Please pick the answer that best applies to you.
1.
Since being advised by public health experts to wear a face mask, I wear one…
Whenever I am inside a public space or in situations when I may not maintain a safe distance from other people
Most of the time
Only when I am inside and in close proximity to other people
Only when someone asks me to
Hardly ever
2.
Since the COVID-19 pandemic, I wash my hands (or use hand sanitizer if there is no sink)…
Much more frequently than I did before, and always after coming into close proximity with other people, going to public places and touching surfaces
More frequently than before
Somewhat frequently and only when it’s convenient
Slightly more frequently and I usually must be reminded
Infrequently, if at all
3.
Since the COVID-19 pandemic began, I stay informed on the current rules for indoor and outdoor gatherings and follow them:
Always
Nearly all the time
Some of the time
Not really
My behavior regarding crowds is unchanged since the COVID-19 outbreak
4.
Since the COVID-19 outbreak, I have tried to maintain my physical and mental health by... (select all that apply)
Recreating outside while avoiding large groups and keeping a safe distance from others
Supporting local restaurants by ordering take out and buying local products online
Grocery shopping using home delivery or zero-contact pickup services
Maintaining social contact with my friends and family through small, physically distanced outdoor gatherings
Using Zoom and other online platforms to stay in touch with my friends and family
Maintaining a good exercise regimen by replacing visits to the gym with at-home workout routines
Limiting my intake of alcohol, cannabis, and other mind-altering substances
Postponing trips, vacations, or planning vacations around no interactions with those outside my household
Minimizing trips outside the home to personal service providers (barbers, salons, massages or other services)
Avoiding bars, clubs, or other socially oriented venues
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