This is an anonymous survey about your attitudes, behaviors and actions related to Social Distancing. NMAAT - the New Mexico African American Tobacco Prevention Network - is attempting to understand more about preferred coping strategies during these times of crisis. 

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* 1. How are you coping with the social distancing restrictions that are in place now?

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* 2. On a scale of 0 – 5, have you engaged in any of these activities more so than usual over the last 48hrs?

  N/A (I did N OT engage in this behvaior in the last 48 hours) Chose not to engage in this behavior Chose to somewhat engage in this behavior My behaviors stayed the same within the last 48 hours I somewhat increased my behaviors in this category I definitely increased my behaviors in this category
Overeating
Eating Healthy
Exercising for at least 30 minutes
Using tobacco/nicotine products
Drinking alcohol
Drinking water

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* 3. Who have you turned to for emotional support during this COVID-19 crisis?

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* 4. How regularly have you maintained the social distancing restrictions as recommended by the NM Governor and public health officials?

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* 5. Does your job/employment prevent you from maintaining the recommended social distancing restrictions recommended by the NM Governor and public health officials?

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* 6. Please list any ‘unexpected surprises’ you may have experienced due to social distancing.

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* 7. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 8. What is your age?

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* 9. How do you define your gender?

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* 10. Which race/ethnicity best describes you? (Please choose only one.)

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* 11. Please enter the survey code HERE if one was provided to you! If not - Thank You for participating in this questinnaire!

0 of 11 answered
 

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