Dear Participant,

Thank you for taking part in this study to help improve actions taken in response to COVID -19 pandemic and to inform the response to similar future outbreaks. This study will involve answering a 30-minute survey which will be asking you questions relating to the coronavirus. Please do not start until you will have enough time to complete it in one go. This study is conducted by a member of the Association of Pacific Rim Universities (APRU) Global Health Program. By taking part, you are agreeing that you have read and understood the information about the study below. Please ensure you have read and understood this information before continuing. There are about 60 questions in this survey.

What is this project about, and do I have to take part?

This study aims to inform governmental outbreak response measures to COVID-19, including policies, intervention and communications. Participation is open to people at the age of 18 or over, living in countries and regions of APRU and is entirely voluntary.

What are the benefits and risks of taking part?

By completing the survey, you will be eligible to enter a luck draw which consists of 6 prizes for 6 awardees, each valued at US$50 regardless of which country you are from. There are no foreseeable risks for you when taking part in the survey other than time spent on the survey and potential discomfort. Should you feel uncomfortable and want to leave the study you are free to do so without any consequences.

What will you ask and what will happen to the information I give you?

You will be asked questions about yourself, your knowledge of the coronavirus, the actions you have taken to protect yourself from the virus, your trust in various stakeholders, your opinions of COVID-19 policies in your countries and regions, and your own fears and worries relating to the coronavirus pandemic. However, you will not be asked to provide any personally identifiable information. Your anonymous data will be collected and analysed by the research team. Your data will be shared with the research team, but your data will be completely anonymous, and it will not be possible to identify you individually from your answers. This study has received approval from the WHO Research Ethics Review Committee and Survey and Behavioural Research Ethics Committee (SBREC) of the Chinese University of Hong Kong.

For how long will my data be stored?

In order to help inform future pandemic and epidemic preparedness, the data you have provided will be helpful even beyond the current coronavirus pandemic. Your anonymous data will therefore be stored securely for up to 10 years after the end of the research for this study. At this point the data will be reviewed, and if they are still deemed to be of public interest, they may be retained for longer. If not, your data will be permanently deleted.

Local Data Protection Privacy Notice and concerns

Notice: The controller for this project will be the APRU Global Health Program team members. The data will be collected by them. All the information of the study participants will be kept strictly confidential, which could only be accessed by the researchers. They will be password protected and stored in a locked cabinet. All the data will be presented as aggregate parameters only. Email address will be required only if participants are interested in entering the random lucky draw for a US$50 gift card. And the email addresses will be totally separated from questionnaires to protect confidentiality.  The information that is required to be provided to participants under data protection legislation. The survey is in the public interest and is necessary for research and public health purposes.
If you are concerned about this study, or how your data is being processed, or if you would like to contact us about your rights, please get in touch with Professor WONG, Chi Sang Martin of the Chinese University of Hong Kong in the first instance at wong_martin@cuhk.edu.hk via any languages (English preferred)

Consent

I understand that:

●        My participation is completely voluntary.

●        All my answers will be used for scientific research to improve actions taken in response to the coronavirus pandemic and to inform the response to similar future outbreaks.

●        My data will be stored securely, however, no personal data will be stored, and my answer will be completely anonymous.

●        My anonymized data gathered in this study will be shared with relevant researchers and institutions.

●        Because I am submitting anonymous data, it will not be possible to withdraw my answers after they have been submitted.

Question Title

* 1. Have you ever filled out this questionnaire?

Question Title

* 2. Please note that you can stop the survey at any time. This will not entail any penalty, and it will not affect the services (health care services or others) that you receive. By selecting the “agree box”, you are agreeing that you are at least 18 years old, that you have read the information about the study, and that you voluntarily agree to take part in it.

Question Title

* 3. Date

Date

Question Title

* 4. Email address (Only required if you are interested in entering the random lucky draw for a US$50 gift card. Six prizes will be given and winners will be notified by email.)

Part 1: Socio-demography

Question Title

* 5. How old are you?

Question Title

* 6. What is your sex?

Question Title

* 7. What is your height (in centimeters)?

Question Title

* 8. What is your current weight (in kilos)?

Question Title

* 9. Please assess your weight change over the past six months:

Question Title

* 10. Which country or region are you currently living in?

Question Title

* 11. What is your race?

Question Title

* 12. What is your religion?

Question Title

* 13. How many years of education have you completed (including non-formal education such as part time, night)?

Question Title

* 14. Where do you live?

Question Title

* 15. Who lives in your household besides yourself?

Question Title

* 16. Please assess your private financial situation over the past six months:

Part 2: COVID-19 personal experience

Question Title

* 17. Do you currently suffer from COVID-19 symptoms such as fever, dry cough, breathing problems, sore throat, loss of smell/taste, headaches or diarrhoea?

Question Title

* 18. Have you taken any test for COVID-19?

Question Title

* 19. Have you been tested positive for COVID-19?

Question Title

* 20. Have you been tested positive for COVID-19 antibodies?

Question Title

* 21. Has someone close to you been infected with COVID-19 that you know of?

Question Title

* 22. Has a person close to you died due to COVID-19?

Question Title

* 23. Has anyone with whom you have had direct contact in the past two weeks become infected with COVID-19 that you are aware of?

Question Title

* 24. Please indicate which of the following conditions apply to you?

  Yes No
Older than 60 years
Cardiovascular disease (e.g. coronary heart disease, heart failure, cardiomyopathy)
Hypertension
Type 2 Diabetes
Immunodeficiency, or taking medication that suppresses the immune system (e.g. corticosteroid)
Chronic disease of the respiratory system (e.g. asthma, chronic bronchitis)
Chronic liver disease
Chronic kidney disease
Cancer during past 5 years
Long-standing heavy cigarette consumption (more than 20 cigarettes per day in the last 5-10 years)
Sickle cell disease
Obesity (Body mass index ≥30 kg/m2)
None of the above risk factors

Question Title

* 25. Please indicate which of the following risk factors for a severe course of COVID-19 apply to people living or working with you.

  Yes No
Older than 60 years
Cardiovascular disease (e.g. coronary heart disease, heart failure, cardiomyopathy)
Hypertension
Type 2 Diabetes
Immunodeficiency, or taking medication that suppresses the immune system (e.g. corticosteroid)
Chronic disease of the respiratory system (e.g. asthma, chronic bronchitis)
Chronic liver disease
Chronic kidney disease
Cancer during past 5 years
Long-standing heavy cigarette consumption (more than 20 cigarettes per day in the last 5-10 years)
Sickle cell disease
Obesity (Body mass index ≥30 kg/m2)
None of the above risk factors

Question Title

* 26. Please indicate whether you have been in quarantine due to Covid-19.

Question Title

* 27. Please indicate whether you are currently under a state-imposed curfew due to COVID-19 (a law which says that people must not go outside after a particular time at night until the morning).

Question Title

* 28. Please indicate if you are currently working or studying from home.

Question Title

* 29. Please indicate whether you are engaged in an essential activity for the maintenance of critical infrastructure.

Question Title

* 30. Please indicate your work or study status

Question Title

* 31. Please indicate your health insurance coverage.

Question Title

* 32. Please indicate whether you receive welfare benefits.

Question Title

* 33. Have you ever been diagnosed by a doctor or therapist with one or more of the following?

  Yes No
Depression
Mania/Bipolar disorder
Psychotic disorders (including schizophrenia)
Anxiety disorder
Posttraumatic stress disorder
Eating disorder
Compulsive disorders (OCD)
Substance abuse or Addiction disorder
Attention disorder (ADD or ADHD)
Somatoform disorder
Personality disorder
Autism Spectrum Disorder (including Asperger’s Syndrome)
Cognitive disorder/dementia

Question Title

* 34. Are you currently receiving formal mental health support or treatment, including psychotherapy, clinical counselling, etc.?

Question Title

* 35. If Q34 is yes: Does the psychotherapy currently take place in face-to-face contact?

Question Title

* 36. If Q35 is no for in face-to-face contact: How satisfied are you with the psychotherapeutic treatment via telephone or video platforms compared to face-to-face contact?

Question Title

* 37. If Q34 is no: If you do not receive psychotherapy, is this due to COVID-19?

Part 3: Health behaviors       

Question Title

* 38. Over the past 14 days I...

  Strongly disagree Disagree Neutral Agree Strongly agree N/A
Have consumed substantially more alcohol than usual.
Have smoked considerably more cigarettes than usual.
Have consumed considerably more drugs (e.g. tranquilizers, sleeping pills or stimulants) than usual.
Bought drugs, herbs, supplements or other treatments that I heard are good for treating COVID-19 (e.g. Lotus Qing-wen capsule, Shuang-huang-lian oral liquid or eucalyptus oils).
Exercised less than I did before the pandemic.
Ate more unhealthy food than I did before the pandemic (such as fried food, coke, etc).
Postponed vaccination for myself or my child.
Avoided people that I thought might infect me.
Have experienced verbal abuse (e.g. threats, humiliations) by people close to me.
Have had more physical arguments (e.g. beating, kicking) with people close to me.
Have had the excessive urge to wash and/or disinfect my hands again and again so that I do not become ill from germs or contamination.
If last question you did not choose "not at all" or "NA", I perceived the extent as nonsensical, distressing or excessive.
Have had the excessive urge to wash and/or disinfect my hands again and again so that I do not pass on germs or contamination to other people.
If last question you did not choose "not at all" or "NA", I perceived the extent as nonsensical, distressing or excessive.
Part 4: Health literacy

Question Title

* 39. How easy or difficult would you say it is to…

  Very difficult Difficult Neutral Easy Very easy
…find the information you need related to COVID-19?
…understand information about what to do if you think you have COVID-19?
…judge if the information about COVID-19 in the media, in general, is reliable?
…understand restrictions and recommendations of authorities regarding COVID-19?
…follow the recommendations on how to protect yourself from COVID-19?
…understand recommendations about when to stay at home from work/school, and when not to?
…follow recommendations about when to stay at home from work/school, and when not to?
…understand recommendations about when to engage in social activities, and when not to?
…follow recommendations about when to engage in social activities, and when not to?

Question Title

* 40. Do you agree that the restrictions (e.g. restricting physical distancing, wearing mask or curfew) violate your rights?

Question Title

* 41. How many times you have not followed any public health recommendations since the COVID-19 epidemic (gathering with friends without physical distancing, not wearing mask in public, not restricting certain leisure activities, etc.)?

Part 5: Prevention own behaviors

Question Title

* 42. During the last 14 days, which of the following measures have you taken to prevent infection from COVID-19?

  Strongly disagree Disagree Neutral Agree Strongly agree N/A
Frequently washed my hands with soap and water for at least 20 seconds.
Avoided touching my eyes, nose and mouth with unwashed hands.
Used disinfectants/sanitizer to clean hands when soap and water were not available.
Avoided a social event I wanted to attend.
Stayed at home from work/school.
Used antibiotics/antibacterial/anti-microbial to prevent or treat COVID-19.
Wore a mask in public.
Ensured physical distancing in public.
Disinfected surfaces.

Question Title

* 43. How necessary and useful do you consider the following behaviors since the COVID 19 pandemic?

  Strongly disagree Disagree Neutral Agree Strongly agree
Keeping at least 1.5 meters distance from other people.
Coughing or sneezing into the crook of your arm or into a handkerchief.
Not touching mouth, eyes or nose with hands.
Regular washing of hands.
Washing hands extensively (for at least 20 seconds).
Increased disinfection of hands and objects.
Cancelling private meetings and family visits.
Cancelling trips to other cities.
Avoiding visits to canteens and restaurants.
Avoiding touching (e.g. shaking hands or hugging) when greeting or saying goodbye to other people.
Moving your work or study to home.
Storing soap, detergent, cleaning products, washing powder, etc.
Storing food (vegetables, lentils, rice, noodle...).
Storing water (20 liters per person).
Storing toilet paper.
Storing cash.
Temporary closures of kindergartens, schools and universities.
Temporary border closures/travel bans.
Temporary closures of playgrounds.
Temporary closure of bars, pubs, theatres, cinemas, etc.
Temporary curfews.
Compulsory face masks in closed public spaces.
Ban on mass gatherings in streets.
Mass/community test of COVID-19.
Part 6: Testing and tracing

Question Title

* 44. If you have been in contact with someone who tested positive for COVID-19 and have no symptoms yourself – would you get tested if you have the opportunity?

Question Title

* 45. For those who select “I would get tested for sure” in question 44: Please elaborate on this: I would get tested for sure because…[Multiple choice]

Question Title

* 46. For those who select “I may not get tested” in question 44: Please elaborate on this: I may not get tested because… [Multiple choice]

Question Title

* 47. If you test positive for COVID-19 and are asked to share with health authorities the names of people you have been in contact with – would you share all names?