For adults 60 years of age or older

Please circle the answer that best represents your response to the questions. For the first three questions please imagine a ladder with steps numbered from zero at the bottom to ten at the top. The top of the ladder represents the best possible life for you and the bottom of the ladder represents the worst possible life for you.

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* 1. Indicate where on the ladder you feel you  personally stand right now.

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* 2. On which step do you think you will stand about two years from now?

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* 3. Now imagine the top of the ladder represents the best possible financial situation for you, and the bottom of the ladder represents the worst possible financial situation for you. Please indicate where on the ladder you stand right now.

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* 4. In general, how would you rate your physical health?

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* 5. In general, how would you rate your mental health, including your mood and your ability to think?

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* 6. How often do you get the social and emotional support you need?

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* 7. How strongly do you agree with the following statement? "I lead a purposeful and meaningful life."

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* 8. Prior to stay-home orders, how often did you feel lonely or isolated from those around you?

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* 9. How often do you have difficulty remembering or concentrating?

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* 10. What is your age?

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* 11. What is your sex?

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* 12. In what ZIP code is your home located? (5-digit; for example, 83544 or 83535)

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