ASSESSING FAMILY AND COMMUNITY IMPACTS OF COVID-19 The researcher wishes to investigate the family and community impacts of COVID-19 in Nigeria. Please read carefully and answer the questions below. Powered by UBTH OK Question Title * 1. What is your sex? Male Female OK Question Title * 2. Age group (years) 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 + OK Question Title * 3. What is your highest level of education? No formal Primary Secondary Tertiary OK Question Title * 4. Usual place of residence (State/City/Town) OK Question Title * 5. Employer/Type of business Public (Government) Private OK Question Title * 6. Number of people in household OK Question Title * 7. Do you believe that Corona virus/COVID-19 is real? Yes No OK Question Title * 8. What social distancing measure is in place where you live? (multiple response) Total lockdown Curfew Partial closure (schools, place of worship, bars, etc. None OK Question Title * 9. How has the lockdown affected your source of income? Positive Negative No effect OK Question Title * 10. My income (monthly, weekly or daily) Remained the same Has reduced by half Reduced to zero Increased Sacked from work due to COVID-19 OK Question Title * 11. Are you always staying at home since the social distancing measure began? Yes (skip to question 12) No OK Question Title * 12. Why are you not staying at home? (multiple response) To go to work No money to feed Still need to see family and friends Need to go church/mosque/others To buy food Boredom Other (please specify) OK Question Title * 13. Have you been robbed since the social distancing started? Yes No OK Question Title * 14. Do you quarrel more now with your partner, children or neighbours? Yes No OK Question Title * 15. Grade your health status from 0 to 10 (10 means perfect health) compared to before COVID-19 OK Question Title * 16. What are you afraid of during this crisis? (multiple response) Fear of being infected Being broke The government may extend the lockdown The government may not be able to handle the crisis Things being expensive My savings may finish People may die I may not be able to worship my God properly Other (please specify) OK Question Title * 17. Mention one way this restriction has affected you most (good or bad)? OK DONE