The Emotional Fallout of Covid Survey

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* 1. How did you find out about this survey?

Wellness Superheroes (Website, podcast, Telegram, etc.)

Budesonide Works Website

The Come Alive Institute

Jodi Hadsell

Annie Catterall

I don't remember

Other (please specify)

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* 2. Are you male or female? (optional and for research purposes only)

Male

Female

Prefer not to say

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* 3. What age bracket are you in? (optional and for research purposes only)

Under 35

35-49

50-69

70 & Over

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* 4. Which areas of your life are you still struggling with since Covid? (check all that apply)

Physical health (sickness or medical conditions)

Fitness level (like weight issues, strength, movement, flexibility, etc.)

Emotional health - haven't fully recovered emotionally from the last 3 years (depression, sadness, anger, etc)

Financial health - haven't recovered financially since Covid

Family - my family life or relationship with my partner or my children is not the same

Job/Career - my job or my line of work no longer gives me satisfaction

Social life - my connections and social life have not been the same

Stress or Anxiety - my level of stress or anxiety has not gone down or has increased since Covid

Spirituality - my connection to God or my Higher Power has diminished

Personal Power - I feel disempowered like I have diminished control over my life now

Passion/Purpose - I've lost my passion or purpose or I am not living my passion or purpose

Other (please specify)

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* 5. What did you lose during the last 3 years (as a result of the pandemic)? (check all that apply)

I lost a loved one due to Covid or hospital protocols

I lost a loved one due to the Covid shots

I lost connections to my family

I divorced or separated from my spouse or broke up with my longtime romantic partner

I lost connections to friends or my community

My relationships changed and I hardly see my friends or socialize

I lost my health - my physical health and/or fitness level declined

I lost my job due to the lockdowns or the economy

I lost my business (had to close it or pivot to something else)

I lost work due to the lockdowns or the economy

I lost money or income potential

I lost trust in my government

I lost some of my freedoms

I lost trust in the media and/or big tech

I lost social media accounts or was banned or penalized for posting the truth

I lost my connection to or trust in God

I lost trust in the medical establishment

I lost my spark, my joy or zest for life

Other (please specify)

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* 6. Which of the following EMOTIONAL or MENTAL issues are you currently struggling with that either came on during or after the pandemic or have worsened since 2020? (Check all that apply)

I feel like I am overwhelmed or stressed most of the time

I am struggling with brain fog and confusion a lot more now

I am struggling with frustration, bitterness, resentment more than before

I am easily triggered now (more than before Covid) - like quick to anger or get annoyed

I am struggling with anxiety, fear or worry more than before

I am struggling with feelings of grief, sadness or loss more than before

I am struggling with depression more than before

I feel like I am on an emotional rollercoaster at times (easily get angered, then sad, then depressed)

I am struggling with lack of drive or motivation

I do not feel like myself anymore

I am struggling with loneliness or don't know who my tribe is anymore

I feel a sense of dread

I feel hopeless about the state of the world

I feel fearful about the future

I feel like nothing I do makes a difference

I am mad as hell about what has happened the last few years and have nowhere to channel or put that anger

I am having emotional outbursts now where before I did not

I hate to say this but I have been acting out or blowing up at my friends or loved ones and I feel terrible about it

My spouse is struggling with emotional or mental health issues

My children have struggled since the lockdowns (having issues in school or at home)

Other (please specify)

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* 7. If you could wave a magic wand and have your biggest challenge disappear, what would it be? (can be more than one - be specific)

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* 8. OK, let's flip gears. Are you now READY and willing to do the following? (check all that apply)

Take charge of my health

Upgrade my physical, energetic & emotional health

Let go of things (habits, patterns, food, etc.) that do not serve my best interest

Explore innovative solutions to my issues or challenges

Release the stress that has been holding me back so I can really thrive again

Make connections with people who want to make a difference in this world

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* 9. Would you be interested in any of the following to help you tackle your current challenges? (check all that apply)

An online learning course along with a support group and accountability

A formal group program to go through to help tackle these issues (with a practitioner or wellness expert leading it)

Working 1x1 with a trusted practitioner or wellness professional to tackle these issues

Access to information, products, solutions and resources to help you figure it out on your own

Other (please specify)

The Emotional Fallout of Covid

Covid Fallout: Are you still struggling in certain areas of your life since Covid?

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* 1. How did you find out about this survey?

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* 2. Are you male or female? (optional and for research purposes only)

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* 3. What age bracket are you in? (optional and for research purposes only)

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* 4. Which areas of your life are you still struggling with since Covid? (check all that apply)

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* 5. What did you lose during the last 3 years (as a result of the pandemic)? (check all that apply)

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* 6. Which of the following EMOTIONAL or MENTAL issues are you currently struggling with that either came on during or after the pandemic or have worsened since 2020? (Check all that apply)

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* 7. If you could wave a magic wand and have your biggest challenge disappear, what would it be? (can be more than one - be specific)

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* 8. OK, let's flip gears. Are you now READY and willing to do the following? (check all that apply)

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* 9. Would you be interested in any of the following to help you tackle your current challenges? (check all that apply)

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* 10. Email Address (for follow up purposes only)

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* 11. Thank you. We will be in touch with you shortly. Anything else you want us to know? (optional)