Pandemic Survey

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1. This survey is completely anonymous. Absolutely no personal information is being gathered about you - only your responses to these questions - not even the I.P. address of your computer.
Please come up with a nickname to hide your identity in the event I read your responses on the show or publish them at a later date. If you are feeling suicidal PLEASE call the Suicide Prevention Hotline 800-273-8255. (Required.)

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2. Have you or a loved one tested positive for the virus yet? If yes, how has it affected you?

Yes

Not sure

Please elaborate

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3. What sex/gender are you? (Required.)

Male/Man

Female/Woman

Gender fluid

Trans Man

Trans Woman

Agender

Other (specify in text box below)

Other (please specify)

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4. How do you identify sexually? (Required.)

Gay

Straight

Bisexual

Pansexual

Asexual

Other (specify in text box below)

Other (please specify)

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5. How old are you?

21-30

31-40

41-50

51-60

61-70

Other (please specify)

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6. In what town/city do you live?

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7. What best describes the environment you were raised in? (Required.)

Stable & Safe

A Little Dysfunctional

Pretty Dysfunctional

Totally Chaotic

Other (please specify)

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8. Do you consider yourself an introvert, an extrovert or neither?

Introvert

Extrovert

Neither

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9. How is your health?

Healthy

Fairly healthy

Not so healthy

Quite unhealthy

Feel free to elaborate or clarify here

Pandemic Survey

1.

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2. Have you or a loved one tested positive for the virus yet? If yes, how has it affected you?

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3. What sex/gender are you? (Required.)

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4. How do you identify sexually? (Required.)

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5. How old are you?

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6. In what town/city do you live?

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7. What best describes the environment you were raised in? (Required.)

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8. Do you consider yourself an introvert, an extrovert or neither?

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9. How is your health?

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10. What do you do for a living? Has the pandemic affected your job or income? Do you expect it to? How do you feel about that?

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11. Rate your fear/anxiety on an average day during this. 1 being the lowest and 10 being the highest

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12. Were there any pre-existing mental or emotional issues before the pandemic? If so, what were/are they?

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13. What is your financial situation at the present moment?

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14. Are you under quarantine? If so, is it by yourself or with anyone? (Required.)

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15. What part of you or your life has been affected the most by the pandemic?

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16. What are the most common thoughts and feelings you have had during the quarantine?

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17. Are you engaging in any coping behaviors that aren't healthy? If so, what are they and how do you feel about engaging in them? (Required.)

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18. Are you engaging in any healthy coping behaviors? If so, what are they and are they helping you? (Required.)

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* 2. Have you or a loved one tested positive for the virus yet? If yes, how has it affected you?

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* 3. What sex/gender are you? (Required.)

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* 4. How do you identify sexually? (Required.)

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* 5. How old are you?

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* 6. In what town/city do you live?

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* 7. What best describes the environment you were raised in? (Required.)

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* 8. Do you consider yourself an introvert, an extrovert or neither?

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* 9. How is your health?

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* 10. What do you do for a living? Has the pandemic affected your job or income? Do you expect it to? How do you feel about that?

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* 11. Rate your fear/anxiety on an average day during this. 1 being the lowest and 10 being the highest

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* 12. Were there any pre-existing mental or emotional issues before the pandemic? If so, what were/are they?

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* 13. What is your financial situation at the present moment?

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* 14. Are you under quarantine? If so, is it by yourself or with anyone? (Required.)

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* 15. What part of you or your life has been affected the most by the pandemic?

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* 16. What are the most common thoughts and feelings you have had during the quarantine?

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* 17. Are you engaging in any coping behaviors that aren't healthy? If so, what are they and how do you feel about engaging in them? (Required.)

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* 18. Are you engaging in any healthy coping behaviors? If so, what are they and are they helping you? (Required.)

2. Have you or a loved one tested positive for the virus yet? If yes, how has it affected you?

3. What sex/gender are you? (Required.)

4. How do you identify sexually? (Required.)

5. How old are you?

6. In what town/city do you live?

7. What best describes the environment you were raised in? (Required.)

8. Do you consider yourself an introvert, an extrovert or neither?

9. How is your health?

10. What do you do for a living? Has the pandemic affected your job or income? Do you expect it to? How do you feel about that?

11. Rate your fear/anxiety on an average day during this. 1 being the lowest and 10 being the highest

12. Were there any pre-existing mental or emotional issues before the pandemic? If so, what were/are they?

13. What is your financial situation at the present moment?

14. Are you under quarantine? If so, is it by yourself or with anyone? (Required.)

15. What part of you or your life has been affected the most by the pandemic?

16. What are the most common thoughts and feelings you have had during the quarantine?

17. Are you engaging in any coping behaviors that aren't healthy? If so, what are they and how do you feel about engaging in them? (Required.)

18. Are you engaging in any healthy coping behaviors? If so, what are they and are they helping you? (Required.)