ID

45065

Beskrivning

The CRISIS Survey is designed to enable the researchers and care providers to examine the extent and impact of life changes induced by the epidemic on the mental health and behavior of individuals and families across diverse international settings. Our hope is that such data will enable the identification of pre-, peri, and post-COVID19 demographic, social, and clinical predictors of both short- and long-term impairment and distress induced by COVID19 and its sequelae. The CRISIS can be used to track impact of the survey in diverse clinical, population and research settings. It may be even more informative for identifying predictors of impact and service needs from studies that have well characterized information from prior to COVID19. A broad range of behaviors and function are probed in the survey, including daily behaviors, emotional status, media usage, and substance use. The survey is designed to allow for follow-ups on a regular basis, with recommended frequencies of twice monthly or monthly. To facilitate multicultural perspectives, translations in a broad range of languages are available. Investigators: K. Merikangas, M. Milham, A. Stringaris Collaborators: E. Bromet, S. Colcombe, V. Zipunnikov The team encourages advanced notification of any media, scientific reports or publications of data that have been collected with the CRISIS (merikank@mail.nih.gov), though this is not required. We also encourage voluntary data sharing for the purpose of psychometric studies that will be led by Dr. Stringaris (argyris.stringaris@nih.gov).

Nyckelord

Versioner (1)
  1. 2022-08-18 2022-08-18 - Dr. Christian Niklas
Rättsinnehavare

Kathleen Merikangas, Argyris Stringaris, Michael P. Milham

Uppladdad den

18 augusti 2022

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0
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The CoRonavIruS Health Impact Survey (CRISIS) V0.3 - Youth Self-Report Baseline Form

Engelsk

Youth Selfreport Baseline Form

1 Formulär  
  1. StudyEvent: The CoRonavIruS Health Impact Survey (CRISIS) V0.3
    1. Youth Selfreport Baseline Form
Background
Beskrivning

Background

Alias
UMLS CUI [1,1]
C1706907
UMLS CUI [2,1]
C0010447
Identification Number:
Beskrivning

Record ID

Datatyp

text

Alias
UMLS CUI [1,1]
C2348585
Country:
Beskrivning

Country

Datatyp

text

Alias
UMLS CUI [1,1]
C1562954
State/ Province/ Region:
Beskrivning

State/ Province/ Region of residence

Datatyp

text

Alias
UMLS CUI [1,1]
C1830433
Your age (years):
Beskrivning

age

Datatyp

integer

Alias
UMLS CUI [1,1]
C0001779
Please specify your sex:
Beskrivning

sex

Datatyp

text

Alias
UMLS CUI [1,1]
C0079399
Thinking about what you know of your family history, which of the following best describes the geographic regions from where your ancestors (i.e. your great-great-grandparents) came from? You may select as many choices as you need. England, Ireland, Scotland or Wales
Beskrivning

race/ ethnicity England, Ireland, Scottland, Wales

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1556083
UMLS CUI [2,1]
C0043114
UMLS CUI [3,1]
C0240966
UMLS CUI [4,1]
C0087186
Australia - not of Aboriginal or Torres Strait Islander descent
Beskrivning

race/ ethnicity australian - not of Aboriginal or Torres Strait Islander descent

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0238711
Australia - of Aboriginal or Torres Strait Islander descent
Beskrivning

race/ ethnicity australian - of Aboriginal or Torres Strait Islander descent

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0337948
New Zealand - not of Maori descent
Beskrivning

race/ ethnicity New Zealand - not of Maori descent

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0438962
New Zealand - of Maori descent
Beskrivning

race ethnicity New Zealand - of Maori descent

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0024770
Northern Europe including Sweden, Norway, Finland and surrounding countries
Beskrivning

race ethnicity Northern Europe including Sweden

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0239310
Western Europe including France, Germany, the Netherlands and surrounding countries
Beskrivning

race/ ethnicity Western Europe including France

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0239312
Eastern Europe including Russia, Poland, Hungary and surrounding countries
Beskrivning

raceethnicity_Eastern Europe including Russia

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0239309
Southern Europe including Italy, Greece, Spain, Portugal and surrounding countries
Beskrivning

race/ ethnicity Southern Europe including Italy

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0239311
Middle East including Lebanon, Turkey and surrounding countries
Beskrivning

race/ ethnicity Middle East including Lebanon

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2698217
Eastern Asia including China, Japan, South Korea, North Korea, Taiwan and Hong Kong
Beskrivning

race/ ethnicity Eastern Asia including China

Datatyp

boolean

Alias
UMLS CUI [1,1]
C5205795
South-East Asia including Thailand, Malaysia, Indonesia, Singapore and surrounding countries
Beskrivning

race/ ethnicity South-East Asia including Thailand

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0238697
South Asia including India, Pakistan, Sri Lanka and surrounding countries
Beskrivning

race/ ethnicity South Asia including India

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1519427
Polynesia, Micronesia or Melanesia including Tonga, Fiji, Papua New Guinea and surrounding countries
Beskrivning

race/ ethnicity Polynesia

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0240790
Africa
Beskrivning

race/ ethnicity Africa

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0027567
North America - not of First Nations, Native American, Inuit or Metis descent
Beskrivning

race/ ethnicity North America - not of First Nations

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2700615
North America - of First Nations, Native American, Inuit or Metis descent
Beskrivning

race/ ethnicity North America - of First Nations

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1515945
Don't know
Beskrivning

race/ ethnicity unknown

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1549625
Other
Beskrivning

race/ ethnicity Other

Datatyp

text

Alias
UMLS CUI [1,1]
C0015031
UMLS CUI [1,2]
C0205394
Are you of Hispanic or Latino descent - that is, Mexican, Mexican American, Chicano, Puerto Rican, Cuban, South or Central American or other Spanish culture or origin?
Beskrivning

hispanic origin

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086409
Are you enrolled in school/college for the current academic year?
Beskrivning

current occupation

Datatyp

text

Alias
UMLS CUI [1,1]
C0557806
UMLS CUI [1,2]
C1516879
UMLS CUI [2,1]
C0036369
Which best describes the area in which you live?
Beskrivning

location

Datatyp

text

Alias
UMLS CUI [1,1]
C0237096
UMLS CUI [1,2]
C0205146
How many people currently live in your home (excluding yourself)?
Beskrivning

number of people living in household

Datatyp

integer

Alias
UMLS CUI [1,1]
C0557510
Are any adults living in the home an ESSENTIAL WORKER (e.g., healthcare, delivery worker, store worker, security, building maintenance)?
Beskrivning

living with essential worker

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0205224
UMLS CUI [1,3]
C1306056
Do they come home each day?
Beskrivning

in contact with essential worker

Datatyp

text

Alias
UMLS CUI [1,1]
C0332158
UMLS CUI [1,2]
C0595998
UMLS CUI [1,3]
C0205224
UMLS CUI [1,4]
C1306056
Are they a FIRST RESPONDER, HEALTHCARE PROVIDER or OTHER WORKER in a facility treating COVID-19?
Beskrivning

living with an essential worker exposed to COVID-19 in working environment

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0205224
UMLS CUI [1,3]
C1306056
UMLS CUI [1,4]
C5419183
How many rooms (total) are in your home?
Beskrivning

number of rooms in home environment

Datatyp

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C1547703
UMLS CUI [1,3]
C0442519
How would you rate your overall physical health?
Beskrivning

physical health rating scale

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C3714565
Has a health or educational professional ever told you that you had any of the following health conditions (check all that apply)? Seasonal allergies
Beskrivning

pre-existing seasonal allergies

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2106658
Asthma or other lung problems
Beskrivning

pre-existing asthma or other lung problems

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0004096
UMLS CUI [2,1]
C0521987
UMLS CUI [2,2]
C0740941
Heart problems
Beskrivning

pre-existing heart problems

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0018799
Kidney problems
Beskrivning

pre-existing kidney problems

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0022658
Immune disorder
Beskrivning

pre-existing immune disorder

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0021053
Diabetes or high blood sugar
Beskrivning

pre-existing diabetes or high blood sugar

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C3843079
Cancer
Beskrivning

pre-existing cancer

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0006826
Arthritis
Beskrivning

pre-existing arthritis

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0003864
Frequent or very bad headaches
Beskrivning

pre-existing frequent or very bad headaches

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C3842524
Epilepsy or seizures
Beskrivning

pre-existing epilepsy or seizures

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0014544
UMLS CUI [2,1]
C0521987
UMLS CUI [2,2]
C0036572
Serious stomach or bowel problems
Beskrivning

pre-existing serious stomach or bowel problems

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0577027
UMLS CUI [2,1]
C0521987
UMLS CUI [2,2]
C0579086
Serious acne or skin problems
Beskrivning

pre-existing serious acne or skin problems

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2347662
UMLS CUI [1,2]
C1861151
UMLS CUI [2,1]
C2347662
UMLS CUI [2,2]
C0281822
Emotional or mental health problems such as Depression or Anxiety
Beskrivning

pre-existing emotional or mental health problems such as Depression or Anxiety

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C3840291
Problems with alcohol or drugs
Beskrivning

pre-existing problems with alcohol or drugs

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0085762
UMLS CUI [2,1]
C0521987
UMLS CUI [2,2]
C0038586
Intellectual disability
Beskrivning

pre-existing intellectual disability

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C3714756
Autism Spectrum Disorder
Beskrivning

pre-existing Autism Spectrum Disorder

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C1510586
Learning Disorder
Beskrivning

pre-existing Learning Disorder

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0521987
UMLS CUI [1,2]
C0751265
How tall are you?
Beskrivning

height

Datatyp

float

Alias
UMLS CUI [1,1]
C0005890
Unit of Height Measurement:
Beskrivning

unit of height measurement

Datatyp

text

Alias
UMLS CUI [1,1]
C0005890
UMLS CUI [1,2]
C0439148
How much do you weigh?
Beskrivning

weight

Datatyp

float

Alias
UMLS CUI [1,1]
C0005910
Unit of Weight Measurement:
Beskrivning

unit of weight measurement

Datatyp

text

Alias
UMLS CUI [1,1]
C0005910
UMLS CUI [1,2]
C0439148
How would you rate your overall Mental/Emotional health before the Coronavirus/COVID-19 crisis in your area?
Beskrivning

mental health

Datatyp

text

Alias
UMLS CUI [1,1]
C0025353
UMLS CUI [1,2]
C0332152
UMLS CUI [1,3]
C5392141
Other
Beskrivning

New Item

Datatyp

text

Alias
UMLS CUI [1,1]
C0079399
UMLS CUI [1,2]
C3845569
Central or South America
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3844644
Does only one parent live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0030551
UMLS CUI [1,3]
C0205171
Do both parents live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0030551
UMLS CUI [1,3]
C1706086
Do your grandparents live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0337471
Do you have siblings that live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0037047
Do other children live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0008059
UMLS CUI [1,3]
C0205394
Do other relatives live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0080103
UMLS CUI [1,3]
C0205394
Doe any unrelated person live in your home?
Beskrivning

New Item

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0595998
UMLS CUI [1,2]
C0445356
UMLS CUI [1,3]
C0027361
Exposure status During the PAST TWO WEEKS...
Beskrivning

Exposure status During the PAST TWO WEEKS...

Alias
UMLS CUI [1,1]
C0332157
UMLS CUI [1,2]
C5203676
UMLS CUI [1,3]
C4288440
...have you been exposed to someone with positive Coronavirus/COVID-19 test?
Beskrivning

exposure to SARS CoV 2 positive tested person past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0332157
UMLS CUI [1,2]
C0027361
UMLS CUI [1,3]
C5244023
UMLS CUI [1,4]
C4288440
...have you been exposed to someone medically diagnosed with a Coronavirus/COVID-19 infection without positive test result?
Beskrivning

exposed to person medical diagnosed SARS CoV 2 infection past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0332157
UMLS CUI [1,2]
C0027361
UMLS CUI [1,3]
C0011900
UMLS CUI [1,4]
C5203670
UMLS CUI [1,5]
C4288440
...have you been exposed to someone with possible symptoms but no medical diagnosis of Coronavirus/COVID-19 during the past two weeks?
Beskrivning

exposed to person with possible COVID-19 symptoms past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0332157
UMLS CUI [1,2]
C0027361
UMLS CUI [1,3]
C1457887
UMLS CUI [1,4]
C0332281
UMLS CUI [1,5]
C5203670
UMLS CUI [1,6]
C4288440
...have you had a fever?
Beskrivning

fever within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0015967
UMLS CUI [1,2]
C4288440
...have you had a cough?
Beskrivning

cough within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0010200
UMLS CUI [1,2]
C4288440
...have you had shortness of breath?
Beskrivning

dispnea within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0013404
UMLS CUI [1,2]
C4288440
...have you had a sore throat?
Beskrivning

sore throat within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0242429
UMLS CUI [1,2]
C4288440
...have you had fatigue?
Beskrivning

fatigue within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0015672
UMLS CUI [1,2]
C4288440
...have you had a loss of taste or smell?
Beskrivning

loss of taste or smell within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C5382033
UMLS CUI [1,2]
C4288440
...have you had an eye infection?
Beskrivning

eye infection within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0015403
UMLS CUI [1,2]
C4288440
...have you had any other symptoms?
Beskrivning

other symptoms within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3257980
UMLS CUI [1,2]
C4288440
...has any family member living in your household been diagnosed with Coronavirus/COVID-19?
Beskrivning

family member living in the same household diagnosed withcoronavirus/ COVID-19

Datatyp

boolean

Alias
UMLS CUI [1,1]
C4330269
UMLS CUI [1,2]
C0086282
UMLS CUI [1,3]
C0011900
UMLS CUI [1,4]
C5203670
UMLS CUI [1,5]
C4288440
...has any family member not living in your household been diagnosed with Coronavirus/COVID-19?
Beskrivning

family member not living in the same household diagnosed with coronavirus/ COVID-19

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0011900
UMLS CUI [1,3]
C5203670
UMLS CUI [1,4]
C4288440
...has any family member fallen physically ill due to Coronavirus/COVID-19?
Beskrivning

family member fallen phisically ill due to coronavirus

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0221423
UMLS CUI [1,3]
C5203676
UMLS CUI [1,4]
C4288440
...has any family member been hospitalized due to Coronavirus/COVID-19?
Beskrivning

family member hospitalized due to COVID-19

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0019993
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C5203670
UMLS CUI [1,5]
C4288440
...has any family member been put into self-quarantine with symptoms due to Coronavirus/COVID-19?
Beskrivning

family member put into self-quarantine with symptoms

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C5392942
UMLS CUI [1,3]
C5203670
UMLS CUI [1,4]
C4288440
...has any family member been put into self-quarantine without any symptoms due to Coronavirus/COVID-19 (e.g., due to possible exposure)?
Beskrivning

family member put into self-quarantine without symptoms

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C5392942
UMLS CUI [1,3]
C5203676
UMLS CUI [1,4]
C0231221
UMLS CUI [1,5]
C4288440
...has any family member lost or been laid off from his/her job due to Coronavirus/COVID-19?
Beskrivning

family member lost or been laid off from job

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0425083
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C5203676
UMLS CUI [1,5]
C4288440
...has any family member had a reduced ability to earn money due to Coronavirus/COVID-19?
Beskrivning

family member with reduced ability to earn money due to coronavirus

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C0392756
UMLS CUI [1,3]
C0021162
UMLS CUI [1,4]
C0678226
UMLS CUI [1,5]
C5203676
UMLS CUI [1,6]
C4288440
...has any family member passed away due to Coronavirus/COVID-19?
Beskrivning

family member passed away due to corona virus

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0086282
UMLS CUI [1,2]
C1306577
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C5203670
UMLS CUI [1,5]
C4288440
...how worried have you been about being infected?
Beskrivning

I.4

Datatyp

text

Alias
UMLS CUI [1,1]
C0233481
UMLS CUI [1,2]
C3874886
UMLS CUI [1,3]
C0439663
UMLS CUI [1,4]
C5203676
UMLS CUI [1,5]
C4288440
...how worried have you been about friends or family being infected?
Beskrivning

worried the past two weeks about friends/family being infected

Datatyp

text

Alias
UMLS CUI [1,1]
C0233481
UMLS CUI [1,2]
C3874886
UMLS CUI [1,3]
C1546502
UMLS CUI [1,4]
C0439663
UMLS CUI [1,5]
C5203676
UMLS CUI [1,6]
C4288440
UMLS CUI [2,1]
C0233481
UMLS CUI [2,2]
C3874886
UMLS CUI [2,3]
C0086282
UMLS CUI [2,4]
C0439663
UMLS CUI [2,5]
C5203676
UMLS CUI [2,6]
C4288440
...how worried have you been about your physical health being influenced by Coronavirus/COVID-19?
Beskrivning

worried the past two weeks about physical health influenced by Coronavirus/ COVID-19

Datatyp

text

Alias
UMLS CUI [1,1]
C0233481
UMLS CUI [1,2]
C3874886
UMLS CUI [1,3]
C3714565
UMLS CUI [1,4]
C0392747
UMLS CUI [1,5]
C0678226
UMLS CUI [1,6]
C4288440
...how worried have you been about your Mental/Emotional health being influenced by Coronavirus/ COVID-19?
Beskrivning

worried past two weeks about mental health influenced by Coronavirus/ COVID-19

Datatyp

text

Alias
UMLS CUI [1,1]
C0233481
UMLS CUI [1,2]
C3874886
UMLS CUI [1,3]
C0025353
UMLS CUI [1,4]
C0392747
UMLS CUI [1,5]
C0678226
UMLS CUI [1,6]
C5203676
UMLS CUI [1,7]
C4288440
How much are you reading or talking about Coronavirus/ COVID-19?
Beskrivning

reading/ talking about Coronavirus/ COVID-19 past two weeks

Datatyp

text

Alias
UMLS CUI [1,1]
C0034754
UMLS CUI [1,2]
C3874886
UMLS CUI [1,3]
C5203676
UMLS CUI [1,4]
C4288440
UMLS CUI [2,1]
C0234856
UMLS CUI [2,2]
C3874886
UMLS CUI [2,3]
C5203676
UMLS CUI [2,4]
C4288440
Has the Coronavirus/ COIVD-19 crisis in your area led to any positive change in your life?
Beskrivning

positive change in life due to Coronavirus/ COVID-19 crisis past two weeks

Datatyp

text

Alias
UMLS CUI [1,1]
C0376558
UMLS CUI [1,2]
C1446409
UMLS CUI [1,3]
C0392747
UMLS CUI [1,4]
C5392141
UMLS CUI [1,5]
C4288440
...have you been suspected of having a Coronavirus/COVID-19 infection?
Beskrivning

New Item

Datatyp

text

Alias
UMLS CUI [1,1]
C5203670
UMLS CUI [1,2]
C0750491
Other symptoms:
Beskrivning

New Item

Datatyp

text

Alias
UMLS CUI [1,1]
C3257980
UMLS CUI [1,2]
C4288440
UMLS CUI [1,3]
C2348235
Please specify:
Beskrivning

New Item

Datatyp

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0376558
UMLS CUI [1,3]
C1446409
UMLS CUI [1,4]
C0392747
UMLS CUI [1,5]
C5392141
UMLS CUI [1,6]
C4288440
Life changes During the PAST TWO WEEKS...
Beskrivning

Life changes During the PAST TWO WEEKS...

Alias
UMLS CUI [1,1]
C0376558
UMLS CUI [1,2]
C0392747
UMLS CUI [1,3]
C4288440
...has your school building been closed?
Beskrivning

school closing within previous two weeks

Datatyp

text

Alias
UMLS CUI [1,1]
C0036375
UMLS CUI [1,2]
C0587267
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C5392141
UMLS CUI [1,5]
C4288440
Are classes in session?
Beskrivning

classes in session

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0036375
UMLS CUI [1,2]
C0441833
UMLS CUI [1,3]
C1553514
UMLS CUI [1,4]
C4288440
Are you attending classes in-person?
Beskrivning

attended classes in person within previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0036375
UMLS CUI [1,2]
C1999232
UMLS CUI [1,3]
C1553514
UMLS CUI [1,4]
C4288440
Have classes resumed online?
Beskrivning

classes resumed online within previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0036375
UMLS CUI [1,2]
C0029038
UMLS CUI [1,3]
C4288440
Do you have easy access to the internet and a computer?
Beskrivning

internet and computer access within previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C4704731
UMLS CUI [1,2]
C0444454
UMLS CUI [1,3]
C0009622
UMLS CUI [1,4]
C4288440
Are there assignments for you to complete?
Beskrivning

assignments within the previous two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0683853
UMLS CUI [1,2]
C4288440
Are you able to receive meals from the school?
Beskrivning

meals from school

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1998602
UMLS CUI [1,2]
C1517320
UMLS CUI [1,3]
C0036375
UMLS CUI [1,4]
C4288440
...how many people, from outside of your household, have you had an in-person conversation with?
Beskrivning

in-person conversation count within previous two weeks

Datatyp

integer

Alias
UMLS CUI [1,1]
C0750480
UMLS CUI [1,2]
C0871703
UMLS CUI [1,3]
C1553514
UMLS CUI [1,4]
C4288440
...how much time have you spent going outside of the home (e.g., going to stores, parks, etc.)?
Beskrivning

time outside within previous two weeks

Datatyp

text

Alias
UMLS CUI [1,1]
C0040223
UMLS CUI [1,2]
C1709359
UMLS CUI [1,3]
C4288440
...how stressful have the restrictions on leaving home been for you?
Beskrivning

stress due to restrictions

Datatyp

text

Alias
UMLS CUI [1,1]
C0038435
UMLS CUI [1,2]
C0678226
UMLS CUI [1,3]
C4534363
UMLS CUI [1,4]
C4288440
...have your contacts with people outside of your home changed relative to before the Coronavirus/COVID-19 crisis in your area?
Beskrivning

social contact change due to COVID-19 pandemic

Datatyp

text

Alias
UMLS CUI [1,1]
C0392747
UMLS CUI [1,2]
C0237101
UMLS CUI [1,3]
C1711239
UMLS CUI [1,4]
C5392141
UMLS CUI [1,5]
C4288440
...how much difficulty have you had following the recommendations for keeping away from close contact with people?
Beskrivning

difficulty distancing

Datatyp

text

Alias
UMLS CUI [1,1]
C0332218
UMLS CUI [1,2]
C5440893
UMLS CUI [1,3]
C4288440
...has the quality of the relationships between you and members of your family changed?
Beskrivning

change of family relationships

Datatyp

text

Alias
UMLS CUI [1,1]
C0392747
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0086282
UMLS CUI [1,4]
C4288440
...how stressful have these changes in family contacts been for you?
Beskrivning

stress due to changes in family relationships

Datatyp

text

Alias
UMLS CUI [1,1]
C0038435
UMLS CUI [1,2]
C0678226
UMLS CUI [1,3]
C0392747
UMLS CUI [1,4]
C0439849
UMLS CUI [1,5]
C0086282
UMLS CUI [1,6]
C4288440
...has the quality of your relationships with your friends changed?
Beskrivning

change of relationships to friends

Datatyp

text

Alias
UMLS CUI [1,1]
C0392747
UMLS CUI [1,2]
C0439849
UMLS CUI [1,3]
C0079382
UMLS CUI [1,4]
C4288440
...how stressful have these changes in social contacts been for you?
Beskrivning

stress due to changes to relationships to friends

Datatyp

text

Alias
UMLS CUI [1,1]
C0038435
UMLS CUI [1,2]
C0678226
UMLS CUI [1,3]
C0392747
UMLS CUI [1,4]
C0439849
UMLS CUI [1,5]
C0079382
UMLS CUI [1,6]
C4288440
...how much has cancellation of important events (such as graduation, prom, vacation, etc.) in your life been difficult for you?
Beskrivning

difficulty due to event cancellations

Datatyp

text

Alias
UMLS CUI [1,1]
C0332218
UMLS CUI [1,2]
C0441471
UMLS CUI [1,3]
C1553388
UMLS CUI [1,4]
C4288440
...to what degree have changes related to the Coronavirus/COVID-19 crisis in your area created financial problems for you or your family?
Beskrivning

financial difficulties due to COVID-19 pandemic

Datatyp

text

Alias
UMLS CUI [1,1]
C0549106
UMLS CUI [1,2]
C0678226
UMLS CUI [1,3]
C5392141
UMLS CUI [1,4]
C4288440
...to what degree are you concerned about the stability of your living situation?
Beskrivning

concerned about living stability

Datatyp

text

Alias
UMLS CUI [1,1]
C2107029
UMLS CUI [1,2]
C2184149
UMLS CUI [1,3]
C4288440
...did you worry whether your food would run out because of a lack of money?
Beskrivning

worried about food shortage due to financial problems

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0233481
UMLS CUI [1,2]
C0598456
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C0549106
UMLS CUI [1,5]
C4288440
How hopeful are you that the Coronavirus/COVID-19 crisis in your area will end soon?
Beskrivning

hopeful about end of COVID-19 pandemic

Datatyp

text

Alias
UMLS CUI [1,1]
C5224035
UMLS CUI [1,2]
C0444930
UMLS CUI [1,3]
C5392141
UMLS CUI [1,4]
C4288440
Daily behaviors THREE MONTHS PRIOR to onset of the COVID-19 crisis in your area...
Beskrivning

Daily behaviors THREE MONTHS PRIOR to onset of the COVID-19 crisis in your area...

Alias
UMLS CUI [1,1]
C0871707
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
...on average, what time did you go to bed on WEEKDAYS?
Beskrivning

bedtime weekdays three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0680189
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...on average, what time did you go to bed on WEEKENDS?
Beskrivning

bedtime weekends

Datatyp

text

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0680190
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...on average, how many hours per night did you sleep on WEEKDAYS?
Beskrivning

hours of sleep weekdays

Datatyp

text

Alias
UMLS CUI [1,1]
C2937255
UMLS CUI [1,2]
C0680189
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...on average, how many hours per night did you sleep on WEEKENDS?
Beskrivning

hours of sleep weekends

Datatyp

text

Alias
UMLS CUI [1,1]
C2937255
UMLS CUI [1,2]
C0680190
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...how many days per week did you exercise (e.g., increased heart rate, breathing) for at least 30 minutes?
Beskrivning

exercise frequency weekly three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C2230062
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
...how many days per week did you spend time outdoors?
Beskrivning

days/week with time spent outdoors three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0677547
UMLS CUI [1,2]
C4534420
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
Emotions/ Worries During the THREE MONTHS PRIOR to the onset of the COVID-19 crisis in your area...
Beskrivning

Emotions/ Worries During the THREE MONTHS PRIOR to the onset of the COVID-19 crisis in your area...

Alias
UMLS CUI [1,1]
C0013987
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
UMLS CUI [2,1]
C0233481
UMLS CUI [2,2]
C1442461
UMLS CUI [2,3]
C0332152
UMLS CUI [2,4]
C5392141
...how worried were you generally?
Beskrivning

worried in general three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0233481
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
...how happy versus sad were you?
Beskrivning

happiness/ sadness three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C1821411
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
UMLS CUI [2,1]
C0681889
UMLS CUI [2,2]
C3536794
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
...how much were you able to enjoy your usual activities?
Beskrivning

joy of usual activities three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C4316940
UMLS CUI [1,3]
C0871707
UMLS CUI [1,4]
C1442461
UMLS CUI [1,5]
C0332152
UMLS CUI [1,6]
C5392141
...how relaxed versus anxious were you?
Beskrivning

relaxation/ anxiety three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0542193
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C4086725
UMLS CUI [1,4]
C1442461
UMLS CUI [1,5]
C0332152
UMLS CUI [1,6]
C5392141
UMLS CUI [2,1]
C0003467
UMLS CUI [2,2]
C0681889
UMLS CUI [2,3]
C4086725
UMLS CUI [2,4]
C1442461
UMLS CUI [2,5]
C0332152
UMLS CUI [2,6]
C5392141
...how fidgety or restless were you?
Beskrivning

fidgety/ restlessness three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0424235
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
UMLS CUI [2,1]
C3887611
UMLS CUI [2,2]
C0681889
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
...how fatigued or tired were you?
Beskrivning

fatigue three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0015672
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...how well were you able to concentrate or focus?
Beskrivning

concentration/ focus three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0086045
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...how irritable or easily angered were you?
Beskrivning

irritable/ angered three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0022107
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
UMLS CUI [2,1]
C2227997
UMLS CUI [2,2]
C0681889
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
...how lonely were you?
Beskrivning

loneliness three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0023974
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that made you feel bad?
Beskrivning

negative thoughts/ experiences three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C1142075
UMLS CUI [1,2]
C0681889
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
Media use During the THREE MONTHS PRIOR to the onset of the COVID-19 cirsis in your area, how much time did you spend...
Beskrivning

Media use During the THREE MONTHS PRIOR to the onset of the COVID-19 cirsis in your area, how much time did you spend...

Alias
UMLS CUI [1,1]
C5392110
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
UMLS CUI [2,1]
C0042649
UMLS CUI [2,2]
C1442461
UMLS CUI [2,3]
C0332152
UMLS CUI [2,4]
C5392141
...watching TV or digital media (e.g., Netflix, YouTube, web surfing)?
Beskrivning

digital media consumtion three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0556974
UMLS CUI [1,2]
C3827501
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
UMLS CUI [2,1]
C0556974
UMLS CUI [2,2]
C3842705
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
...using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?
Beskrivning

social media consumtion three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0556974
UMLS CUI [1,2]
C3179065
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...playing video games?
Beskrivning

hours spent playing video games three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C2047133
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
Substance use During the THREE MONTHS PRIOR to the onset of the COVID-19 cirsis in your area, how frequently did you use...
Beskrivning

Substance use During the THREE MONTHS PRIOR to the onset of the COVID-19 cirsis in your area, how frequently did you use...

Alias
UMLS CUI [1,1]
C0237123
UMLS CUI [1,2]
C1442461
UMLS CUI [1,3]
C0332152
UMLS CUI [1,4]
C5392141
...alcohol?
Beskrivning

alcohol consumtion frequency three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0001948
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...vaping products?
Beskrivning

vaping frequency three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C4083280
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...cigarettes or other tobacco products?
Beskrivning

tobacco use frequency three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0543414
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...marijuana/cannabis (e.g., joint, blunt, pipe, bong)?
Beskrivning

marijuana/ cannabis use three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C4316909
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
UMLS CUI [2,1]
C4321352
UMLS CUI [2,2]
C3160814
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
...opiates, heroin, or narcotics?
Beskrivning

opiate/ heroin/ narcotic abuse frequency three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0029095
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
UMLS CUI [2,1]
C4321352
UMLS CUI [2,2]
C0600241
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
UMLS CUI [3,1]
C4321352
UMLS CUI [3,2]
C0524661
UMLS CUI [3,3]
C1442461
UMLS CUI [3,4]
C0332152
UMLS CUI [3,5]
C5392141
...other drugs including cocaine, crack, amphetamine, methamphetamine, hallucinogens, or ecstasy?
Beskrivning

frequency other drug abuse three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0848734
UMLS CUI [1,3]
C1442461
UMLS CUI [1,4]
C0332152
UMLS CUI [1,5]
C5392141
...sleeping medications or sedatives/hypnotics?
Beskrivning

sleeping pill/ sedative/ hypnotic abuse frequency three month prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0013146
UMLS CUI [1,3]
C0599396
UMLS CUI [1,4]
C1442461
UMLS CUI [1,5]
C0332152
UMLS CUI [1,6]
C5392141
UMLS CUI [2,1]
C4321352
UMLS CUI [2,2]
C1456771
UMLS CUI [2,3]
C1442461
UMLS CUI [2,4]
C0332152
UMLS CUI [2,5]
C5392141
UMLS CUI [3,1]
C4321352
UMLS CUI [3,2]
C0338699
UMLS CUI [3,3]
C1442461
UMLS CUI [3,4]
C0332152
UMLS CUI [3,5]
C5392141
Daily behaviors During the PAST TWO WEEKS...
Beskrivning

Daily behaviors During the PAST TWO WEEKS...

Alias
UMLS CUI [1,1]
C0871707
UMLS CUI [1,2]
C4288440
...on average, what time did you go to bed on WEEKDAYS?
Beskrivning

bedtime weekdays two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0680189
UMLS CUI [1,3]
C4288440
...on average, what time did you go to bed on WEEKENDS?
Beskrivning

bedtime weekends two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0521112
UMLS CUI [1,2]
C0680190
UMLS CUI [1,3]
C4288440
...on average, how many hours per night did you sleep on WEEKDAYS?
Beskrivning

hours of sleep weekdays two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C2937255
UMLS CUI [1,2]
C0680189
UMLS CUI [1,3]
C4288440
...on average, how many hours per night did you sleep on WEEKENDS?
Beskrivning

hours of sleep weekends two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C2937255
UMLS CUI [1,2]
C0680190
UMLS CUI [1,3]
C4288440
...how many days per week did you exercise (e.g., increased heart rate, breathing) for at least 30 minutes?
Beskrivning

exercise frequency weekly two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C2230062
UMLS CUI [1,2]
C4288440
...how many days per week did you spend time outdoors?
Beskrivning

days/week with time spent outdoors two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0677547
UMLS CUI [1,2]
C4534420
UMLS CUI [1,3]
C4288440
Emotions/ Worries During the PAST TWO WEEKS...
Beskrivning

Emotions/ Worries During the PAST TWO WEEKS...

Alias
UMLS CUI [1,1]
C0013987
UMLS CUI [1,2]
C4288440
UMLS CUI [2,1]
C0233481
UMLS CUI [2,2]
C4288440
...how worried were you generally?
Beskrivning

worried

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0233481
UMLS CUI [1,3]
C4288440
...how happy versus sad were you?
Beskrivning

happiness/ sadness two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C1821411
UMLS CUI [1,2]
C4288440
UMLS CUI [2,1]
C0681889
UMLS CUI [2,2]
C3536794
UMLS CUI [2,3]
C4288440
...how much were you able to enjoy your usual activities?
Beskrivning

joy of usual activities two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C4316940
UMLS CUI [1,3]
C0871707
UMLS CUI [1,4]
C4288440
...how relaxed versus anxious were you?
Beskrivning

relaxation/ anxiety two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0035028
UMLS CUI [1,3]
C4288440
UMLS CUI [2,1]
C0681889
UMLS CUI [2,2]
C0003467
UMLS CUI [2,3]
C4288440
...how fidgety or restless were you?
Beskrivning

fidgety/ restlessness two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0424235
UMLS CUI [1,3]
C4288440
UMLS CUI [2,1]
C0681889
UMLS CUI [2,2]
C3887611
UMLS CUI [2,3]
C4288440
...how fatigued or tired were you?
Beskrivning

fatigue two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0015672
UMLS CUI [1,3]
C4288440
...how well were you able to concentrate or focus?
Beskrivning

focus/ concentration two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0086045
UMLS CUI [1,3]
C4288440
...how irritable or easily angered were you?
Beskrivning

irritable/ angered two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0022107
UMLS CUI [1,3]
C4288440
UMLS CUI [2,1]
C0681889
UMLS CUI [2,2]
C2227997
UMLS CUI [2,3]
C4288440
...how lonely were you?
Beskrivning

loneliness two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0681889
UMLS CUI [1,2]
C0023974
UMLS CUI [1,3]
C4288440
...to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that make you feel bad?
Beskrivning

negative thoughts two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C1142075
UMLS CUI [1,3]
C4288440
Media use During the PAST TWO WEEKS, how much time per day did you spend...
Beskrivning

Media use During the PAST TWO WEEKS, how much time per day did you spend...

Alias
UMLS CUI [1,1]
C5392110
UMLS CUI [1,2]
C4288440
UMLS CUI [2,1]
C0042649
UMLS CUI [2,2]
C4288440
...watching TV or digital media (e.g., Netflix, YouTube, web surfing)?
Beskrivning

digital media consumtion two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0556974
UMLS CUI [1,2]
C3827501
UMLS CUI [1,3]
C4288440
...using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?
Beskrivning

social media consumtion two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0556974
UMLS CUI [1,2]
C3179065
UMLS CUI [1,3]
C4288440
...playing video games?
Beskrivning

hours/day playing video games two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C0556974
UMLS CUI [1,2]
C2047133
UMLS CUI [1,3]
C4288440
Substance use During the PAST TWO WEEKS, how frequently did you use...
Beskrivning

Substance use During the PAST TWO WEEKS, how frequently did you use...

Alias
UMLS CUI [1,1]
C0237123
UMLS CUI [1,2]
C4288440
...alcohol?
Beskrivning

alcohol consumpiton frequency two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0001948
UMLS CUI [1,3]
C4288440
...vaping products?
Beskrivning

vaping frequency two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C4083280
UMLS CUI [1,3]
C4288440
...cigarettes or other tobacco products?
Beskrivning

tobacco use frequency two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0543414
UMLS CUI [1,3]
C4288440
...marijuana/cannabis (e.g., joint, blunt, pipe, bong)?
Beskrivning

marijuana/ cannabis use frequency two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C4316909
UMLS CUI [1,3]
C4288440
UMLS CUI [2,1]
C4321352
UMLS CUI [2,2]
C4316909
UMLS CUI [2,3]
C4288440
...opiates, heroin, or narcotics?
Beskrivning

opiate/ heroin/ narcotic abuse frequency two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C4551628
UMLS CUI [1,3]
C4288440
UMLS CUI [2,1]
C4321352
UMLS CUI [2,2]
C0600241
UMLS CUI [2,3]
C4288440
UMLS CUI [3,1]
C4321352
UMLS CUI [3,2]
C0524661
UMLS CUI [3,3]
C4288440
...other drugs including cocaine, crack, amphetamine, methamphetamine, hallucinogens, or ecstasy?
Beskrivning

frequency of other drug abuse two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0848734
UMLS CUI [1,3]
C4288440
...sleeping medications or sedatives/hypnotics?
Beskrivning

sleeping pill/ sedative/ hypnotic abuse frequency two weeks prior to CRISIS

Datatyp

text

Alias
UMLS CUI [1,1]
C4321352
UMLS CUI [1,2]
C0599396
UMLS CUI [1,3]
C0013146
UMLS CUI [1,4]
C4288440
UMLS CUI [2,1]
C4321352
UMLS CUI [2,2]
C1456771
UMLS CUI [2,3]
C4288440
UMLS CUI [3,1]
C4321352
UMLS CUI [3,2]
C0338699
UMLS CUI [3,3]
C4288440
Which of the following supports were in place for you before the Coronavirus/COVID-19 crisis in your area and have been disrupted over the PAST TWO WEEKS? (check all that apply)
Beskrivning

Which of the following supports were in place for you before the Coronavirus/COVID-19 crisis in your area and have been disrupted over the PAST TWO WEEKS? (check all that apply)

Alias
UMLS CUI [1,1]
C0748877
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C0678226
UMLS CUI [1,4]
C5392141
UMLS CUI [1,5]
C4288440
Resource room
Beskrivning

resource room disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3846158
Tutoring
Beskrivning

tutoring disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0872010
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Mentoring programs
Beskrivning

mentoring program disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C4255266
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
After school activity programs
Beskrivning

after school activity programs disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0681383
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Volunteer programs
Beskrivning

volunteer program disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2367294
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Psychotherapy
Beskrivning

psychotherapy disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0033968
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Psychiatric care
Beskrivning

psychiatric care disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0597312
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Occupational therapy
Beskrivning

occupational therapy disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1318464
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Physical therapy
Beskrivning

physical therapy disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0949766
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Speech/language therapy
Beskrivning

speech/language therapy disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0589155
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Sporting activities
Beskrivning

sporting activities disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0038039
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Medical care for chronic illnesses
Beskrivning

medical care for chronic illnesses disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1555457
UMLS CUI [1,2]
C0332454
UMLS CUI [1,3]
C4288440
Other
Beskrivning

other supports disrupted past two weeks

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0748877
UMLS CUI [1,3]
C0332454
UMLS CUI [1,4]
C4288440
Other: Specify
Beskrivning

specify other supports disrupted within the past two weeks

Datatyp

text

Alias
UMLS CUI [1,1]
C2348235
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C0748877
UMLS CUI [1,4]
C0332454
UMLS CUI [1,5]
C4288440
additional concerns and comments
Beskrivning

additional concerns and comments

Alias
UMLS CUI [1,1]
C3482667
UMLS CUI [1,2]
C1830770
Please describe anything else that concerns you about the impact of Coronavirus/COVID-19 on you, your friends, or your family.
Beskrivning

anything_else

Datatyp

text

Alias
UMLS CUI [1,1]
C5392141
UMLS CUI [1,2]
C4049986
UMLS CUI [1,3]
C0205394
Comment section - Youth Selfreport Baseline Form
Beskrivning

Comment section - Youth Selfreport Baseline Form

Alias
UMLS CUI [1,1]
C4321425
Please provide any comments that you would like to share about this survey and/or related topics.
Beskrivning

survey comments

Datatyp

text

Alias
UMLS CUI [1,1]
C1830770
UMLS CUI [1,2]
C0332281
UMLS CUI [1,3]
C0034394
Tillbaka till toppen

Similar models

Youth Selfreport Baseline Form

1 Formulär
  1. StudyEvent: The CoRonavIruS Health Impact Survey (CRISIS) V0.3
    1. Youth Selfreport Baseline Form
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Background
C1706907 (UMLS CUI [1,1])
C0010447 (UMLS CUI [2,1])
Record ID
Item
Identification Number:
text
C2348585 (UMLS CUI [1,1])
Item
Country:
text
C1562954 (UMLS CUI [1,1])
country
Code List
Country:
CL Item
Afghanistan (1)
CL Item
Albania (2)
CL Item
Algeria (3)
CL Item
Andorra (4)
CL Item
Angola (5)
CL Item
Antigua and Barbuda (6)
CL Item
Argentina (7)
CL Item
Armenia (8)
CL Item
Australia (9)
CL Item
Austria (10)
CL Item
Azerbaijan (11)
CL Item
Bahamas (12)
CL Item
Bahrain (13)
CL Item
Bangladesh (14)
CL Item
Barbados (15)
CL Item
Belarus (16)
CL Item
Belgium (17)
CL Item
Belize (18)
CL Item
Benin (19)
CL Item
Bhutan (20)
CL Item
Bolivia (21)
CL Item
Bosnia and Herzegovina (22)
CL Item
Botswana (23)
CL Item
Brazil (24)
CL Item
Brunei (25)
CL Item
Bulgaria (26)
CL Item
Burkina Faso (27)
CL Item
Burundi (28)
CL Item
Côte d'Ivoire (29)
CL Item
Cabo Verde (30)
CL Item
Cambodia (31)
CL Item
Cameroon (32)
CL Item
Canada (33)
CL Item
Central African Republic (34)
CL Item
Chad (35)
CL Item
Chile (36)
CL Item
China (37)
CL Item
Colombia (38)
CL Item
Comoros (39)
CL Item
Congo (Congo-Brazzaville) (40)
CL Item
Costa Rica (41)
CL Item
Croatia (42)
CL Item
Cuba (43)
CL Item
Cyprus (44)
CL Item
Czechia (Czech Republic) (45)
CL Item
Democratic Republic of the Congo (46)
CL Item
Denmark (47)
CL Item
Djibouti (48)
CL Item
Dominica (49)
CL Item
Dominican Republic (50)
CL Item
Ecuador (51)
CL Item
Egypt (52)
CL Item
El Salvador (53)
CL Item
Equatorial Guinea (54)
CL Item
Eritrea (55)
CL Item
Estonia (56)
CL Item
Eswatini (fmr. "Swaziland") (57)
CL Item
Ethiopia (58)
CL Item
Fiji (59)
CL Item
Finland (60)
CL Item
France (61)
CL Item
Gabon (62)
CL Item
Gambia (63)
CL Item
Georgia (64)
CL Item
Germany (65)
CL Item
Ghana (66)
CL Item
Greece (67)
CL Item
Grenada (68)
CL Item
Guatemala (69)
CL Item
Guinea (70)
CL Item
Guinea-Bissau (71)
CL Item
Guyana (72)
CL Item
Haiti (73)
CL Item
Holy See (74)
CL Item
Honduras (75)
CL Item
Hungary (76)
CL Item
Iceland (77)
CL Item
India (78)
CL Item
Indonesia (79)
CL Item
Iran (80)
CL Item
Iraq (81)
CL Item
Ireland (82)
CL Item
Israel (83)
CL Item
Italy (84)
CL Item
Jamaica (85)
CL Item
Japan (86)
CL Item
Jordan (87)
CL Item
Kazakhstan (88)
CL Item
Kenya (89)
CL Item
Kiribati (90)
CL Item
Kuwait (91)
CL Item
Kyrgyzstan (92)
CL Item
Laos (93)
CL Item
Latvia (94)
CL Item
Lebanon (95)
CL Item
Lesotho (96)
CL Item
Liberia (97)
CL Item
Libya (98)
CL Item
Liechtenstein (99)
CL Item
Lithuania (100)
CL Item
Luxembourg (101)
CL Item
Madagascar (102)
CL Item
Malawi (103)
CL Item
Malaysia (104)
CL Item
Maldives (105)
CL Item
Mali (106)
CL Item
Malta (107)
CL Item
Marshall Islands (108)
CL Item
Mauritania (109)
CL Item
Mauritius (110)
CL Item
Mexico (111)
CL Item
Micronesia (112)
CL Item
Moldova (113)
CL Item
Monaco (114)
CL Item
Mongolia (115)
CL Item
Montenegro (116)
CL Item
Morocco (117)
CL Item
Mozambique (118)
CL Item
Myanmar (formerly Burma) (119)
CL Item
Namibia (120)
CL Item
Nauru (121)
CL Item
Nepal (122)
CL Item
Netherlands (123)
CL Item
New Zealand (124)
CL Item
Nicaragua (125)
CL Item
Niger (126)
CL Item
Nigeria (127)
CL Item
North Korea (128)
CL Item
North Macedonia (129)
CL Item
Norway (130)
CL Item
Oman (131)
CL Item
Pakistan (132)
CL Item
Palau (133)
CL Item
Palestine State (134)
CL Item
Panama (135)
CL Item
Papua New Guinea (136)
CL Item
Paraguay (137)
CL Item
Peru (138)
CL Item
Philippines (139)
CL Item
Poland (140)
CL Item
Portugal (141)
CL Item
Qatar (142)
CL Item
Romania (143)
CL Item
Russia (144)
CL Item
Rwanda (145)
CL Item
Saint Kitts and Nevis (146)
CL Item
Saint Lucia (147)
CL Item
Saint Vincent and the Grenadines (148)
CL Item
Samoa (149)
CL Item
San Marino (150)
CL Item
Sao Tome and Principe (151)
CL Item
Saudi Arabia (152)
CL Item
Senegal (153)
CL Item
Serbia (154)
CL Item
Seychelles (155)
CL Item
Sierra Leone (156)
CL Item
Singapore (157)
CL Item
Slovakia (158)
CL Item
Slovenia (159)
CL Item
Solomon Islands (160)
CL Item
Somalia (161)
CL Item
South Africa (162)
CL Item
South Korea (163)
CL Item
South Sudan (164)
CL Item
Spain (165)
CL Item
Sri Lanka (166)
CL Item
Sudan (167)
CL Item
Suriname (168)
CL Item
Sweden (169)
CL Item
Switzerland (170)
CL Item
Syria (171)
CL Item
Tajikistan (172)
CL Item
Tanzania (173)
CL Item
Thailand (174)
CL Item
Timor-Leste (175)
CL Item
Togo (176)
CL Item
Tonga (177)
CL Item
Trinidad and Tobago (178)
CL Item
Tunisia (179)
CL Item
Turkey (180)
CL Item
Turkmenistan (181)
CL Item
Tuvalu (182)
CL Item
Uganda (183)
CL Item
Ukraine (184)
CL Item
United Arab Emirates (185)
CL Item
United Kingdom (186)
CL Item
United States of America (187)
CL Item
Uruguay (188)
CL Item
Uzbekistan (189)
CL Item
Vanuatu (190)
CL Item
Venezuela (191)
CL Item
Vietnam (192)
CL Item
Yemen (193)
CL Item
Zambia (194)
CL Item
Zimbabwe (195)
State/ Province/ Region of residence
Item
State/ Province/ Region:
text
C1830433 (UMLS CUI [1,1])
age
Item
Your age (years):
integer
C0001779 (UMLS CUI [1,1])
Item
Please specify your sex:
text
C0079399 (UMLS CUI [1,1])
sex
Code List
Please specify your sex:
CL Item
Male (1)
C0086582 (UMLS CUI [1,1])
CL Item
Female (2)
C0086287 (UMLS CUI [1,1])
CL Item
Other (3)
C0079399 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
race/ ethnicity England, Ireland, Scottland, Wales
Item
Thinking about what you know of your family history, which of the following best describes the geographic regions from where your ancestors (i.e. your great-great-grandparents) came from? You may select as many choices as you need. England, Ireland, Scotland or Wales
boolean
C1556083 (UMLS CUI [1,1])
C0043114 (UMLS CUI [2,1])
C0240966 (UMLS CUI [3,1])
C0087186 (UMLS CUI [4,1])
race/ ethnicity australian - not of Aboriginal or Torres Strait Islander descent
Item
Australia - not of Aboriginal or Torres Strait Islander descent
boolean
C0238711 (UMLS CUI [1,1])
race/ ethnicity australian - of Aboriginal or Torres Strait Islander descent
Item
Australia - of Aboriginal or Torres Strait Islander descent
boolean
C0337948 (UMLS CUI [1,1])
race/ ethnicity New Zealand - not of Maori descent
Item
New Zealand - not of Maori descent
boolean
C0438962 (UMLS CUI [1,1])
race ethnicity New Zealand - of Maori descent
Item
New Zealand - of Maori descent
boolean
C0024770 (UMLS CUI [1,1])
race ethnicity Northern Europe including Sweden
Item
Northern Europe including Sweden, Norway, Finland and surrounding countries
boolean
C0239310 (UMLS CUI [1,1])
race/ ethnicity Western Europe including France
Item
Western Europe including France, Germany, the Netherlands and surrounding countries
boolean
C0239312 (UMLS CUI [1,1])
raceethnicity_Eastern Europe including Russia
Item
Eastern Europe including Russia, Poland, Hungary and surrounding countries
boolean
C0239309 (UMLS CUI [1,1])
race/ ethnicity Southern Europe including Italy
Item
Southern Europe including Italy, Greece, Spain, Portugal and surrounding countries
boolean
C0239311 (UMLS CUI [1,1])
race/ ethnicity Middle East including Lebanon
Item
Middle East including Lebanon, Turkey and surrounding countries
boolean
C2698217 (UMLS CUI [1,1])
race/ ethnicity Eastern Asia including China
Item
Eastern Asia including China, Japan, South Korea, North Korea, Taiwan and Hong Kong
boolean
C5205795 (UMLS CUI [1,1])
race/ ethnicity South-East Asia including Thailand
Item
South-East Asia including Thailand, Malaysia, Indonesia, Singapore and surrounding countries
boolean
C0238697 (UMLS CUI [1,1])
race/ ethnicity South Asia including India
Item
South Asia including India, Pakistan, Sri Lanka and surrounding countries
boolean
C1519427 (UMLS CUI [1,1])
race/ ethnicity Polynesia
Item
Polynesia, Micronesia or Melanesia including Tonga, Fiji, Papua New Guinea and surrounding countries
boolean
C0240790 (UMLS CUI [1,1])
race/ ethnicity Africa
Item
Africa
boolean
C0027567 (UMLS CUI [1,1])
race/ ethnicity North America - not of First Nations
Item
North America - not of First Nations, Native American, Inuit or Metis descent
boolean
C2700615 (UMLS CUI [1,1])
race/ ethnicity North America - of First Nations
Item
North America - of First Nations, Native American, Inuit or Metis descent
boolean
C1515945 (UMLS CUI [1,1])
race/ ethnicity unknown
Item
Don't know
boolean
C1549625 (UMLS CUI [1,1])
race/ ethnicity Other
Item
Other
text
C0015031 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
hispanic origin
Item
Are you of Hispanic or Latino descent - that is, Mexican, Mexican American, Chicano, Puerto Rican, Cuban, South or Central American or other Spanish culture or origin?
boolean
C0086409 (UMLS CUI [1,1])
Item
Are you enrolled in school/college for the current academic year?
text
C0557806 (UMLS CUI [1,1])
C1516879 (UMLS CUI [1,2])
C0036369 (UMLS CUI [2,1])
CL.3
Code List
Are you enrolled in school/college for the current academic year?
CL Item
Not in school (1)
C0036369 (UMLS CUI [1,1])
C1298908 (UMLS CUI [1,2])
CL Item
Elementary School (2)
C0870481 (UMLS CUI [1,1])
CL Item
Junior High or Middle School (3)
C0687733 (UMLS CUI [1,1])
C0870892 (UMLS CUI [2,1])
CL Item
High School (4)
C0682176 (UMLS CUI [1,1])
CL Item
College/Vocational (5)
C0682177 (UMLS CUI [1,1])
C0871592 (UMLS CUI [2,1])
CL Item
Graduate (6)
C0588053 (UMLS CUI [1,1])
Item
Which best describes the area in which you live?
text
C0237096 (UMLS CUI [1,1])
C0205146 (UMLS CUI [1,2])
location
Code List
Which best describes the area in which you live?
CL Item
Large city (1)
C0237096 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
C0549177 (UMLS CUI [1,3])
C0557849 (UMLS CUI [1,4])
CL Item
Suburbs of a large city (2)
C0237096 (UMLS CUI [1,1])
C0557755 (UMLS CUI [1,2])
CL Item
Small city (3)
C0237096 (UMLS CUI [1,1])
C0008848 (UMLS CUI [1,2])
C0700321 (UMLS CUI [1,3])
CL Item
Town or village (4)
C0237096 (UMLS CUI [1,1])
C0562518 (UMLS CUI [1,2])
CL Item
Rural area (5)
C0237096 (UMLS CUI [1,1])
C0178837 (UMLS CUI [1,2])
number of people living in household
Item
How many people currently live in your home (excluding yourself)?
integer
C0557510 (UMLS CUI [1,1])
living with essential worker
Item
Are any adults living in the home an ESSENTIAL WORKER (e.g., healthcare, delivery worker, store worker, security, building maintenance)?
boolean
C0595998 (UMLS CUI [1,1])
C0205224 (UMLS CUI [1,2])
C1306056 (UMLS CUI [1,3])
Item
Do they come home each day?
text
C0332158 (UMLS CUI [1,1])
C0595998 (UMLS CUI [1,2])
C0205224 (UMLS CUI [1,3])
C1306056 (UMLS CUI [1,4])
essentialworkerhome
Code List
Do they come home each day?
CL Item
Yes (1)
CL Item
No, separated due to COVID-19 (2)
CL Item
No, separated due to other reasons (3)
living with an essential worker exposed to COVID-19 in working environment
Item
Are they a FIRST RESPONDER, HEALTHCARE PROVIDER or OTHER WORKER in a facility treating COVID-19?
boolean
C0595998 (UMLS CUI [1,1])
C0205224 (UMLS CUI [1,2])
C1306056 (UMLS CUI [1,3])
C5419183 (UMLS CUI [1,4])
number of rooms in home environment
Item
How many rooms (total) are in your home?
integer
C0750480 (UMLS CUI [1,1])
C1547703 (UMLS CUI [1,2])
C0442519 (UMLS CUI [1,3])
Item
How would you rate your overall physical health?
text
C0681889 (UMLS CUI [1,1])
C3714565 (UMLS CUI [1,2])
physicalhealth
Code List
How would you rate your overall physical health?
CL Item
Excellent (1)
CL Item
Very Good (2)
CL Item
Good (3)
CL Item
Fair (4)
CL Item
Poor (5)
pre-existing seasonal allergies
Item
Has a health or educational professional ever told you that you had any of the following health conditions (check all that apply)? Seasonal allergies
boolean
C2106658 (UMLS CUI [1,1])
pre-existing asthma or other lung problems
Item
Asthma or other lung problems
boolean
C0521987 (UMLS CUI [1,1])
C0004096 (UMLS CUI [1,2])
C0521987 (UMLS CUI [2,1])
C0740941 (UMLS CUI [2,2])
pre-existing heart problems
Item
Heart problems
boolean
C0521987 (UMLS CUI [1,1])
C0018799 (UMLS CUI [1,2])
pre-existing kidney problems
Item
Kidney problems
boolean
C0521987 (UMLS CUI [1,1])
C0022658 (UMLS CUI [1,2])
pre-existing immune disorder
Item
Immune disorder
boolean
C0521987 (UMLS CUI [1,1])
C0021053 (UMLS CUI [1,2])
pre-existing diabetes or high blood sugar
Item
Diabetes or high blood sugar
boolean
C0521987 (UMLS CUI [1,1])
C3843079 (UMLS CUI [1,2])
pre-existing cancer
Item
Cancer
boolean
C0521987 (UMLS CUI [1,1])
C0006826 (UMLS CUI [1,2])
pre-existing arthritis
Item
Arthritis
boolean
C0521987 (UMLS CUI [1,1])
C0003864 (UMLS CUI [1,2])
pre-existing frequent or very bad headaches
Item
Frequent or very bad headaches
boolean
C0521987 (UMLS CUI [1,1])
C3842524 (UMLS CUI [1,2])
pre-existing epilepsy or seizures
Item
Epilepsy or seizures
boolean
C0521987 (UMLS CUI [1,1])
C0014544 (UMLS CUI [1,2])
C0521987 (UMLS CUI [2,1])
C0036572 (UMLS CUI [2,2])
pre-existing serious stomach or bowel problems
Item
Serious stomach or bowel problems
boolean
C0521987 (UMLS CUI [1,1])
C0577027 (UMLS CUI [1,2])
C0521987 (UMLS CUI [2,1])
C0579086 (UMLS CUI [2,2])
pre-existing serious acne or skin problems
Item
Serious acne or skin problems
boolean
C2347662 (UMLS CUI [1,1])
C1861151 (UMLS CUI [1,2])
C2347662 (UMLS CUI [2,1])
C0281822 (UMLS CUI [2,2])
pre-existing emotional or mental health problems such as Depression or Anxiety
Item
Emotional or mental health problems such as Depression or Anxiety
boolean
C0521987 (UMLS CUI [1,1])
C3840291 (UMLS CUI [1,2])
pre-existing problems with alcohol or drugs
Item
Problems with alcohol or drugs
boolean
C0521987 (UMLS CUI [1,1])
C0085762 (UMLS CUI [1,2])
C0521987 (UMLS CUI [2,1])
C0038586 (UMLS CUI [2,2])
pre-existing intellectual disability
Item
Intellectual disability
boolean
C0521987 (UMLS CUI [1,1])
C3714756 (UMLS CUI [1,2])
pre-existing Autism Spectrum Disorder
Item
Autism Spectrum Disorder
boolean
C0521987 (UMLS CUI [1,1])
C1510586 (UMLS CUI [1,2])
pre-existing Learning Disorder
Item
Learning Disorder
boolean
C0521987 (UMLS CUI [1,1])
C0751265 (UMLS CUI [1,2])
height
Item
How tall are you?
float
C0005890 (UMLS CUI [1,1])
Item
Unit of Height Measurement:
text
C0005890 (UMLS CUI [1,1])
C0439148 (UMLS CUI [1,2])
measurementheight_3bf300
Code List
Unit of Height Measurement:
CL Item
Inches (in) (1)
CL Item
Centimeters (cm) (2)
weight
Item
How much do you weigh?
float
C0005910 (UMLS CUI [1,1])
Item
Unit of Weight Measurement:
text
C0005910 (UMLS CUI [1,1])
C0439148 (UMLS CUI [1,2])
measurementweight_21d6ac
Code List
Unit of Weight Measurement:
CL Item
Pounds (lbs) (1)
CL Item
Kilograms (kg) (2)
Item
How would you rate your overall Mental/Emotional health before the Coronavirus/COVID-19 crisis in your area?
text
C0025353 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C5392141 (UMLS CUI [1,3])
mentalhealth
Code List
How would you rate your overall Mental/Emotional health before the Coronavirus/COVID-19 crisis in your area?
CL Item
Excellent (1)
CL Item
Very Good (2)
CL Item
Good (3)
CL Item
Fair (4)
CL Item
Poor (5)
New Item
Item
Other
text
C0079399 (UMLS CUI [1,1])
C3845569 (UMLS CUI [1,2])
New Item
Item
Central or South America
boolean
C3844644 (UMLS CUI [1,1])
New Item
Item
Does only one parent live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0030551 (UMLS CUI [1,2])
C0205171 (UMLS CUI [1,3])
New Item
Item
Do both parents live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0030551 (UMLS CUI [1,2])
C1706086 (UMLS CUI [1,3])
New Item
Item
Do your grandparents live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0337471 (UMLS CUI [1,2])
New Item
Item
Do you have siblings that live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0037047 (UMLS CUI [1,2])
New Item
Item
Do other children live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
New Item
Item
Do other relatives live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0080103 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
New Item
Item
Doe any unrelated person live in your home?
boolean
C0595998 (UMLS CUI [1,1])
C0445356 (UMLS CUI [1,2])
C0027361 (UMLS CUI [1,3])
Item Group
Exposure status During the PAST TWO WEEKS...
C0332157 (UMLS CUI [1,1])
C5203676 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
exposure to SARS CoV 2 positive tested person past two weeks
Item
...have you been exposed to someone with positive Coronavirus/COVID-19 test?
boolean
C0332157 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
C5244023 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
exposed to person medical diagnosed SARS CoV 2 infection past two weeks
Item
...have you been exposed to someone medically diagnosed with a Coronavirus/COVID-19 infection without positive test result?
boolean
C0332157 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
C5203670 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
exposed to person with possible COVID-19 symptoms past two weeks
Item
...have you been exposed to someone with possible symptoms but no medical diagnosis of Coronavirus/COVID-19 during the past two weeks?
boolean
C0332157 (UMLS CUI [1,1])
C0027361 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
C0332281 (UMLS CUI [1,4])
C5203670 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
fever within the previous two weeks
Item
...have you had a fever?
boolean
C0015967 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
cough within the previous two weeks
Item
...have you had a cough?
boolean
C0010200 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
dispnea within the previous two weeks
Item
...have you had shortness of breath?
boolean
C0013404 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
sore throat within the previous two weeks
Item
...have you had a sore throat?
boolean
C0242429 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
fatigue within the previous two weeks
Item
...have you had fatigue?
boolean
C0015672 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
loss of taste or smell within the previous two weeks
Item
...have you had a loss of taste or smell?
boolean
C5382033 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
eye infection within the previous two weeks
Item
...have you had an eye infection?
boolean
C0015403 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
other symptoms within the previous two weeks
Item
...have you had any other symptoms?
boolean
C3257980 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
family member living in the same household diagnosed withcoronavirus/ COVID-19
Item
...has any family member living in your household been diagnosed with Coronavirus/COVID-19?
boolean
C4330269 (UMLS CUI [1,1])
C0086282 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
C5203670 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
family member not living in the same household diagnosed with coronavirus/ COVID-19
Item
...has any family member not living in your household been diagnosed with Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C0011900 (UMLS CUI [1,2])
C5203670 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
family member fallen phisically ill due to coronavirus
Item
...has any family member fallen physically ill due to Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C0221423 (UMLS CUI [1,2])
C5203676 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
family member hospitalized due to COVID-19
Item
...has any family member been hospitalized due to Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C0019993 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C5203670 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
family member put into self-quarantine with symptoms
Item
...has any family member been put into self-quarantine with symptoms due to Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C5392942 (UMLS CUI [1,2])
C5203670 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
family member put into self-quarantine without symptoms
Item
...has any family member been put into self-quarantine without any symptoms due to Coronavirus/COVID-19 (e.g., due to possible exposure)?
boolean
C0086282 (UMLS CUI [1,1])
C5392942 (UMLS CUI [1,2])
C5203676 (UMLS CUI [1,3])
C0231221 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
family member lost or been laid off from job
Item
...has any family member lost or been laid off from his/her job due to Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C0425083 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C5203676 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
family member with reduced ability to earn money due to coronavirus
Item
...has any family member had a reduced ability to earn money due to Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C0392756 (UMLS CUI [1,2])
C0021162 (UMLS CUI [1,3])
C0678226 (UMLS CUI [1,4])
C5203676 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
family member passed away due to corona virus
Item
...has any family member passed away due to Coronavirus/COVID-19?
boolean
C0086282 (UMLS CUI [1,1])
C1306577 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C5203670 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
Item
...how worried have you been about being infected?
text
C0233481 (UMLS CUI [1,1])
C3874886 (UMLS CUI [1,2])
C0439663 (UMLS CUI [1,3])
C5203676 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
priorworry_29e7a8
Code List
...how worried have you been about being infected?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...how worried have you been about friends or family being infected?
text
C0233481 (UMLS CUI [1,1])
C3874886 (UMLS CUI [1,2])
C1546502 (UMLS CUI [1,3])
C0439663 (UMLS CUI [1,4])
C5203676 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
C0233481 (UMLS CUI [2,1])
C3874886 (UMLS CUI [2,2])
C0086282 (UMLS CUI [2,3])
C0439663 (UMLS CUI [2,4])
C5203676 (UMLS CUI [2,5])
C4288440 (UMLS CUI [2,6])
worriedyourself_5287e2
Code List
...how worried have you been about friends or family being infected?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...how worried have you been about your physical health being influenced by Coronavirus/COVID-19?
text
C0233481 (UMLS CUI [1,1])
C3874886 (UMLS CUI [1,2])
C3714565 (UMLS CUI [1,3])
C0392747 (UMLS CUI [1,4])
C0678226 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
worriedyourself_5287e2
Code List
...how worried have you been about your physical health being influenced by Coronavirus/COVID-19?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...how worried have you been about your Mental/Emotional health being influenced by Coronavirus/ COVID-19?
text
C0233481 (UMLS CUI [1,1])
C3874886 (UMLS CUI [1,2])
C0025353 (UMLS CUI [1,3])
C0392747 (UMLS CUI [1,4])
C0678226 (UMLS CUI [1,5])
C5203676 (UMLS CUI [1,6])
C4288440 (UMLS CUI [1,7])
worriedyourself_5287e2
Code List
...how worried have you been about your Mental/Emotional health being influenced by Coronavirus/ COVID-19?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
How much are you reading or talking about Coronavirus/ COVID-19?
text
C0034754 (UMLS CUI [1,1])
C3874886 (UMLS CUI [1,2])
C5203676 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
C0234856 (UMLS CUI [2,1])
C3874886 (UMLS CUI [2,2])
C5203676 (UMLS CUI [2,3])
C4288440 (UMLS CUI [2,4])
CL.1
Code List
How much are you reading or talking about Coronavirus/ COVID-19?
CL Item
Never (1)
CL Item
Rarely (2)
CL Item
Occasionally (3)
CL Item
Often (4)
CL Item
Most of the time (5)
Item
Has the Coronavirus/ COIVD-19 crisis in your area led to any positive change in your life?
text
C0376558 (UMLS CUI [1,1])
C1446409 (UMLS CUI [1,2])
C0392747 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
CL.1
Code List
Has the Coronavirus/ COIVD-19 crisis in your area led to any positive change in your life?
CL Item
None (1)
CL Item
Only a few (2)
CL Item
Some (3)
Item
...have you been suspected of having a Coronavirus/COVID-19 infection?
text
C5203670 (UMLS CUI [1,1])
C0750491 (UMLS CUI [1,2])
CL.4
Code List
...have you been suspected of having a Coronavirus/COVID-19 infection?
CL Item
Yes, has a positive test (1)
C5244023 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
CL Item
Yes, medical diagnosis, but no test (2)
C4288440 (UMLS CUI [1,1])
C5203676 (UMLS CUI [1,2])
C0011900 (UMLS CUI [1,3])
C3841003 (UMLS CUI [1,4])
CL Item
Yes, have had some possible symptoms, but no diagnosis by doctor (3)
C4288440 (UMLS CUI [1,1])
C5203676 (UMLS CUI [1,2])
C1457887 (UMLS CUI [1,3])
CL Item
No symptoms or signs (4)
C0231221 (UMLS CUI [1,1])
C0332281 (UMLS CUI [1,2])
C5203676 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
New Item
Item
Other symptoms:
text
C3257980 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])
New Item
Item
Please specify:
text
C2348235 (UMLS CUI [1,1])
C0376558 (UMLS CUI [1,2])
C1446409 (UMLS CUI [1,3])
C0392747 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
Item Group
Life changes During the PAST TWO WEEKS...
C0376558 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
Item
...has your school building been closed?
text
C0036375 (UMLS CUI [1,1])
C0587267 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
schoolclosed
Code List
...has your school building been closed?
CL Item
Yes (1)
CL Item
No (0)
CL Item
Not Applicable (2)
classes in session
Item
Are classes in session?
boolean
C0036375 (UMLS CUI [1,1])
C0441833 (UMLS CUI [1,2])
C1553514 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
attended classes in person within previous two weeks
Item
Are you attending classes in-person?
boolean
C0036375 (UMLS CUI [1,1])
C1999232 (UMLS CUI [1,2])
C1553514 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
classes resumed online within previous two weeks
Item
Have classes resumed online?
boolean
C0036375 (UMLS CUI [1,1])
C0029038 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
internet and computer access within previous two weeks
Item
Do you have easy access to the internet and a computer?
boolean
C4704731 (UMLS CUI [1,1])
C0444454 (UMLS CUI [1,2])
C0009622 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
assignments within the previous two weeks
Item
Are there assignments for you to complete?
boolean
C0683853 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
meals from school
Item
Are you able to receive meals from the school?
boolean
C1998602 (UMLS CUI [1,1])
C1517320 (UMLS CUI [1,2])
C0036375 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
in-person conversation count within previous two weeks
Item
...how many people, from outside of your household, have you had an in-person conversation with?
integer
C0750480 (UMLS CUI [1,1])
C0871703 (UMLS CUI [1,2])
C1553514 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
Item
...how much time have you spent going outside of the home (e.g., going to stores, parks, etc.)?
text
C0040223 (UMLS CUI [1,1])
C1709359 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
timeoutside
Code List
...how much time have you spent going outside of the home (e.g., going to stores, parks, etc.)?
CL Item
Not at all (1)
CL Item
1-2 days per week (2)
CL Item
A few days per week (3)
CL Item
Several days per week (4)
CL Item
Every day (5)
Item
...how stressful have the restrictions on leaving home been for you?
text
C0038435 (UMLS CUI [1,1])
C0678226 (UMLS CUI [1,2])
C4534363 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
restrictionsstress
Code List
...how stressful have the restrictions on leaving home been for you?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...have your contacts with people outside of your home changed relative to before the Coronavirus/COVID-19 crisis in your area?
text
C0392747 (UMLS CUI [1,1])
C0237101 (UMLS CUI [1,2])
C1711239 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
contactschanged
Code List
...have your contacts with people outside of your home changed relative to before the Coronavirus/COVID-19 crisis in your area?
CL Item
A lot less (1)
CL Item
A little less (2)
CL Item
About the same (3)
CL Item
A little more (4)
CL Item
A lot more (5)
Item
...how much difficulty have you had following the recommendations for keeping away from close contact with people?
text
C0332218 (UMLS CUI [1,1])
C5440893 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
difficultydistancing
Code List
...how much difficulty have you had following the recommendations for keeping away from close contact with people?
CL Item
None (1)
CL Item
A little (2)
CL Item
Moderate (3)
CL Item
A lot (4)
CL Item
A great amount (5)
Item
...has the quality of the relationships between you and members of your family changed?
text
C0392747 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0086282 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
familychange
Code List
...has the quality of the relationships between you and members of your family changed?
CL Item
A lot worse (1)
CL Item
A little worse (2)
CL Item
About the same (3)
CL Item
A little better (4)
CL Item
A lot better (5)
Item
...how stressful have these changes in family contacts been for you?
text
C0038435 (UMLS CUI [1,1])
C0678226 (UMLS CUI [1,2])
C0392747 (UMLS CUI [1,3])
C0439849 (UMLS CUI [1,4])
C0086282 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
familychangestress
Code List
...how stressful have these changes in family contacts been for you?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...has the quality of your relationships with your friends changed?
text
C0392747 (UMLS CUI [1,1])
C0439849 (UMLS CUI [1,2])
C0079382 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
friendschange
Code List
...has the quality of your relationships with your friends changed?
CL Item
A lot worse (1)
CL Item
A little worse (2)
CL Item
About the same (3)
CL Item
A little better (4)
CL Item
A lot better (5)
Item
...how stressful have these changes in social contacts been for you?
text
C0038435 (UMLS CUI [1,1])
C0678226 (UMLS CUI [1,2])
C0392747 (UMLS CUI [1,3])
C0439849 (UMLS CUI [1,4])
C0079382 (UMLS CUI [1,5])
C4288440 (UMLS CUI [1,6])
friendchangestress
Code List
...how stressful have these changes in social contacts been for you?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...how much has cancellation of important events (such as graduation, prom, vacation, etc.) in your life been difficult for you?
text
C0332218 (UMLS CUI [1,1])
C0441471 (UMLS CUI [1,2])
C1553388 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
difficultycancellations
Code List
...how much has cancellation of important events (such as graduation, prom, vacation, etc.) in your life been difficult for you?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...to what degree have changes related to the Coronavirus/COVID-19 crisis in your area created financial problems for you or your family?
text
C0549106 (UMLS CUI [1,1])
C0678226 (UMLS CUI [1,2])
C5392141 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
financedifficulty
Code List
...to what degree have changes related to the Coronavirus/COVID-19 crisis in your area created financial problems for you or your family?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...to what degree are you concerned about the stability of your living situation?
text
C2107029 (UMLS CUI [1,1])
C2184149 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
livingdifficulty
Code List
...to what degree are you concerned about the stability of your living situation?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
worried about food shortage due to financial problems
Item
...did you worry whether your food would run out because of a lack of money?
boolean
C0233481 (UMLS CUI [1,1])
C0598456 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C0549106 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
Item
How hopeful are you that the Coronavirus/COVID-19 crisis in your area will end soon?
text
C5224035 (UMLS CUI [1,1])
C0444930 (UMLS CUI [1,2])
C5392141 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
hopefullyend
Code List
How hopeful are you that the Coronavirus/COVID-19 crisis in your area will end soon?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item Group
Daily behaviors THREE MONTHS PRIOR to onset of the COVID-19 crisis in your area...
C0871707 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
Item
...on average, what time did you go to bed on WEEKDAYS?
text
C0521112 (UMLS CUI [1,1])
C0680189 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
bedtimeweekdays
Code List
...on average, what time did you go to bed on WEEKDAYS?
CL Item
Before 8 pm (1)
CL Item
8 pm - 10 pm (2)
CL Item
10 pm - 12 am (3)
CL Item
After midnight (4)
Item
...on average, what time did you go to bed on WEEKENDS?
text
C0521112 (UMLS CUI [1,1])
C0680190 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
bedtimeweekdays
Code List
...on average, what time did you go to bed on WEEKENDS?
CL Item
Before 8 pm (1)
CL Item
8 pm - 10 pm (2)
CL Item
10 pm - 12 am (3)
CL Item
After midnight (4)
Item
...on average, how many hours per night did you sleep on WEEKDAYS?
text
C2937255 (UMLS CUI [1,1])
C0680189 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
hoursofsleepweekdays
Code List
...on average, how many hours per night did you sleep on WEEKDAYS?
CL Item
<6 hours (1)
CL Item
6-8 hours (2)
CL Item
8-10 hours (3)
CL Item
>10 hours (4)
Item
...on average, how many hours per night did you sleep on WEEKENDS?
text
C2937255 (UMLS CUI [1,1])
C0680190 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
hoursofsleepweekends
Code List
...on average, how many hours per night did you sleep on WEEKENDS?
CL Item
<6 hours (1)
CL Item
6-8 hours (2)
CL Item
8-10 hours (3)
CL Item
>10 hours (4)
Item
...how many days per week did you exercise (e.g., increased heart rate, breathing) for at least 30 minutes?
text
C2230062 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
exerciseprior_eca5c6
Code List
...how many days per week did you exercise (e.g., increased heart rate, breathing) for at least 30 minutes?
CL Item
None (1)
CL Item
1-2 days (2)
CL Item
3-4 days (3)
CL Item
5-6 days (4)
CL Item
Daily (5)
Item
...how many days per week did you spend time outdoors?
text
C0677547 (UMLS CUI [1,1])
C4534420 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
outdoorsprior_6c9ecd
Code List
...how many days per week did you spend time outdoors?
CL Item
None (1)
CL Item
1-2 days (2)
CL Item
3-4 days (3)
CL Item
5-6 days (4)
CL Item
Daily (5)
Item Group
Emotions/ Worries During the THREE MONTHS PRIOR to the onset of the COVID-19 crisis in your area...
C0013987 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C0233481 (UMLS CUI [2,1])
C1442461 (UMLS CUI [2,2])
C0332152 (UMLS CUI [2,3])
C5392141 (UMLS CUI [2,4])
Item
...how worried were you generally?
text
C0233481 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
priorworry_29e7a8
Code List
...how worried were you generally?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very (4)
CL Item
Extremely (5)
Item
...how happy versus sad were you?
text
C1821411 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C0681889 (UMLS CUI [2,1])
C3536794 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
priorhappyvssad_abc6b3
Code List
...how happy versus sad were you?
CL Item
Very sad/depressed/unhappy (1)
CL Item
Moderately sad/depressed/unhappy (2)
CL Item
Neutral (3)
CL Item
Moderately happy/cheerful (4)
CL Item
Very happy/cheerful (5)
Item
...how much were you able to enjoy your usual activities?
text
C0681889 (UMLS CUI [1,1])
C4316940 (UMLS CUI [1,2])
C0871707 (UMLS CUI [1,3])
C1442461 (UMLS CUI [1,4])
C0332152 (UMLS CUI [1,5])
C5392141 (UMLS CUI [1,6])
priorenjoyactivities_d4237f
Code List
...how much were you able to enjoy your usual activities?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very much (4)
CL Item
A lot (5)
Item
...how relaxed versus anxious were you?
text
C0542193 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C4086725 (UMLS CUI [1,3])
C1442461 (UMLS CUI [1,4])
C0332152 (UMLS CUI [1,5])
C5392141 (UMLS CUI [1,6])
C0003467 (UMLS CUI [2,1])
C0681889 (UMLS CUI [2,2])
C4086725 (UMLS CUI [2,3])
C1442461 (UMLS CUI [2,4])
C0332152 (UMLS CUI [2,5])
C5392141 (UMLS CUI [2,6])
priorrelaxedvsanxious_e4adcd
Code List
...how relaxed versus anxious were you?
CL Item
Very relaxed/calm (1)
CL Item
Moderately relaxed/calm (2)
CL Item
Neutral (3)
CL Item
Moderately nervous/anxious (4)
CL Item
Very nervous/anxious (5)
Item
...how fidgety or restless were you?
text
C0424235 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
C3887611 (UMLS CUI [2,1])
C0681889 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
priorfidget_2d61cc
Code List
...how fidgety or restless were you?
CL Item
Not fidgety/restless at all (1)
CL Item
Slightly fidgety/restless (2)
CL Item
Moderately fidgety/restless (3)
CL Item
Very fidgety/restless (4)
CL Item
Extremely fidgety/restless (5)
Item
...how fatigued or tired were you?
text
C0015672 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
priorfatigue_b97141
Code List
...how fatigued or tired were you?
CL Item
Not fatigued or tired at all (1)
CL Item
Slightly fatigued or tired (2)
CL Item
Moderately fatigued or tired (3)
CL Item
Very fatigued or tired (4)
CL Item
Extremely fatigued or tired (5)
Item
...how well were you able to concentrate or focus?
text
C0086045 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
priorfocus_efd9bc
Code List
...how well were you able to concentrate or focus?
CL Item
Very focused/attentive (1)
CL Item
Moderately focused/attentive (2)
CL Item
Neutral (3)
CL Item
Moderately unfocused/distracted (4)
CL Item
Very unfocused/distracted (5)
Item
...how irritable or easily angered were you?
text
C0022107 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
C2227997 (UMLS CUI [2,1])
C0681889 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
priorirritable_7edec3
Code List
...how irritable or easily angered were you?
CL Item
Not irritable or easily angered at all (1)
CL Item
Slightly irritable or easily angered (2)
CL Item
Moderately irritable or easily angered (3)
CL Item
Very irritable or easily angered (4)
CL Item
Extremely irritable or easily angered (5)
Item
...how lonely were you?
text
C0023974 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
priorlonely_d7685c
Code List
...how lonely were you?
CL Item
Not lonely at all (1)
CL Item
Slightly lonely (2)
CL Item
Moderately lonely (3)
CL Item
Very lonely (4)
CL Item
Extremely lonely (5)
Item
...to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that made you feel bad?
text
C1142075 (UMLS CUI [1,1])
C0681889 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
priornegthoughts_608107
Code List
...to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that made you feel bad?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Occasionally (3)
CL Item
Often (4)
CL Item
A lot of the time (5)
Item Group
Media use During the THREE MONTHS PRIOR to the onset of the COVID-19 cirsis in your area, how much time did you spend...
C5392110 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C0042649 (UMLS CUI [2,1])
C1442461 (UMLS CUI [2,2])
C0332152 (UMLS CUI [2,3])
C5392141 (UMLS CUI [2,4])
Item
...watching TV or digital media (e.g., Netflix, YouTube, web surfing)?
text
C0556974 (UMLS CUI [1,1])
C3827501 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
C0556974 (UMLS CUI [2,1])
C3842705 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
priortvmedia_0d74e2
Code List
...watching TV or digital media (e.g., Netflix, YouTube, web surfing)?
CL Item
No TV or digital media (1)
CL Item
Under 1 hour (2)
CL Item
1-3 hours (3)
CL Item
4-6 hours (4)
CL Item
More than 6 hours (5)
Item
...using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?
text
C0556974 (UMLS CUI [1,1])
C3179065 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
priorsocialmedia_f8d485
Code List
...using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?
CL Item
No social media (1)
CL Item
Under 1 hour (2)
CL Item
1-3 hours (3)
CL Item
4-6 hours (4)
CL Item
More than 6 hours (5)
Item
...playing video games?
text
C2047133 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
priorvideogames_9b9b91
Code List
...playing video games?
CL Item
No video games (1)
CL Item
Under 1 hour (2)
CL Item
1-3 hours (3)
CL Item
4-6 hours (4)
CL Item
More than 6 hours (5)
Item Group
Substance use During the THREE MONTHS PRIOR to the onset of the COVID-19 cirsis in your area, how frequently did you use...
C0237123 (UMLS CUI [1,1])
C1442461 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
Item
...alcohol?
text
C4321352 (UMLS CUI [1,1])
C0001948 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
threemonthsalcohol_847a6b
Code List
...alcohol?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...vaping products?
text
C4321352 (UMLS CUI [1,1])
C4083280 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
threemonthsvaping_a11bd6
Code List
...vaping products?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...cigarettes or other tobacco products?
text
C4321352 (UMLS CUI [1,1])
C0543414 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
threemonthstobacco_75fd82
Code List
...cigarettes or other tobacco products?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...marijuana/cannabis (e.g., joint, blunt, pipe, bong)?
text
C4321352 (UMLS CUI [1,1])
C4316909 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
C4321352 (UMLS CUI [2,1])
C3160814 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
threemonthsmarijuana_18fd37
Code List
...marijuana/cannabis (e.g., joint, blunt, pipe, bong)?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...opiates, heroin, or narcotics?
text
C4321352 (UMLS CUI [1,1])
C0029095 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
C4321352 (UMLS CUI [2,1])
C0600241 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
C4321352 (UMLS CUI [3,1])
C0524661 (UMLS CUI [3,2])
C1442461 (UMLS CUI [3,3])
C0332152 (UMLS CUI [3,4])
C5392141 (UMLS CUI [3,5])
threemonthsopiates_47984d
Code List
...opiates, heroin, or narcotics?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...other drugs including cocaine, crack, amphetamine, methamphetamine, hallucinogens, or ecstasy?
text
C4321352 (UMLS CUI [1,1])
C0848734 (UMLS CUI [1,2])
C1442461 (UMLS CUI [1,3])
C0332152 (UMLS CUI [1,4])
C5392141 (UMLS CUI [1,5])
threemonthsother_16c2cc
Code List
...other drugs including cocaine, crack, amphetamine, methamphetamine, hallucinogens, or ecstasy?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...sleeping medications or sedatives/hypnotics?
text
C4321352 (UMLS CUI [1,1])
C0013146 (UMLS CUI [1,2])
C0599396 (UMLS CUI [1,3])
C1442461 (UMLS CUI [1,4])
C0332152 (UMLS CUI [1,5])
C5392141 (UMLS CUI [1,6])
C4321352 (UMLS CUI [2,1])
C1456771 (UMLS CUI [2,2])
C1442461 (UMLS CUI [2,3])
C0332152 (UMLS CUI [2,4])
C5392141 (UMLS CUI [2,5])
C4321352 (UMLS CUI [3,1])
C0338699 (UMLS CUI [3,2])
C1442461 (UMLS CUI [3,3])
C0332152 (UMLS CUI [3,4])
C5392141 (UMLS CUI [3,5])
threemonthssleepingmeds_1964a9
Code List
...sleeping medications or sedatives/hypnotics?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item Group
Daily behaviors During the PAST TWO WEEKS...
C0871707 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
Item
...on average, what time did you go to bed on WEEKDAYS?
text
C0521112 (UMLS CUI [1,1])
C0680189 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
bedtimeweekdays
Code List
...on average, what time did you go to bed on WEEKDAYS?
CL Item
Before 8 pm (1)
CL Item
8 pm - 10 pm (2)
CL Item
10 pm - 12 am (3)
CL Item
After midnight (4)
Item
...on average, what time did you go to bed on WEEKENDS?
text
C0521112 (UMLS CUI [1,1])
C0680190 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
bedtimeweekdays
Code List
...on average, what time did you go to bed on WEEKENDS?
CL Item
Before 8 pm (1)
CL Item
8 pm - 10 pm (2)
CL Item
10 pm - 12 am (3)
CL Item
After midnight (4)
Item
...on average, how many hours per night did you sleep on WEEKDAYS?
text
C2937255 (UMLS CUI [1,1])
C0680189 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
hoursofsleepweekdays_2_500a2e
Code List
...on average, how many hours per night did you sleep on WEEKDAYS?
CL Item
<6 hours (1)
CL Item
6-8 hours (2)
CL Item
8-10 hours (3)
CL Item
>10 hours (4)
Item
...on average, how many hours per night did you sleep on WEEKENDS?
text
C2937255 (UMLS CUI [1,1])
C0680190 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
hoursofsleepweekends_2_c9f657
Code List
...on average, how many hours per night did you sleep on WEEKENDS?
CL Item
<6 hours (1)
CL Item
6-8 hours (2)
CL Item
8-10 hours (3)
CL Item
>10 hours (4)
Item
...how many days per week did you exercise (e.g., increased heart rate, breathing) for at least 30 minutes?
text
C2230062 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
exerciseprior_2
Code List
...how many days per week did you exercise (e.g., increased heart rate, breathing) for at least 30 minutes?
CL Item
None (1)
CL Item
1-2 days (2)
CL Item
3-4 days (3)
CL Item
5-6 days (4)
CL Item
Daily (5)
Item
...how many days per week did you spend time outdoors?
text
C0677547 (UMLS CUI [1,1])
C4534420 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
outdoorsprior_2
Code List
...how many days per week did you spend time outdoors?
CL Item
None (1)
CL Item
1-2 days (2)
CL Item
3-4 days (3)
CL Item
5-6 days (4)
CL Item
Daily (5)
Item Group
Emotions/ Worries During the PAST TWO WEEKS...
C0013987 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
C0233481 (UMLS CUI [2,1])
C4288440 (UMLS CUI [2,2])
Item
...how worried were you generally?
text
C0681889 (UMLS CUI [1,1])
C0233481 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priorworry_2
Code List
...how worried were you generally?
CL Item
Not worried at all (1)
CL Item
Slightly worried (2)
CL Item
Moderately worried (3)
CL Item
Very worried (4)
CL Item
Extremely worried (5)
Item
...how happy versus sad were you?
text
C1821411 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
C0681889 (UMLS CUI [2,1])
C3536794 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
priorhappyvssad_2
Code List
...how happy versus sad were you?
CL Item
Very sad/depressed/unhappy (1)
CL Item
Moderately sad/depressed/unhappy (2)
CL Item
Neutral (3)
CL Item
Moderately happy/cheerful (4)
CL Item
Very happy/cheerful (5)
Item
...how much were you able to enjoy your usual activities?
text
C0681889 (UMLS CUI [1,1])
C4316940 (UMLS CUI [1,2])
C0871707 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
priorenjoyactivities_2_4212c2
Code List
...how much were you able to enjoy your usual activities?
CL Item
Not at all (1)
CL Item
Slightly (2)
CL Item
Moderately (3)
CL Item
Very much (4)
CL Item
A lot (5)
Item
...how relaxed versus anxious were you?
text
C0681889 (UMLS CUI [1,1])
C0035028 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
C0681889 (UMLS CUI [2,1])
C0003467 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
priorrelaxedvsanxious_2
Code List
...how relaxed versus anxious were you?
CL Item
Very relaxed/calm (1)
CL Item
Moderately relaxed/calm (2)
CL Item
Neutral (3)
CL Item
Moderately nervous/anxious (4)
CL Item
Very nervous/anxious (5)
Item
...how fidgety or restless were you?
text
C0681889 (UMLS CUI [1,1])
C0424235 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
C0681889 (UMLS CUI [2,1])
C3887611 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
priorfidget_2
Code List
...how fidgety or restless were you?
CL Item
Not fidgety/restless at all (1)
CL Item
Slightly fidgety/restless (2)
CL Item
Moderately fidgety/restless (3)
CL Item
Very fidgety/restless (4)
CL Item
Extremely fidgety/restless (5)
Item
...how fatigued or tired were you?
text
C0681889 (UMLS CUI [1,1])
C0015672 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priorfatigue_2
Code List
...how fatigued or tired were you?
CL Item
Not fatigued or tired at all (1)
CL Item
Slightly fatigued or tired (2)
CL Item
Moderately fatigued or tired (3)
CL Item
Very fatigued or tired (4)
CL Item
Extremely fatigued or tired (5)
Item
...how well were you able to concentrate or focus?
text
C0681889 (UMLS CUI [1,1])
C0086045 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priorfocus_2
Code List
...how well were you able to concentrate or focus?
CL Item
Very focused/attentive (1)
CL Item
Moderately focused/attentive (2)
CL Item
Neutral (3)
CL Item
Moderately unfocused/distracted (4)
CL Item
Very unfocused/distracted (5)
Item
...how irritable or easily angered were you?
text
C0681889 (UMLS CUI [1,1])
C0022107 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
C0681889 (UMLS CUI [2,1])
C2227997 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
priorirritable_2
Code List
...how irritable or easily angered were you?
CL Item
Not irritable or easily angered at all (1)
CL Item
Slightly irritable or easily angered (2)
CL Item
Moderately irritable or easily angered (3)
CL Item
Very irritable or easily angered (4)
CL Item
Extremely irritable or easily angered (5)
Item
...how lonely were you?
text
C0681889 (UMLS CUI [1,1])
C0023974 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priorlonely_2
Code List
...how lonely were you?
CL Item
Not lonely at all (1)
CL Item
Slightly lonely (2)
CL Item
Moderately lonely (3)
CL Item
Very lonely (4)
CL Item
Extremely lonely (5)
Item
...to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that make you feel bad?
text
C4321352 (UMLS CUI [1,1])
C1142075 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priornegthoughts_2_aff3aa
Code List
...to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that make you feel bad?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Occasionally (3)
CL Item
Often (4)
CL Item
A lot of the time (5)
Item Group
Media use During the PAST TWO WEEKS, how much time per day did you spend...
C5392110 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
C0042649 (UMLS CUI [2,1])
C4288440 (UMLS CUI [2,2])
Item
...watching TV or digital media (e.g., Netflix, YouTube, web surfing)?
text
C0556974 (UMLS CUI [1,1])
C3827501 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priortvmedia_2
Code List
...watching TV or digital media (e.g., Netflix, YouTube, web surfing)?
CL Item
No TV or digital media (1)
CL Item
Under 1 hour (2)
CL Item
1-3 hours (3)
CL Item
4-6 hours (4)
CL Item
More than 6 hours (5)
Item
...using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?
text
C0556974 (UMLS CUI [1,1])
C3179065 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priorsocialmedia_2
Code List
...using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?
CL Item
No social media (1)
CL Item
Under 1 hour (2)
CL Item
1-3 hours (3)
CL Item
4-6 hours (4)
CL Item
More than 6 hours (5)
Item
...playing video games?
text
C0556974 (UMLS CUI [1,1])
C2047133 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
priorvideogames_2
Code List
...playing video games?
CL Item
No video games (1)
CL Item
Under 1 hour (2)
CL Item
1-3 hours (3)
CL Item
4-6 hours (4)
CL Item
More than 6 hours (5)
Item Group
Substance use During the PAST TWO WEEKS, how frequently did you use...
C0237123 (UMLS CUI [1,1])
C4288440 (UMLS CUI [1,2])
Item
...alcohol?
text
C4321352 (UMLS CUI [1,1])
C0001948 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
twoweeksalcohol
Code List
...alcohol?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...vaping products?
text
C4321352 (UMLS CUI [1,1])
C4083280 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
twoweeksvaping
Code List
...vaping products?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...cigarettes or other tobacco products?
text
C4321352 (UMLS CUI [1,1])
C0543414 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
twoweekstobacco
Code List
...cigarettes or other tobacco products?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...marijuana/cannabis (e.g., joint, blunt, pipe, bong)?
text
C4321352 (UMLS CUI [1,1])
C4316909 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
C4321352 (UMLS CUI [2,1])
C4316909 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
twoweeksmarijuana
Code List
...marijuana/cannabis (e.g., joint, blunt, pipe, bong)?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...opiates, heroin, or narcotics?
text
C4321352 (UMLS CUI [1,1])
C4551628 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
C4321352 (UMLS CUI [2,1])
C0600241 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
C4321352 (UMLS CUI [3,1])
C0524661 (UMLS CUI [3,2])
C4288440 (UMLS CUI [3,3])
twoweeksopiates_a2078c
Code List
...opiates, heroin, or narcotics?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...other drugs including cocaine, crack, amphetamine, methamphetamine, hallucinogens, or ecstasy?
text
C4321352 (UMLS CUI [1,1])
C0848734 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
twoweeksother
Code List
...other drugs including cocaine, crack, amphetamine, methamphetamine, hallucinogens, or ecstasy?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item
...sleeping medications or sedatives/hypnotics?
text
C4321352 (UMLS CUI [1,1])
C0599396 (UMLS CUI [1,2])
C0013146 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
C4321352 (UMLS CUI [2,1])
C1456771 (UMLS CUI [2,2])
C4288440 (UMLS CUI [2,3])
C4321352 (UMLS CUI [3,1])
C0338699 (UMLS CUI [3,2])
C4288440 (UMLS CUI [3,3])
twoweeksleeping_5290cb
Code List
...sleeping medications or sedatives/hypnotics?
CL Item
Not at all (1)
CL Item
Rarely (2)
CL Item
Once a month (3)
CL Item
Several times a month (4)
CL Item
Once a week (5)
CL Item
Several times a week (6)
CL Item
Once a day (7)
CL Item
More than once a day (8)
Item Group
Which of the following supports were in place for you before the Coronavirus/COVID-19 crisis in your area and have been disrupted over the PAST TWO WEEKS? (check all that apply)
C0748877 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C0678226 (UMLS CUI [1,3])
C5392141 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
resource room disrupted past two weeks
Item
Resource room
boolean
C3846158 (UMLS CUI [1,1])
tutoring disrupted past two weeks
Item
Tutoring
boolean
C0872010 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
mentoring program disrupted past two weeks
Item
Mentoring programs
boolean
C4255266 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
after school activity programs disrupted past two weeks
Item
After school activity programs
boolean
C0681383 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
volunteer program disrupted past two weeks
Item
Volunteer programs
boolean
C2367294 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
psychotherapy disrupted past two weeks
Item
Psychotherapy
boolean
C0033968 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
psychiatric care disrupted past two weeks
Item
Psychiatric care
boolean
C0597312 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
occupational therapy disrupted past two weeks
Item
Occupational therapy
boolean
C1318464 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
physical therapy disrupted past two weeks
Item
Physical therapy
boolean
C0949766 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
speech/language therapy disrupted past two weeks
Item
Speech/language therapy
boolean
C0589155 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
sporting activities disrupted past two weeks
Item
Sporting activities
boolean
C0038039 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
medical care for chronic illnesses disrupted past two weeks
Item
Medical care for chronic illnesses
boolean
C1555457 (UMLS CUI [1,1])
C0332454 (UMLS CUI [1,2])
C4288440 (UMLS CUI [1,3])
other supports disrupted past two weeks
Item
Other
boolean
C0205394 (UMLS CUI [1,1])
C0748877 (UMLS CUI [1,2])
C0332454 (UMLS CUI [1,3])
C4288440 (UMLS CUI [1,4])
specify other supports disrupted within the past two weeks
Item
Other: Specify
text
C2348235 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C0748877 (UMLS CUI [1,3])
C0332454 (UMLS CUI [1,4])
C4288440 (UMLS CUI [1,5])
Item Group
additional concerns and comments
C3482667 (UMLS CUI [1,1])
C1830770 (UMLS CUI [1,2])
anything_else
Item
Please describe anything else that concerns you about the impact of Coronavirus/COVID-19 on you, your friends, or your family.
text
C5392141 (UMLS CUI [1,1])
C4049986 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
Comment section - Youth Selfreport Baseline Form
C4321425 (UMLS CUI [1,1])
survey comments
Item
Please provide any comments that you would like to share about this survey and/or related topics.
text
C1830770 (UMLS CUI [1,1])
C0332281 (UMLS CUI [1,2])
C0034394 (UMLS CUI [1,3])
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