While quarantine measures are a necessity to protect residents of long-term care facilities, researchers at the Mississippi University for Women are seeking to understand the impacts these measures are having on the residents, outside of protection from COVID-19, so that we may formulate ways to address any problems secondary to quarantine measures during similar future quarantine scenarios.

This survey is voluntary and anonymous. You will not be asked for your name or where you work. You are not required to participate and may stop at any time. Completing this survey should take about ten minutes. The information from this survey will be used to determine if there are any secondary negative effects of COVID-19 quarantine measures on residents or long-term care workers and to identify possible solutions to these problems in future quarantine scenarios.

After completing this survey you will be asked if you would like to follow up and complete an anonymous telephone interview with researchers to offer more information on how COVID-19 quarantine measures in long-term care facilities are affecting residents and workers in those facilities. This too is optional and voluntary.

Questions about this research should be directed to Dr. Hunter Manasco at mhmanasco@muw.edu.

This study is approved by the Institutional Review Board of the Mississippi University for Women. 

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* 1. What is your professional role in the long-term care facility where you work:

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* 2. Please list the quarantine measures being used in the long-term care facility where you work:

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* 3. Please estimate your overall level of daily interaction with the residents of your facility before COVID-19 quarantine:

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* 4. Please estimate your overall level of daily interaction with the residents of your facility during COVID-19 quarantine:

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* 5. Rate the negative impact of quarantine measures on enjoyment of life of the long-term care residents without dementia:

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* 6. Rate the negative impact of quarantine measures on emotional state of the long-term care residents without dementia:

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* 7. Rate the negative impact of quarantine measures on social life of the long-term care residents without dementia:

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* 8. Rate the negative impact of quarantine measures on access to family of the long-term care residents without dementia:

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* 9. Rate the negative impact of quarantine measures on access to friends of the long-term care residents without dementia:

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* 10. Rate the negative impact of quarantine measures on access to workers in the facility of the long-term care residents without dementia:

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* 11. Rate the negative impact of quarantine measures on depression level of the long-term care residents without dementia:

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* 12. Rate the negative impact of quarantine measures on stress and anxiety level of the long-term care residents without dementia:

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* 13. Rate the negative impact of quarantine measures on medical status of the long-term care residents without dementia:

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* 14. Rate the negative impact of quarantine measures on physical/motor status of the long-term care residents with dementia:

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* 15. Rate the negative impact of quarantine measures on cognitive status (level of alertness/arousal, memory, attention, etc..) of the long-term care residents without dementia:

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* 16. Rate the negative impact of quarantine measures on level/amount of communication of the long-term care residents without dementia:

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* 17. Rate the negative impact of quarantine measures on hydration and nutrition  of the long-term care residents without dementia:

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* 18. Rate the negative impact of quarantine measures on access to appropriate medical care of the long-term care residents without dementia:

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* 19. Rate the negative impact of quarantine measures on access to therapies (physical therapy, occupational therapy, speech therapy) of the long-term care residents without dementia:

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* 20. Rate the negative impact of quarantine measures on access to recreational activities inside the facility of the long-term care residents without dementia:

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* 21. Rate the negative impact of quarantine measures on access to recreational activities outside of the facility of the long-term care residents without dementia:

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* 22. Rate the positive impact of quarantine measures on protection from COVID-19 of the long-term care residents without dementia:

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* 23. Rate the negative impact of quarantine measures on enjoyment of life of the long-term care residents with dementia:

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* 24. Rate the negative impact of quarantine measures on emotional state of the long-term care residents with dementia:

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* 25. Rate the negative impact of quarantine measures on social life of the long-term care residents with dementia:

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* 26. Rate the negative impact of quarantine measures on access to family of the long-term care residents with dementia:

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* 27. Rate the negative impact of quarantine measures on access to friends of the long-term care residents with dementia.

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* 28. Rate the negative impact of quarantine measures on access to workers in the facility of the long-term care residents with dementia:

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* 29. Rate the negative impact of quarantine measures on depression level of the long-term care residents with dementia:

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* 30. Rate the negative impact of quarantine measures on stress and anxiety level of the long-term care residents with dementia:

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* 31. Rate the negative impact of quarantine measures on medical status of the long-term care residents with dementia:

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* 32. Rate the negative impact of quarantine measures on physical/motor status of the long-term care residents with dementia:

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* 33. Rate the negative impact of quarantine measures on cognitive status (level of alertness/arousal, memory, attention, etc..) of the long-term care residents with dementia:

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* 34. Rate the negative impact of quarantine measures on level/amount of communication of the long-term care residents with dementia:

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* 35. Rate the negative impact of quarantine measures on hydration and nutrition of the long-term care residents with dementia:

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* 36. Rate the negative impact of quarantine measures on access to appropriate medical care of the long-term care residents with dementia:

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* 37. Rate the negative impact of quarantine measures on access to therapies (physical therapy, occupational therapy, speech therapy) of the long-term care residents with dementia:

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* 38. Rate the negative impact of quarantine measures on access to recreational activities inside the facility of the long-term care residents with dementia:

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* 39. Rate the negative impact of quarantine measures on access to recreational activities outside of the facility of the long-term care residents with dementia:

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* 40. Rate the positive impact of quarantine measures on protection from COVID-19 of the long-term care residents with dementia:

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* 41. Rate the negative impact of quarantine measures in the facility where you work on your own enjoyment of life:

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* 42. Rate the negative impact of quarantine measures in the facility where you work on your own emotional state:

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* 43. Rate the negative impact of quarantine measures in the facility where you work on your own social life:

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* 44. Rate the negative impact of quarantine measures in the facility where you work on your own access to family and friends:

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* 45. Rate the negative impact of quarantine measures in the facility where you work on your own access to other workers in the facility:

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* 46. Rate the negative impact of quarantine measures in the facility where you work on your own depression level:

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* 47. Rate the negative impact of quarantine measures in the facility where you work on your own stress and anxiety level:

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* 48. Rate the negative impact of quarantine measures in the facility where you work on your own medical status:

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* 49. Rate the negative impact of quarantine measures in the facility where you work on your own physical/motor status:

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* 50. Rate the negative impact of quarantine measures in the facility where you work on your own cognitive status (level of alertness/arousal, memory, attention, etc..):

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* 51. Rate the negative impact of quarantine measures in the facility where you work on your own level/amount of communication with others in the facility.

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* 52. Rate the negative impact of quarantine measures in the facility where you work on your own hydration and nutrition:

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* 53. Rate the positive impact of quarantine measures in the facility where you work on your own protection from COVID-19:

If you would like to take part in an additional anonymous interview with the researchers we would love to hear from you. Please call Dr. Manasco to at 662-329-7265 or email mhmanasco@muw.edu to set up a time to talk.

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