (3) (4) (5)
How often hve
you been
upset
because of
something
that happened
o o o o o
unexpectedly?
(1)
How often
have you felt
that you were
unable to
control the
important
o o o o o
things in your
life? (2)
How often
have you felt
nervous and
"stressed"? o o o o o
(3)
How often
have you felt
confident
about your
ability to
handle your
o o o o o
personal
problems? (4)
How often
have you felt
that things
were going o o o o o
your way? (5)
How often
have you felt
that you could
not cope with
all the things o o o o o
that you had
to do? (6)
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How often
have you
been able to
control
irritations in
o o o o o
your life? (7)
How often
have you felt
that you were
on top of o o o o o
things? (8)
How often
have you
been angered
because of
things that
were outside
o o o o o
of your
control? (9)
How often
have you felt
difficulties
were piling up
so high that
you could not
o o o o o
overcome
them? (10)
End of Block: COVID 19: Pre
Start of Block: Covid-19: Post
Q42 For the following items, please now specifically think about how you have been
feeling since the COVID-19 outbreak began.
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Q37 In a two week period since the COVID-19 outbreak began, how often have you been
bothered by the following problems?
More than half Nearly every day
Not at all (1) Several days (2)
the days (3) (4)
Feeling nervous,
anxious, or on
edge (1) o o o o
Not being able to
stop or control
worrying (2) o o o o
Q49 In a two week period since the COVID-19 outbreak began, how often have you been
bothered by the following problems?
More than half Nearly every day
Not at all (1) Several days (2)
the days (3) (4)
Little interest or
pleasure in doing
things (1) o o o o
Feeling down,
depressed, or
hopeless (2) o o o o
Page 31 of 33
Q39 The questions in this scale ask you about your feelings and thoughts in a one month
period since the COVID-19 outbreak started. In each case, you will be asked to indicate by
circling how often you felt or thought a certain way in a one month period since the COVID-19
outbreak started.
Almost Never Sometimes Fairly Often Very Often
Never (1)
(2) (3) (4) (5)
How often
have you
been upset
because of
something
that happened
o o o o o
unexpectedly?
(1)
How often
have you felt
that you were
unable to
control the
important
o o o o o
things in your
life? (2)
How often
have you felt
nervous and
"stressed"? o o o o o
(3)
How often
have you felt
confident
about your
ability to
handle your
o o o o o
personal
problems? (4)
How often
have you felt
that things
were going o o o o o
your way? (5)
How often
have you felt
that you could
not cope with
all the things
o o o o o
that you had
Page 32 of 33
to do? (6)
How often
have you
been able to
control
irritations in
o o o o o
your life? (7)
How often
have you felt
that you were
on top of o o o o o
things? (8)
How often
have you
been angered
because of
things that
were outside
o o o o o
of your
control? (9)
How often
have you felt
difficulties
were piling up
so high that
you could not
o o o o o
overcome
them? (10)
End of Block: Covid-19: Post
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