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Your Mental Health During Covid-19 By Hanna rose Castillo

Age?

Are you currently employed?

Yes

Do you feel as if quarantine has put a strain on your life?

Yes

If so, on a scale from 1-10 how much has it impacted you?

Do you think your mental health has changed since the pandemic?

Yes

If so how much has this impacted you? (10 being the most)

Has quarantine affected your productivity?

A great deal

A lot

A moderate amount

A little

None at all

Has quarantine affected your motivation?

A great deal

A lot

A moderate amount

A little

None at all

In what ways has the Pandemic affected you? (Select all that apply)

Financially (ex, struggling to support needs, etc...)

Employment (ex, loss of jobs, not being able to find employment, etc...)

Mentally (ex, fears of future, infection worries, anxiety, etc..)

Socially (ex, loneliness, stigma, etc...)

Physically (ex, positive of virus, lack of self-care, developing bad habits, etc...)

Are you familiar with the importance taking care of your emotional health?

Extremely familiar

Very familiar

Somewhat familiar

Not so familiar

Not at all familiar

Are you familiar with the importance of taking care of your body?

Extremely familiar

Very familiar

Somewhat familiar

Not so familiar

Not at all familiar

Do you agree that practicing gratitude is important

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Do you think that feeling a sense of 'awe' initially promoting a 'smaller self' during this pandemic can be beneficial?

Yes

How much has this survey helped you reflect on your thoughts?

A great deal

A lot

A moderate amount

A little

None at all

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