Post-Covid Questionnaire Research
Default Report Post Covid Questionnaire May 7, 2021 2:14 AM MDT
Q1 - Identify your gender
Showing rows 1 - 4 of 4
# Field False True Total
1 Male 0.00% 0 100.00% 4 4
2 Female 0.00% 0 100.00% 6 6
3 Non-binary / third gender 0.00% 0 0.00% 0 0
4 Prefer not to say 0.00% 0 0.00% 0 0
Male Female Non-binary / third gender Prefer not to say
False
NO DATA
True
60.00%
40.00%
Q2 - How old are you?
Showing rows 1 - 6 of 6
# Field False True Total
1 Under 18 0.00% 0 100.00% 3 3
2 18 - 24 0.00% 0 100.00% 5 5
3 25 - 34 0.00% 0 0.00% 0 0
4 35 - 44 0.00% 0 0.00% 0 0
5 45 - 54 0.00% 0 100.00% 2 2
6 55 or older 0.00% 0 0.00% 0 0
Under 18 18 - 24 25 - 34 35 - 44 45 - 54 55 or older
False
NO DATA
True
50.00%
20.00%
30.00%
Q3 - What is your current relationship status?
Showing rows 1 - 5 of 5
# Field False True Total
1 Single 0.00% 0 100.00% 8 8
2 Married 0.00% 0 100.00% 2 2
3 Widowed 0.00% 0 0.00% 0 0
4 Divorced/Seperated 0.00% 0 0.00% 0 0
5 Prefer not to say 0.00% 0 0.00% 0 0
Single Married Widowed Divorced/Seperated Prefer not to say
80% Single
20% Married
Q4 - Do you feel like no one understands you?
Showing rows 1 - 3 of 3
# Field False True Total
1 Yes 0.00% 0 100.00% 1 1
2 Sometimes 0.00% 0 100.00% 9 9
3 No 0.00% 0 0.00% 0 0
Yes Sometimes No
False
NO DATA
True
90.00%
10.00%
Q5 - Are you afraid to talk to someone about your feelings?
Showing rows 1 - 3 of 3
# Field False True Total
1 Yes 0.00% 0 100.00% 1 1
2 Sometimes 0.00% 0 100.00% 5 5
3 No 0.00% 0 100.00% 4 4
1
5
4
Yes
Sometimes
No
Q15 - How much have been affect from Covid?
Showing rows 1 - 5 of 5
# Field False True Total
1 A great deal 0.00% 0 100.00% 2 2
2 A lot 0.00% 0 100.00% 5 5
3 A moderate amount 0.00% 0 100.00% 3 3
4 A little 0.00% 0 0.00% 0 0
5 None at all 0.00% 0 0.00% 0 0
A great deal A lot A moderate amount A little None at all
.
NO DATA
.
20.00%
50.00%
30.00%
Q17 - Before Covid, how often did you communicate with friends and family via phone,
text, email, etc.?
Showing rows 1 - 6 of 6
# Field False True Total
1 Every day 0.00% 0 100.00% 5 5
2 A couple of times a week 0.00% 0 100.00% 2 2
3 A couple of times a month 0.00% 0 100.00% 3 3
4 Once a month 0.00% 0 0.00% 0 0
5 Not at all 0.00% 0 0.00% 0 0
6 Not sure 0.00% 0 0.00% 0 0
5
2
3
.
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5
Every day
A couple of times a week
A couple of times a month
Once a month
Not at all
Not sure
Q16 - During Covid, how often did you communicate with friends and family via phone,
text, email, etc.?
Showing rows 1 - 6 of 6
# Field False True Total
1 Every day 0.00% 0 100.00% 4 4
2 A couple of times a week 0.00% 0 100.00% 4 4
3 A couple of times a month 0.00% 0 0.00% 0 0
4 Once a month 0.00% 0 100.00% 1 1
5 Not at all 0.00% 0 100.00% 1 1
6 Not sure 0.00% 0 0.00% 0 0
4
4
1
1
.
0 0.5 1 1.5 2 2.5 3 3.5 4
Every day
A couple of times a week
A couple of times a month
Once a month
Not at all
Not sure
Q6 - Are you experiencing any of the following symptoms ? (Select all that apply.)
Showing rows 1 - 12 of 12
# Field False True Total
1 Trouble concentrating, remembering details, and making decisions 0.00% 0 100.00% 5 5
2 Fatigue 0.00% 0 100.00% 4 4
3 Feelings of guilt, worthlessness, and helplessness 0.00% 0 100.00% 3 3
4 Hopelessness 0.00% 0 100.00% 4 4
5 Insomnia, early-morning wakefulness, or sleeping too much 0.00% 0 100.00% 4 4
6 Crankiness 0.00% 0 100.00% 4 4
7 Restlessness 0.00% 0 0.00% 0 0
8 Loss of interest in things once pleasurable 0.00% 0 100.00% 5 5
9 Overeating or appetite loss 0.00% 0 100.00% 2 2
10 Aches, pains, headaches, or cramps that won't go away 0.00% 0 100.00% 3 3
11 Persistent sad, anxious, or "empty" feelings 0.00% 0 100.00% 4 4
12 Suicidal thoughts or suicide attempts 0.00% 0 0.00% 0 0
Trouble concentrating, remembering details, and making decisions Fatigue Feelings of guilt, worthlessness, and helplessness Hopelessness
Insomnia, early-morning wakefulness, or sleeping too much Crankiness Restlessness Loss of interest in things once pleasurable
Overeating or appetite loss Aches, pains, headaches, or cramps that won't go away Persistent sad, anxious, or "empty" feelings
Suicidal thoughts or suicide attempts
.
NO DATA
.
7.89%
10.53%
10.53%
7.89%
10.53%
10.53%
13.16%
5.26%
10.53% 13.16%
Q14 - Are these symptoms due to quarantine following the pandemic?
Showing rows 1 - 4 of 4
# Field False True Total
1 Yes 0.00% 0 100.00% 3 3
2 Maybe 0.00% 0 100.00% 4 4
3 I don't know 0.00% 0 100.00% 1 1
4 No 0.00% 0 100.00% 2 2
Yes Maybe I don't know No
30% Yes
40% Maybe
20% No
Q7 - Do you want to ask questions about depression and bipolar disorder but may feel
embarrassed?
End of Report
Showing rows 1 - 3 of 3
# Field False True Total
1 Yes 0.00% 0 100.00% 1 1
2 Sometimes 0.00% 0 0.00% 0 0
3 No 0.00% 0 100.00% 9 9
Yes Sometimes No
90% No