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* 1. How do you get information about the Covid19 pandemic? (check all that apply)

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* 2. Check all the activities in which you engaged at least once in the past month

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* 3. In the past 3 months, have you (check all that apply)

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* 4. When are you making regular use of a face mask or face covering? (Check all that apply)

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* 5. How comfortable are you in wearing a face mask or face covering?

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* 6. Do you have a medical condition that makes it difficult for you to use a face mask or face covering?

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* 7. Since the start of the Covid-19 restrictions, are you spending more time at home on the following (check all that apply)?

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* 8. If you were to test positive for Covid-19, do you have someone to take care of you?

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* 9. How do you rate your health?

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* 10. In the past 6 months, has there been a change in your health?

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* 11. To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?

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* 12. Since Covid-19 restrictions were announced last March, has there been a change in how often you feel lonely or isolated from those around you?

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* 13. Since Covid-19 restrictions were announced in March, has there been a change in how often you have been bothered by emotional problems such as feeling anxious, depressed, or irritable?

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* 14. Since Covid-19 restrictions were announced in March, has there been a change in how often you have been unable to stop or control worrying

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* 15. Since Covid-19 restrictions were announced in March, has there been a change in how often you have had little interest or pleasure in doing things?

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* 16. Are you in a high-risk group for Covid-19 because of one or more chronic health problems?

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* 17. Do you have a computer or tablet at home with internet access?

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* 18. Do you have a smartphone?

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* 19. If yes, how satisfied are you with your skills in using the apps on your smartphone?

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* 20. In the past 3 months, have you participated in a remote meeting using Zoom or another conference software either with a phone or video connection

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* 21. If yes, how satisfied are you with your skills in using Zoom or other conference software?

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* 22. Do you know someone who has been diagnosed with Covid-19?

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* 23. Have you tested positive for Covid-19

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* 24. What is your age?

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* 25. With what gender do you identify:

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* 26. Where do you live?

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* 27. Including yourself, how many people live in your household?

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* 28. Do you live in some form of senior housing?

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* 29. Are you Spanish, Hispanic, or Latino?

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* 30. What is your race? (Check one or more)

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* 31. What is your employment status? (Check one)

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* 32. Which category best describes your household income before taxes last year?

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* 33. How worried are you about having enough money to pay your bills?

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* 34. Since the start of the Covid-19 pandemic, has your overall financial situation become better, stayed the same, or become worse:

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