COVID-19 Wellness Survey

Question Title

* 1. How has your income been impacted due to COVID-19?

Not at all

A little bit. Sill able to pay bills and meet needs

Some. Having to make cuts to pay bills and meet needs

A lot. Unable to pay bills and/or meet basic needs

Question Title

* 2. What needs related to your SCI are you having trouble finding resources for? (select all that apply)

Medical/Mobility Equipment

Medical Supplies (i.e. catheters, gloves, mask, etc.)

Attendant/Nursing Care

Medication

None. I am finding what I need

Other (please specify)

Question Title

* 3. How has COVID-19 impacted your social supports?

Not at all. My social support is the same

A little bit. I could use more social support, but I am good

Some. My social support is infrequent

A lot. I need someone to talk to soon

Question Title

* 4. What type of social support would you like to participate in?

Virtual peer support groups (via computer, phone, or tablet)

Educational webinars (via computer, phone, or tablet)

Telephone peer support groups (audio but no video)

Social media (Facebook, Twitter, Instagram, etc.)

Virtual Peer Mentoring (talking to a person with an SCI)

Other (please specify)

Question Title

* 5. How has your mental health been impacted during COVID-19?

Not at all. No change from before

A little bit. I may be a little bit more down or irritable

Some. I feel I could benefit from speaking to someone

A lot. I need to speak to someone now

Question Title

* 6. Do you know there is a COVID-19 helpline through NAMI (National Alliance on Mental Illness) you can call and talk anytime? (1-800-950-6264)

Yes

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* 7. Do you have any other comments, questions, or concerns we can assist you with?

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* 8. How likely is it that you would recommend South Carolina Spinal Cord Injury Association to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

Question Title

* 9. If you would like one of the staff from the South Carolina Spinal Cord Injury Association to contact you, please leave your email address and/or phone number. Thank you!

COVID-19 Wellness Survey

Question Title

* 1. How has your income been impacted due to COVID-19?

Question Title

* 2. What needs related to your SCI are you having trouble finding resources for? (select all that apply)

Question Title

* 3. How has COVID-19 impacted your social supports?

Question Title

* 4. What type of social support would you like to participate in?

Question Title

* 5. How has your mental health been impacted during COVID-19?

Question Title

* 6. Do you know there is a COVID-19 helpline through NAMI (National Alliance on Mental Illness) you can call and talk anytime? (1-800-950-6264)

Question Title

* 7. Do you have any other comments, questions, or concerns we can assist you with?

Question Title

* 8. How likely is it that you would recommend South Carolina Spinal Cord Injury Association to a friend or colleague?

Question Title

* 9. If you would like one of the staff from the South Carolina Spinal Cord Injury Association to contact you, please leave your email address and/or phone number. Thank you!

Question Title

* 10. If you would like to receive more information from us, please leave your name, address, email (if one), and phone number.