Mental health and wellbeing of residents of Estonia during State of Emergency arising from the COVID-19 pandemic

Dear Resident of Estonia!

We, a group of researchers at Tallinn University, invite you to participate in a mental health study concerning the State of Emergency (SoE) in Estonia arising from the COVID-19 pandemic.

Participation in the study is entirely voluntary and all data related to you will be kept confidential. It will be provided to the participating researchers only in an anonymous form (without email and IP addresses). It takes about 30 minutes to complete the survey.

Short summary of the Study
The aim of the study is to map aspects of the mental health of Estonian residents during the SoE, and to examine the dynamics of mental health during and after the SoE and COVID-19 pandemics.

Based on the data collected from the study it will be possible to analyze and provide timely data to the public of Estonia including the public sector to gain an overview of the current issues regarding mental health among all residents of Estonia.

The study is planned to be conducted in five data gathering waves from 1, 2, 3, 6 and 12 months following the declaration of the SoE on March 12th 2020. If you wish to participate in the following waves of the study, then please let us the of your email address. We use the email address only for the purposes of sending you information about the next data collection waves.

The data gathered in this study is processed and retained only as long as necessary for reaching the aims of the study. The data will be retained until the end of the study in December 31st 2021.

Your email address will be separated from the underlying data during the first level of processing by the analyst responsible for data management and the data will be forwarded to the researchers without your contact information or other identifying information.
The access to the data is provided only to the researchers in the research group of the study. During and after the end of the study anonymised data could be shared to other domestic or international research groups if they have approved their research with local ethics committees.

We use SurveyMonkey platform to conduct our study and that platform is in line with the General Data Protection Regulation (GDPR) guidelines.

The study has also been approved by the Ethics Committee of Tallinn University.

For organizational and survey questions related to the study, please send an email to: koroonakysitlus@gmail.com

Project initiators and research project leaders from Tallinn University School of Natural Sciences and Health, and Centre of Excellence of Behavioural and Neural Sciences:

Kristjan Kask
Aleksander Pulver
Kadi Liik
Kristiina Uriko
Avo-Rein Tereping
Valeri Murnikov
Karel Kulbin
Karolyn Schiff

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* 1. Please confirm that you am at least 18 years old and that you are responding to the questionnaire voluntarily

Yes

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* 2. If you wish to participate in the next waves of this research, please insert you email address here:

First we ask some questions about your background, underlying health, wellbeing and coping.

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* 3. Gender

male

female

other:

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* 4. Age:

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* 5. Civil status:

single

married

open marriage

civil partnership

divorced

widow

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* 6. Highest education background:

basic

secondary / vocational

university or college (3-4 year)

university (5-6 year)

scientific degree (PhD)

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* 7. Native language:

estonian

russian

english

other (please specify):

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* 8. Residence:

Tallinn

Harju county

Hiiu county

Ida-Viru county

Järva county

Jõgeva county

Lääne county

Lääne-Viru county

Pärnu county

Põlva county

Rapla county

Saare county

Tartu county

Valga county

Viljandi county

Võru county

Abroad (specify):

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* 9. What type is your home:

private house

apartment building

other (please specify):

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* 10. Are you working (or volunteering) in some front line position (medical staff, first responder, police officer etc)?

Yes

If yes, please specify your position:

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* 11. How many persons are living with you in your current home (including yourself)?

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* 12. How many of these people are age 60 or more?

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* 13. How many children do you have?

How many children do you have (all together)?

How many children are preschool-aged?

How many children are school-aged?

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* 14. Have you completed a corona virus test?

Yes

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* 15. Which was the result?

positive

negative

I am waiting for the result

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* 16. If your result was positive, then currently:

I am ill

I am not ill any more

Other (please specify):

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* 17. Do you have someone among your family members or closed ones infected to coronavirus?

yes

not

don’t know

other (please specify)

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* 18. Since the declaration of SoE in Estonia have you (or have you been) quarantined?

Yes

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* 19. If yes then what type of quarantine it is (was):

voluntary isolation

dependent due to the SoE (for example, arriving from foreign country, close contact to someone infected with coronavirus or someone coming from foreign country)

other (please specify):

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* 20. Due to corona virus pandemics have you worn protection in public places?

yes

sometimes

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* 21. If yes then what protection:

mask / respirator

gloves

other (please specify):

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* 22. Do you wash your hands more often then usual?

I do not wash hands significantly more often

I wash hands significantly more often

I do not wash hands significantly more often

I wash hands significantly more often

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* 23. How anxious are you currently about your health?

not anxious at all

very anxious

not anxious at all

very anxious

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* 24. How often do you visit grocery stores or pharmacies?

every day

several days a week

once a week

more rarely than once a week

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* 25. Have you bought, after the SoE was declared, non-prescription drugs from pharmacies despite the fact that you or your family members did not require them at that point?

yes

If yes, then which drugs:

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* 26. What is the probability of you getting ill?

almost none

very large

almost none

very large

Please specify your answer

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* 27. Have you been vaccinated yourself against seasonal flu?

yes, regularly (almost every year)

yes, sometimes

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* 28. How important do you consider getting information about COVID-19 symptoms?

I do not consider it to be important

very important

I do not consider it to be important

very important

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* 29. What sources have you used to get the information about COVID-19?

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* 30. In what way do you behave according to the guidelines of behaving in SoE?

I do not follow the guidelines

I follow all guidelines

I do not follow the guidelines

I follow all guidelines

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* 31. In what magnitude you consider these to be relevant?

not relevant at all

very relevant

not relevant at all

very relevant

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* 32. In what way your spending of your usual free time (activities, hobbies etc.) has changed because of SoE?

have not changed at all

have changed a bit

have changed in some way

have changed significantly

have changed completely

have not changed at all

have changed a bit

have changed in some way

have changed significantly

have changed completely

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* 33. How is your usual amount of free time (time besides work, studies and everyday household activities) changed because of SoE?

I have significantly less free time

I have somewhat less free time

It has not changed

I have somewhat more free time

I have significantly more free time

I have significantly less free time

I have somewhat less free time

It has not changed

I have somewhat more free time

I have significantly more free time

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* 34. How often do you go out for a walk and/or do some sports?

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

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* 35. How often do you spend your free time in nature (park, forest, beach etc.)?

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

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* 36. How often do you spend your free time with friend(s) and/or closed one(s)* (incl. electronic channels broadcasting video such as Skype, Messenger, meet, Zoom etc.)? *please do not count those living together with you currently

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

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* 37. How often do you spend your free time doing your main hobby or activity?

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

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* 38. How often do you spend your free time doing fine arts (incl. drawing/painting or other type of art, music, dance etc.)

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

not at all or less than 1 time a week

1-2 times a week

3-4 times a week

5-6 times a week

every day

2 or more times a day

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* 39. What do you currently do (select several choices if needed):

I work

I study

I am retired

I am unemployed

other (please specify):

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* 40. If you work then what changes in your work have been prevalent in the last month:

the core of my job has been the same

I have changed my job

other (please specify):

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* 41. Are your duties in your work allowing you to work remotely:

yes

other (please specify)

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* 42. If and how is SoE changed your workload and work hours?

My workload has increased significantly, I do extra hours

My workload has slightly increased but work hours have not changed

My workload and work hours have not changed

My workload has slightly decreased but work hours have not changed

My workload has decreased which has resulted a decrease in my work hours

My workload has decreased significantly, I am on (forced) leave

I have become unemployed

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* 43. What has been your income during the last month compared to previous months:

my income has increased

there has been no change in my income

my income has decreased

other (please specify):

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* 44. Now read thoroughly the list of problems and complaints described below which people may sometimes experience. Choose the option that describes the best how this problem has disturbed you in a last month.

	not at all	seldom	sometimes	often	constantly
Feeling of sadness	Feeling of sadness not at all	Feeling of sadness seldom	Feeling of sadness sometimes	Feeling of sadness often	Feeling of sadness constantly
Feeling no interest or pleasure of thingsLoss of interest	Feeling no interest or pleasure of thingsLoss of interest not at all	Feeling no interest or pleasure of thingsLoss of interest seldom	Feeling no interest or pleasure of thingsLoss of interest sometimes	Feeling no interest or pleasure of thingsLoss of interest often	Feeling no interest or pleasure of thingsLoss of interest constantly
Feeling of worthlessness	Feeling of worthlessness not at all	Feeling of worthlessness seldom	Feeling of worthlessness sometimes	Feeling of worthlessness often	Feeling of worthlessness constantly
Self-accusations	Self-accusations not at all	Self-accusations seldom	Self-accusations sometimes	Self-accusations often	Self-accusations constantly
Recurrent thoughts of death or suicide	Recurrent thoughts of death or suicide not at all	Recurrent thoughts of death or suicide seldom	Recurrent thoughts of death or suicide sometimes	Recurrent thoughts of death or suicide often	Recurrent thoughts of death or suicide constantly
Feeling lonely	Feeling lonely not at all	Feeling lonely seldom	Feeling lonely sometimes	Feeling lonely often	Feeling lonely constantly
Hopelessness about the future	Hopelessness about the future not at all	Hopelessness about the future seldom	Hopelessness about the future sometimes	Hopelessness about the future often	Hopelessness about the future constantly
Impossible to enjoy things	Impossible to enjoy things not at all	Impossible to enjoy things seldom	Impossible to enjoy things sometimes	Impossible to enjoy things often	Impossible to enjoy things constantly
Feeling easily irritated or annoyed	Feeling easily irritated or annoyed not at all	Feeling easily irritated or annoyed seldom	Feeling easily irritated or annoyed sometimes	Feeling easily irritated or annoyed often	Feeling easily irritated or annoyed constantly
Feeling anxious or fearful	Feeling anxious or fearful not at all	Feeling anxious or fearful seldom	Feeling anxious or fearful sometimes	Feeling anxious or fearful often	Feeling anxious or fearful constantly
Tension or inability to relax	Tension or inability to relax not at all	Tension or inability to relax seldom	Tension or inability to relax sometimes	Tension or inability to relax often	Tension or inability to relax constantly
Excessive worry about several different things	Excessive worry about several different things not at all	Excessive worry about several different things seldom	Excessive worry about several different things sometimes	Excessive worry about several different things often	Excessive worry about several different things constantly
Feeling so restless that it is hard to sit still	Feeling so restless that it is hard to sit still not at all	Feeling so restless that it is hard to sit still seldom	Feeling so restless that it is hard to sit still sometimes	Feeling so restless that it is hard to sit still often	Feeling so restless that it is hard to sit still constantly
Easily startled	Easily startled not at all	Easily startled seldom	Easily startled sometimes	Easily startled often	Easily startled constantly
Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations	Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations not at all	Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations seldom	Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations sometimes	Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations often	Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations constantly
Fear of being outside home alone	Fear of being outside home alone not at all	Fear of being outside home alone seldom	Fear of being outside home alone sometimes	Fear of being outside home alone often	Fear of being outside home alone constantly
Feeling afraid in public places or streets	Feeling afraid in public places or streets not at all	Feeling afraid in public places or streets seldom	Feeling afraid in public places or streets sometimes	Feeling afraid in public places or streets often	Feeling afraid in public places or streets constantly
Fear of fainting in public	Fear of fainting in public not at all	Fear of fainting in public seldom	Fear of fainting in public sometimes	Fear of fainting in public often	Fear of fainting in public constantly
Feeling afraid of travelling by bus, train, or carFear to ride bus, tram, train or car	Feeling afraid of travelling by bus, train, or carFear to ride bus, tram, train or car not at all	Feeling afraid of travelling by bus, train, or carFear to ride bus, tram, train or car seldom	Feeling afraid of travelling by bus, train, or carFear to ride bus, tram, train or car sometimes	Feeling afraid of travelling by bus, train, or carFear to ride bus, tram, train or car often	Feeling afraid of travelling by bus, train, or carFear to ride bus, tram, train or car constantly
Afraid to be the center of attention	Afraid to be the center of attention not at all	Afraid to be the center of attention seldom	Afraid to be the center of attention sometimes	Afraid to be the center of attention often	Afraid to be the center of attention constantly
Fear of interaction with strangers	Fear of interaction with strangers not at all	Fear of interaction with strangers seldom	Fear of interaction with strangers sometimes	Fear of interaction with strangers often	Fear of interaction with strangers constantly
Fatigue or loss of energy	Fatigue or loss of energy not at all	Fatigue or loss of energy seldom	Fatigue or loss of energy sometimes	Fatigue or loss of energy often	Fatigue or loss of energy constantly
Diminished ability to think of concentrate	Diminished ability to think of concentrate not at all	Diminished ability to think of concentrate seldom	Diminished ability to think of concentrate sometimes	Diminished ability to think of concentrate often	Diminished ability to think of concentrate constantly
Rest does not restore strength	Rest does not restore strength not at all	Rest does not restore strength seldom	Rest does not restore strength sometimes	Rest does not restore strength often	Rest does not restore strength constantly
Being easily fatigued	Being easily fatigued not at all	Being easily fatigued seldom	Being easily fatigued sometimes	Being easily fatigued often	Being easily fatigued constantly
Difficulty in falling asleep	Difficulty in falling asleep not at all	Difficulty in falling asleep seldom	Difficulty in falling asleep sometimes	Difficulty in falling asleep often	Difficulty in falling asleep constantly
Restless or disturbed sleep	Restless or disturbed sleep not at all	Restless or disturbed sleep seldom	Restless or disturbed sleep sometimes	Restless or disturbed sleep often	Restless or disturbed sleep constantly
Waking up too early	Waking up too early not at all	Waking up too early seldom	Waking up too early sometimes	Waking up too early often	Waking up too early constantly

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* 45. Now please assess your consummation of alcohol during the past few weeks.
One alcohol unit is equal with 10 grams of pure (or absolute) alcohol. 500 ml of 5.2% beer contains 2,1 units; 120ml of 12% wine contains 1,1 units; 40ml of 40% strong alcohol contains 1,3 units; 500ml of 4,5% cider contains 1,8 units.

How often do you have a drink containing alcohol? If you choose 'never' then skip questions 46 and 47.

never

monthly or less

2-4 times a month

2-3 times a week

4 or more times a week

never

monthly or less

2-4 times a month

2-3 times a week

4 or more times a week

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* 46. How many alcohol units do you have on a typical day when you are drinking?

1 or 2

3 or 4

5 or 6

7 or 9

10 or more

1 or 2

3 or 4

5 or 6

7 or 9

10 or more

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* 47. How often do you drink six or more alcohol units per one occasion?

never

less than monthly

monthly

weekly

daily or almost daily

never

less than monthly

monthly

weekly

daily or almost daily

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* 48. Please rate how often during the last week you have thought or felt as written in the statements below.

	none of the time	rarely	some of the time	often	all of the time
There is always someone I can talk to about my day-to-day problems	There is always someone I can talk to about my day-to-day problems none of the time	There is always someone I can talk to about my day-to-day problems rarely	There is always someone I can talk to about my day-to-day problems some of the time	There is always someone I can talk to about my day-to-day problems often	There is always someone I can talk to about my day-to-day problems all of the time
I miss having a really close friend	I miss having a really close friend none of the time	I miss having a really close friend rarely	I miss having a really close friend some of the time	I miss having a really close friend often	I miss having a really close friend all of the time
I experience a general sense of emptiness	I experience a general sense of emptiness none of the time	I experience a general sense of emptiness rarely	I experience a general sense of emptiness some of the time	I experience a general sense of emptiness often	I experience a general sense of emptiness all of the time
There are plenty of people I can lean on when I have problems	There are plenty of people I can lean on when I have problems none of the time	There are plenty of people I can lean on when I have problems rarely	There are plenty of people I can lean on when I have problems some of the time	There are plenty of people I can lean on when I have problems often	There are plenty of people I can lean on when I have problems all of the time
I miss the pleasure of the company of others	I miss the pleasure of the company of others none of the time	I miss the pleasure of the company of others rarely	I miss the pleasure of the company of others some of the time	I miss the pleasure of the company of others often	I miss the pleasure of the company of others all of the time
I find my circle of friends and acquaintances too limited	I find my circle of friends and acquaintances too limited none of the time	I find my circle of friends and acquaintances too limited rarely	I find my circle of friends and acquaintances too limited some of the time	I find my circle of friends and acquaintances too limited often	I find my circle of friends and acquaintances too limited all of the time
There are many people I can trust completely	There are many people I can trust completely none of the time	There are many people I can trust completely rarely	There are many people I can trust completely some of the time	There are many people I can trust completely often	There are many people I can trust completely all of the time
There are enough people I feel close to	There are enough people I feel close to none of the time	There are enough people I feel close to rarely	There are enough people I feel close to some of the time	There are enough people I feel close to often	There are enough people I feel close to all of the time
I miss having people around me	I miss having people around me none of the time	I miss having people around me rarely	I miss having people around me some of the time	I miss having people around me often	I miss having people around me all of the time
I often feel rejected	I often feel rejected none of the time	I often feel rejected rarely	I often feel rejected some of the time	I often feel rejected often	I often feel rejected all of the time
I can call on my friends whenever I need them	I can call on my friends whenever I need them none of the time	I can call on my friends whenever I need them rarely	I can call on my friends whenever I need them some of the time	I can call on my friends whenever I need them often	I can call on my friends whenever I need them all of the time

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* 49. The items below describe our feelings and evaluations concerning one's life and activities. Read every item and rate how much you agree with these. Answer according to your own feelings, rather than how you think "most people" would answer.

	I DISagree	I DISagree a little	I neither agree nor disagree	I agree a little	I agree a lot
In uncertain times, I usually expect the best.	In uncertain times, I usually expect the best. I DISagree	In uncertain times, I usually expect the best. I DISagree a little	In uncertain times, I usually expect the best. I neither agree nor disagree	In uncertain times, I usually expect the best. I agree a little	In uncertain times, I usually expect the best. I agree a lot
It's easy for me to relax.	It's easy for me to relax. I DISagree	It's easy for me to relax. I DISagree a little	It's easy for me to relax. I neither agree nor disagree	It's easy for me to relax. I agree a little	It's easy for me to relax. I agree a lot
If something can go wrong for me, it will.	If something can go wrong for me, it will. I DISagree	If something can go wrong for me, it will. I DISagree a little	If something can go wrong for me, it will. I neither agree nor disagree	If something can go wrong for me, it will. I agree a little	If something can go wrong for me, it will. I agree a lot
I'm always optimistic about my future.	I'm always optimistic about my future. I DISagree	I'm always optimistic about my future. I DISagree a little	I'm always optimistic about my future. I neither agree nor disagree	I'm always optimistic about my future. I agree a little	I'm always optimistic about my future. I agree a lot
I enjoy my friends a lot.	I enjoy my friends a lot. I DISagree	I enjoy my friends a lot. I DISagree a little	I enjoy my friends a lot. I neither agree nor disagree	I enjoy my friends a lot. I agree a little	I enjoy my friends a lot. I agree a lot
It's important for me to keep busy.	It's important for me to keep busy. I DISagree	It's important for me to keep busy. I DISagree a little	It's important for me to keep busy. I neither agree nor disagree	It's important for me to keep busy. I agree a little	It's important for me to keep busy. I agree a lot
I hardly ever expect things to go my way.	I hardly ever expect things to go my way. I DISagree	I hardly ever expect things to go my way. I DISagree a little	I hardly ever expect things to go my way. I neither agree nor disagree	I hardly ever expect things to go my way. I agree a little	I hardly ever expect things to go my way. I agree a lot
I don't get upset too easily.	I don't get upset too easily. I DISagree	I don't get upset too easily. I DISagree a little	I don't get upset too easily. I neither agree nor disagree	I don't get upset too easily. I agree a little	I don't get upset too easily. I agree a lot
I rarely count on good things happening to me.	I rarely count on good things happening to me. I DISagree	I rarely count on good things happening to me. I DISagree a little	I rarely count on good things happening to me. I neither agree nor disagree	I rarely count on good things happening to me. I agree a little	I rarely count on good things happening to me. I agree a lot
Overall, I expect more good things to happen to me than bad.	Overall, I expect more good things to happen to me than bad. I DISagree	Overall, I expect more good things to happen to me than bad. I DISagree a little	Overall, I expect more good things to happen to me than bad. I neither agree nor disagree	Overall, I expect more good things to happen to me than bad. I agree a little	Overall, I expect more good things to happen to me than bad. I agree a lot

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* 50. Next we ask you about your feelings and thoughts during the last month. In each case, you will be asked to indicate how often you felt or thought a certain way.

	never	almost never	sometimes	fairly Often	very Often
In the last month, how often have you been upset because of something that happened unexpectedly?	In the last month, how often have you been upset because of something that happened unexpectedly? never	In the last month, how often have you been upset because of something that happened unexpectedly? almost never	In the last month, how often have you been upset because of something that happened unexpectedly? sometimes	In the last month, how often have you been upset because of something that happened unexpectedly? fairly Often	In the last month, how often have you been upset because of something that happened unexpectedly? very Often
In the last month, how often have you felt that you were unable to control the important things in your life?	In the last month, how often have you felt that you were unable to control the important things in your life? never	In the last month, how often have you felt that you were unable to control the important things in your life? almost never	In the last month, how often have you felt that you were unable to control the important things in your life? sometimes	In the last month, how often have you felt that you were unable to control the important things in your life? fairly Often	In the last month, how often have you felt that you were unable to control the important things in your life? very Often
In the last month, how often have you felt nervous and “stressed”?	In the last month, how often have you felt nervous and “stressed”? never	In the last month, how often have you felt nervous and “stressed”? almost never	In the last month, how often have you felt nervous and “stressed”? sometimes	In the last month, how often have you felt nervous and “stressed”? fairly Often	In the last month, how often have you felt nervous and “stressed”? very Often
In the last month, how often have you felt confident about your ability to handle your personal problems?	In the last month, how often have you felt confident about your ability to handle your personal problems? never	In the last month, how often have you felt confident about your ability to handle your personal problems? almost never	In the last month, how often have you felt confident about your ability to handle your personal problems? sometimes	In the last month, how often have you felt confident about your ability to handle your personal problems? fairly Often	In the last month, how often have you felt confident about your ability to handle your personal problems? very Often
In the last month, how often have you felt that things were going your way?	In the last month, how often have you felt that things were going your way? never	In the last month, how often have you felt that things were going your way? almost never	In the last month, how often have you felt that things were going your way? sometimes	In the last month, how often have you felt that things were going your way? fairly Often	In the last month, how often have you felt that things were going your way? very Often
In the last month, how often have you found that you could not cope with all the things that you had to do?	In the last month, how often have you found that you could not cope with all the things that you had to do? never	In the last month, how often have you found that you could not cope with all the things that you had to do? almost never	In the last month, how often have you found that you could not cope with all the things that you had to do? sometimes	In the last month, how often have you found that you could not cope with all the things that you had to do? fairly Often	In the last month, how often have you found that you could not cope with all the things that you had to do? very Often
In the last month, how often have you been able to control irritations in your life?	In the last month, how often have you been able to control irritations in your life? never	In the last month, how often have you been able to control irritations in your life? almost never	In the last month, how often have you been able to control irritations in your life? sometimes	In the last month, how often have you been able to control irritations in your life? fairly Often	In the last month, how often have you been able to control irritations in your life? very Often
In the last month, how often have you felt that you were on top of things?	In the last month, how often have you felt that you were on top of things? never	In the last month, how often have you felt that you were on top of things? almost never	In the last month, how often have you felt that you were on top of things? sometimes	In the last month, how often have you felt that you were on top of things? fairly Often	In the last month, how often have you felt that you were on top of things? very Often
In the last month, how often have you been angered because of things that were outside of your control?	In the last month, how often have you been angered because of things that were outside of your control? never	In the last month, how often have you been angered because of things that were outside of your control? almost never	In the last month, how often have you been angered because of things that were outside of your control? sometimes	In the last month, how often have you been angered because of things that were outside of your control? fairly Often	In the last month, how often have you been angered because of things that were outside of your control? very Often
In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?	In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? never	In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? almost never	In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? sometimes	In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? fairly Often	In the last month, how often have you felt difficulties were piling up so high that you could not overcome them? very Often

Question Title

* 51. Please respond to each item how strongly you agree with these items.

	strongly disagree	disagree	neutral	agree	strongly agree
I tend to bounce back quickly after hard times	I tend to bounce back quickly after hard times strongly disagree	I tend to bounce back quickly after hard times disagree	I tend to bounce back quickly after hard times neutral	I tend to bounce back quickly after hard times agree	I tend to bounce back quickly after hard times strongly agree
I have a hard time making it through stressful events.	I have a hard time making it through stressful events. strongly disagree	I have a hard time making it through stressful events. disagree	I have a hard time making it through stressful events. neutral	I have a hard time making it through stressful events. agree	I have a hard time making it through stressful events. strongly agree
It does not take me long to recover from a stressful event.	It does not take me long to recover from a stressful event. strongly disagree	It does not take me long to recover from a stressful event. disagree	It does not take me long to recover from a stressful event. neutral	It does not take me long to recover from a stressful event. agree	It does not take me long to recover from a stressful event. strongly agree
It is hard for me to snap back when something bad happens.	It is hard for me to snap back when something bad happens. strongly disagree	It is hard for me to snap back when something bad happens. disagree	It is hard for me to snap back when something bad happens. neutral	It is hard for me to snap back when something bad happens. agree	It is hard for me to snap back when something bad happens. strongly agree
I usually come through difficult times with little trouble.	I usually come through difficult times with little trouble. strongly disagree	I usually come through difficult times with little trouble. disagree	I usually come through difficult times with little trouble. neutral	I usually come through difficult times with little trouble. agree	I usually come through difficult times with little trouble. strongly agree
I tend to take a long time to get over set-backs in my life.	I tend to take a long time to get over set-backs in my life. strongly disagree	I tend to take a long time to get over set-backs in my life. disagree	I tend to take a long time to get over set-backs in my life. neutral	I tend to take a long time to get over set-backs in my life. agree	I tend to take a long time to get over set-backs in my life. strongly agree

Question Title

* 52. Please respond to each item how strongly you agree with these items

	completely disagree					completely agree
I don’t like situations that are uncertain.	I don’t like situations that are uncertain. completely disagree	I don’t like situations that are uncertain.	I don’t like situations that are uncertain.	I don’t like situations that are uncertain.	I don’t like situations that are uncertain.	I don’t like situations that are uncertain. completely agree
I dislike questions which could be answered in many different ways.	I dislike questions which could be answered in many different ways. completely disagree	I dislike questions which could be answered in many different ways.	I dislike questions which could be answered in many different ways.	I dislike questions which could be answered in many different ways.	I dislike questions which could be answered in many different ways.	I dislike questions which could be answered in many different ways. completely agree
I find that a well ordered life with regular hours suits my temperament.	I find that a well ordered life with regular hours suits my temperament. completely disagree	I find that a well ordered life with regular hours suits my temperament.	I find that a well ordered life with regular hours suits my temperament.	I find that a well ordered life with regular hours suits my temperament.	I find that a well ordered life with regular hours suits my temperament.	I find that a well ordered life with regular hours suits my temperament. completely agree
I feel uncomfortable when I don’t understand the reason why an event occurred in my life.	I feel uncomfortable when I don’t understand the reason why an event occurred in my life. completely disagree	I feel uncomfortable when I don’t understand the reason why an event occurred in my life.	I feel uncomfortable when I don’t understand the reason why an event occurred in my life.	I feel uncomfortable when I don’t understand the reason why an event occurred in my life.	I feel uncomfortable when I don’t understand the reason why an event occurred in my life.	I feel uncomfortable when I don’t understand the reason why an event occurred in my life. completely agree
I feel irritated when one person disagrees with what everyone else in a group believes.	I feel irritated when one person disagrees with what everyone else in a group believes. completely disagree	I feel irritated when one person disagrees with what everyone else in a group believes.	I feel irritated when one person disagrees with what everyone else in a group believes.	I feel irritated when one person disagrees with what everyone else in a group believes.	I feel irritated when one person disagrees with what everyone else in a group believes.	I feel irritated when one person disagrees with what everyone else in a group believes. completely agree
I don’t like to go into a situation without knowing what I can expect from it.	I don’t like to go into a situation without knowing what I can expect from it. completely disagree	I don’t like to go into a situation without knowing what I can expect from it.	I don’t like to go into a situation without knowing what I can expect from it.	I don’t like to go into a situation without knowing what I can expect from it.	I don’t like to go into a situation without knowing what I can expect from it.	I don’t like to go into a situation without knowing what I can expect from it. completely agree
When I have made a decision, I feel relieved.	When I have made a decision, I feel relieved. completely disagree	When I have made a decision, I feel relieved.	When I have made a decision, I feel relieved.	When I have made a decision, I feel relieved.	When I have made a decision, I feel relieved.	When I have made a decision, I feel relieved. completely agree
When I am confronted with a problem, I’m dying to reach a solution very quickly.	When I am confronted with a problem, I’m dying to reach a solution very quickly. completely disagree	When I am confronted with a problem, I’m dying to reach a solution very quickly.	When I am confronted with a problem, I’m dying to reach a solution very quickly.	When I am confronted with a problem, I’m dying to reach a solution very quickly.	When I am confronted with a problem, I’m dying to reach a solution very quickly.	When I am confronted with a problem, I’m dying to reach a solution very quickly. completely agree
I would quickly become impatient and irritated if I would not find a solution to a problem immediately.	I would quickly become impatient and irritated if I would not find a solution to a problem immediately. completely disagree	I would quickly become impatient and irritated if I would not find a solution to a problem immediately.	I would quickly become impatient and irritated if I would not find a solution to a problem immediately.	I would quickly become impatient and irritated if I would not find a solution to a problem immediately.	I would quickly become impatient and irritated if I would not find a solution to a problem immediately.	I would quickly become impatient and irritated if I would not find a solution to a problem immediately. completely agree
I don’t like to be with people who are capable of unexpected actions.	I don’t like to be with people who are capable of unexpected actions. completely disagree	I don’t like to be with people who are capable of unexpected actions.	I don’t like to be with people who are capable of unexpected actions.	I don’t like to be with people who are capable of unexpected actions.	I don’t like to be with people who are capable of unexpected actions.	I don’t like to be with people who are capable of unexpected actions. completely agree
I dislike it when a person’s statement could mean many different things.	I dislike it when a person’s statement could mean many different things. completely disagree	I dislike it when a person’s statement could mean many different things.	I dislike it when a person’s statement could mean many different things.	I dislike it when a person’s statement could mean many different things.	I dislike it when a person’s statement could mean many different things.	I dislike it when a person’s statement could mean many different things. completely agree
I find that establishing a consistent routine enables me to enjoy life more.	I find that establishing a consistent routine enables me to enjoy life more. completely disagree	I find that establishing a consistent routine enables me to enjoy life more.	I find that establishing a consistent routine enables me to enjoy life more.	I find that establishing a consistent routine enables me to enjoy life more.	I find that establishing a consistent routine enables me to enjoy life more.	I find that establishing a consistent routine enables me to enjoy life more. completely agree
I enjoy having a clear and structured mode of life.	I enjoy having a clear and structured mode of life. completely disagree	I enjoy having a clear and structured mode of life.	I enjoy having a clear and structured mode of life.	I enjoy having a clear and structured mode of life.	I enjoy having a clear and structured mode of life.	I enjoy having a clear and structured mode of life. completely agree
I do not usually consult many different opinions before forming my own view.	I do not usually consult many different opinions before forming my own view. completely disagree	I do not usually consult many different opinions before forming my own view.	I do not usually consult many different opinions before forming my own view.	I do not usually consult many different opinions before forming my own view.	I do not usually consult many different opinions before forming my own view.	I do not usually consult many different opinions before forming my own view. completely agree
I dislike unpredictable situations.	I dislike unpredictable situations. completely disagree	I dislike unpredictable situations.	I dislike unpredictable situations.	I dislike unpredictable situations.	I dislike unpredictable situations.	I dislike unpredictable situations. completely agree

Question Title

* 53. Below is a list of problems and complaints that people sometime have in response to stressful life experiences. Please read each one carefully and select your answer to indicate how much you have been bothered by that problem in the past month.

	Not at all	A little bit	Moderately	Quite a bit	Extremely
Repeated, disturbing memories, thoughts, or images of a stressful experience from the past?	Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? Not at all	Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? A little bit	Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? Moderately	Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? Quite a bit	Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? Extremely
Repeated, disturbing dreams of a stressful experience from the past?	Repeated, disturbing dreams of a stressful experience from the past? Not at all	Repeated, disturbing dreams of a stressful experience from the past? A little bit	Repeated, disturbing dreams of a stressful experience from the past? Moderately	Repeated, disturbing dreams of a stressful experience from the past? Quite a bit	Repeated, disturbing dreams of a stressful experience from the past? Extremely
Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)?	Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? Not at all	Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? A little bit	Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? Moderately	Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? Quite a bit	Suddenly acting or feeling as if a stressful experience were happening again (as if you were reliving it)? Extremely
Feeling very upset when something reminded you of a stressful experience from the past?	Feeling very upset when something reminded you of a stressful experience from the past? Not at all	Feeling very upset when something reminded you of a stressful experience from the past? A little bit	Feeling very upset when something reminded you of a stressful experience from the past? Moderately	Feeling very upset when something reminded you of a stressful experience from the past? Quite a bit	Feeling very upset when something reminded you of a stressful experience from the past? Extremely
Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past?	Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? Not at all	Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? A little bit	Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? Moderately	Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? Quite a bit	Having physical reactions (e.g., heart pounding, trouble breathing, or sweating) when something reminded you of a stressful experience from the past? Extremely
Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it?	Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? Not at all	Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? A little bit	Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? Moderately	Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? Quite a bit	Avoid thinking about or talking about a stressful experience from the past or avoid having feelings related to it? Extremely
Avoid activities or situations because they remind you of a stressful experience from the past?	Avoid activities or situations because they remind you of a stressful experience from the past? Not at all	Avoid activities or situations because they remind you of a stressful experience from the past? A little bit	Avoid activities or situations because they remind you of a stressful experience from the past? Moderately	Avoid activities or situations because they remind you of a stressful experience from the past? Quite a bit	Avoid activities or situations because they remind you of a stressful experience from the past? Extremely
Trouble remembering important parts of a stressful experience from the past?	Trouble remembering important parts of a stressful experience from the past? Not at all	Trouble remembering important parts of a stressful experience from the past? A little bit	Trouble remembering important parts of a stressful experience from the past? Moderately	Trouble remembering important parts of a stressful experience from the past? Quite a bit	Trouble remembering important parts of a stressful experience from the past? Extremely
Loss of interest in things that you used to enjoy?	Loss of interest in things that you used to enjoy? Not at all	Loss of interest in things that you used to enjoy? A little bit	Loss of interest in things that you used to enjoy? Moderately	Loss of interest in things that you used to enjoy? Quite a bit	Loss of interest in things that you used to enjoy? Extremely
Feeling distant or cut off from other people?	Feeling distant or cut off from other people? Not at all	Feeling distant or cut off from other people? A little bit	Feeling distant or cut off from other people? Moderately	Feeling distant or cut off from other people? Quite a bit	Feeling distant or cut off from other people? Extremely
Feeling emotionally numb or being unable to have loving feelings for those close to you?	Feeling emotionally numb or being unable to have loving feelings for those close to you? Not at all	Feeling emotionally numb or being unable to have loving feelings for those close to you? A little bit	Feeling emotionally numb or being unable to have loving feelings for those close to you? Moderately	Feeling emotionally numb or being unable to have loving feelings for those close to you? Quite a bit	Feeling emotionally numb or being unable to have loving feelings for those close to you? Extremely
Feeling as if your future will somehow be cut short?	Feeling as if your future will somehow be cut short? Not at all	Feeling as if your future will somehow be cut short? A little bit	Feeling as if your future will somehow be cut short? Moderately	Feeling as if your future will somehow be cut short? Quite a bit	Feeling as if your future will somehow be cut short? Extremely
Trouble falling or staying asleep?	Trouble falling or staying asleep? Not at all	Trouble falling or staying asleep? A little bit	Trouble falling or staying asleep? Moderately	Trouble falling or staying asleep? Quite a bit	Trouble falling or staying asleep? Extremely
Feeling irritable or having angry outbursts?	Feeling irritable or having angry outbursts? Not at all	Feeling irritable or having angry outbursts? A little bit	Feeling irritable or having angry outbursts? Moderately	Feeling irritable or having angry outbursts? Quite a bit	Feeling irritable or having angry outbursts? Extremely
Having difficulty concentrating?	Having difficulty concentrating? Not at all	Having difficulty concentrating? A little bit	Having difficulty concentrating? Moderately	Having difficulty concentrating? Quite a bit	Having difficulty concentrating? Extremely
Being “super alert” or watchful on guard?	Being “super alert” or watchful on guard? Not at all	Being “super alert” or watchful on guard? A little bit	Being “super alert” or watchful on guard? Moderately	Being “super alert” or watchful on guard? Quite a bit	Being “super alert” or watchful on guard? Extremely
Feeling jumpy or easily startled?	Feeling jumpy or easily startled? Not at all	Feeling jumpy or easily startled? A little bit	Feeling jumpy or easily startled? Moderately	Feeling jumpy or easily startled? Quite a bit	Feeling jumpy or easily startled? Extremely

Question Title

* 54. Finally we wish to understand how are different styles of thinking related to anxiety and coping mechanisms. Please answer the following questions

What is a hospital?

What is a revolution?

What is drug addiction?

Which way are similar a cat and a dog?

Which way are similar the Sun and the Moon?

Which way are similar a head and a hat?

Thank You!