Form Attachment A Attachment A Attachment A: COVID-19 Attitudes and Beliefs Survey (CAB

ASPA COVID-19 Public Education Campaign Evaluation Surveys

Part A_Attachment A_COVID-19 Attitudes and Beliefs_Questionnaire

COVID-19 Attitudes and Beliefs Survey (CABS)

OMB: 0990-0475

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Attachment A: COVID-19 Attitudes and Beliefs Survey (CABS) – Questionnaire

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Welcome


// Display OMB number and exp in the bottom right off all screens //

OMB No. XXXX-xxxx

Exp. Date xx/xx/xxxx


You have been selected to participate in a national survey about COVID-19. The purpose of this survey is to help better understand U.S. adults’ experience, opinions, behaviors, and their trusted information sources related to COVID-19. It is expected this nation-wide survey will take about 35-minutes to complete


This survey will provide important feedback on six main topics, including:

  • Your interests and intentions about recommended actions by health officials

  • Your opinions on COVID-19

  • Views on science, research, and medical professionals

  • Health public education campaigns

  • How COVID-19 has impacted your life

  • More about you and other health conditions


If you would like additional information about the purpose of the survey or how your survey responses will be used, please select the additional pages you would like to read below, if any. You will then be shown a privacy statement before proceeding with the survey.

[Checkbox] Frequently Asked Questions
[Checkbox] Contact Us

Thank you for your participation in this survey. If you are willing to take part in this study, please click "continue" below to begin the survey.

[Continue]


For question or concerns about this survey, email: [email protected]















Privacy Advisory


This survey does NOT collect or use personally identifiable information (PII) such as your name, date of birth, or contact information. Responding to this survey is voluntary. Your responses will be treated as confidential and will be maintained in a secure dataset. There is no penalty to you if you choose not to respond. However, we encourage you to answer all questions so that the data will be complete and will represent typical attitudes and beliefs of all Americans.



Frequently Asked Questions (FAQ)

// FAQs should link to their corresponding page positions below. “TOP” buttons should link back to top of FAQ //

Why is this study being conducted?

Why should I participate?

Do I have to answer all questions?

Can I save my answers and return to the survey later?

What is [email protected]?

Will my answers be kept private?

Can I withdraw answers once I have started the survey?

What are the costs and benefits of participating?

How will my responses be used?

Will I see the results of the survey?



Why is this study being conducted? Top

  • This study is being conducted to understand changes over time of people’s opinions of, experience with, and behaviors related to COVID-19 as well as exposure to and trust of sources on COVID-information.



Why should I participate? Top

  • You may learn more about COVID-19 and ways you can help slow its spread as a result of information you learn by taking part in this survey.


Do I have to answer all questions? Top

  • No, it is not necessary to answer every question. Your participation in this study is completely voluntary. This means that you are free to withdraw from this survey at any time or to skip any questions. There is no penalty to you if you choose not to respond.

  • Some questions in this survey will ask about your personal experiences with COVID-19, which may be uncomfortable to answer. You have the right to skip these questions. Additionally, if you experience any distress taking this survey, you may contact the 1) SAMHSA Disaster Distress Helpline (1-800-985-5990) or the 2) Suicide Prevention Lifeline (1-800-273-8255), which both offer free 24/7 support services.

  • At the bottom of your survey screen, you have two control buttons: Continue (>>), and Previous (<<). Use these buttons to navigate through the survey or skip questions.


Can I save my answers and return to the survey later? Top

  • Yes. If you exit the survey, your progress will be saved. To return to the survey, use the same survey link provided to you. When you return to the survey website, you will be directed to the place in the survey where you had stopped. Use the control buttons, Continue (>>), and Previous (<<), to navigate through the survey to return to unanswered questions.



What is [email protected]? Top

  • [email protected] is the official email address for communicating with study researchers about the COVID-19 Attitudes and Beliefs Survey (CABS).


Will my answers be kept private? Top

  • Responses will remain private to the extent allowable by law. None of the information you provide will be used to contact you for or will be used in future research or distributed to another investigator for future studies. Survey responses will be aggregated (combined), and only group statistics will be reported. You will not be identified even if the results of this study are published.


Can I withdraw answers once I have started the survey? Top

  • If you wish to withdraw your answers, please notify the survey helpdesk by sending an email to [email protected].


What are the costs and benefits of participating? Top

  • There is no cost to you for participating in this study.

  • This study is for research purposes only. There is no direct benefit to you for taking part in this study. Any compensation you receive is a small token to thank you for participating, if you choose to do so.

  • If you decide to participate, you will receive $10 for the first survey and $18 each for the remaining 5 surveys.


How will my responses be used? Top

  • Your responses will be used to inform a public education campaign on scientifically proven behaviors on how to decrease COVID-19 infection rates. This is your chance to be heard on issues that directly affect you. While your survey responses will be kept confidential, summarized responses may be released to the public.


Will I see the results of the survey? Top

  • Results from this study might appear in professional journals or scientific conferences or submitted in a report to Congress. No individual participants will be identified or linked to the results. We will not disclose your identity in any report or presentation.










Contact Us

During this study, if you have questions or concerns about the study, please email [email protected].

An external institutional review board (IRB), which is an independent committee established to help protect the rights of research subjects, has approved this study. If you have any questions about your rights as a research subject, and/or concerns or complaints regarding this research study, contact the IRB at:

By mail:

BRANY IRB

1981 Marcus Avenue, Suite 210

Lake Success, NY 11042

Or call toll free: 516-470-6900

Or by email: [email protected]



Please reference the following number when contacting the Study Subject Adviser: [IRB Study Number].







Section 1: Your Interest & Intentions about Actions Recommended by Health Officials



COVID-19 Vaccine



The following questions ask about your actions and beliefs about COVID-19 vaccine(s). The FDA has authorized a vaccine to protect against COVID-19 and we want to learn more about your beliefs and plans related to this vaccine. For the following questions, please assume there are enough vaccines so that everyone who wants a COVID-19 vaccine can get one.





Item #: BEH0

Question type: Single punch

Variable Name: BEH0

Variable Text: A Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 is now available at no cost. Have you received a COVID-19 vaccine?

Variable Label: BEH0: Intention to get vaccinated


Value

Value Label

0

No, I have not received a COVID-19 vaccine

1

Yes, but I have only received one shot out of two required shots

2

Yes, I have received all of my required shots

-99

Refused



Item #: BEH1

Question type: Single punch

Variable Name: BEH1

Variable Text: What is the likelihood you will get a COVID-19 vaccine?

Variable Label: BEH1: Intention to get vaccinated

// Ask if BEH0 (Intention to get vaccinated) = "No…” or “Refused” //

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

Refused


Item #: BEH2

Question type: Single punch

Variable Name: BEH2

Variable Text: A Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 is now available at no cost. How soon will you get vaccinated? For this question, assume there is enough vaccine so that everyone who wants it can get it.

Variable Label: BEH2: Wait to get vaccinated

Value

Value Label

1

I would get a vaccine as soon as I could

2

I would wait to get a vaccine for one or more reasons

3

I would never get a COVID-19 vaccine

-99

Refused


Item #: BEH3

Question type: Grid

Variable Name: BEH3

Variable Text: You responded that you would wait to get a COVID-19 vaccine. For each of the following statements, is this a reason why you would wait to get a COVID-19 vaccine? Select yes or no for each item.

Variable Label: BEH3: Reasons: Waiting to get vaccinated

// Randomize order of subitems //

// Ask if BEH2 (Wait to get vaccinated) = "I would wait to get the vaccine for one or more reasons” //

Variable Name

Variable Text

Variable Label

BEH3_1

I would because of my age.

BEH3_1: Age

BEH3_2

I would because of my health status, allergies, or medical history.

BEH3_2: Health

BEH3_3

I would want to know if the vaccine is effective first.

BEH3_3: Confirm effectiveness

BEH3_4

I am pregnant or expect to become pregnant.

BEH3_4: Pregnant

BEH3_5

I would want to talk to my doctor first.

BEH3_5: Talk to doctor first

BEH3_6

I would want to compare the effectiveness of the different vaccines.

BEH3_6: Compare vaccines

BEH3_7

I would want to see if my friends and family get the vaccine.

BEH3_7: Friends/family

BEH3_8

I would want to see if others who get the vaccine first develop any problems.

BEH3_8: Side effects

BEH3_9

I want to make sure it is safe for people like me first.

BEH3_9: Confirm safety

BEH3_10

I would want to hear from leaders in my community about the vaccine first.

BEH3_10: Hear from leaders

BEH3_11

Other [Specify]

BEH3_11: Other


Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: BEH5

Question type: Single punch

Variable Name: BEH5

Variable Text: A Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 is now available at no cost but it would need to be given again each year (similar to the flu shot), how likely would you be to get the COVID-19 vaccine?

Variable Label: BEH5: Frequency of vaccine attitude_2

// Ask if BEH0 (Intention to get vaccinated) = 4|5 (Likely/Very Likely) //

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

Refused



Item #: BEH6

Question type: Single punch

Variable Name: BEH6

Variable Text: Which of the following best describes your current status on the vaccinations recommended by your health care provider (e.g., primary care doctor)?

Variable Label: BEH6: Past vaccine behaviors

Value

Value Label

1

I am current on all vaccinations

2

I am current on some vaccinations

3

I am not current on any vaccinations

4

I am uncertain

-99

Refused



Item #: BEH7

Question type: Grid

Variable Name: BEH7

Variable Text: The following questions ask about your thoughts and behaviors about the COVID-19 vaccine. How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: BEH7: Vaccine: Intentions

Variable Name

Variable Text

Variable Label

BEH7_1

In the next year, it is mostly up to me whether I get a COVID-19 vaccine

BEH7_1: Up to me – get vaccine

BEH7_2

In the next year, it would be easy for me to get a COVID-19 vaccine

BEH7_2: Easy for me – get vaccine

BEH7_3

In the next year, I intend to get a COVID-19 vaccine

BEH7_3: Intend – get vaccine


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused





Face Mask Wearing



The following questions will ask about your actions and beliefs related to wearing a face mask, meaning a face covering that covers your nostrils, mouth, and chin which can include items like a cloth face mask, an N95, or a disposable face mask.

Item #: BEH8

Question type: Single punch

Variable Name: BEH8

Variable Text: How often do you wear a face mask when outside of your home and in public?

Variable Label: BEH8: Wear mask

Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

Refused


Item #: BEH9

Question type: Grid

Variable Name: BEH9

Variable Text: There are some public places individuals may avoid in order to limit the spread of COVID-19. In the past 7 days, have you visited or engaged in any of the following activities? Select yes or no for each item.

Variable Label: BEH9: Locations

// Randomize order of subitems//

Variable Name

Variable Text

Variable Label

BEH9_1

Indoor dining at a restaurant

BEH9_1: Indoor dining

BEH9_2

Outdoor dining at a restaurant

BEH9_2: Outdoor dining

BEH9_3

Gym

BEH9_3: Gym

BEH9_4

Indoor religious service

BEH9_4: Indoor religious service

BEH9_5

Exercising outside

BEH9_5: Exercising outside

BEH9_6

Grocery shopping

BEH9_6: Grocery shopping

BEH9_7

Bars and clubs

BEH9_7: Bars/clubs

BEH9_8

School or college

BEH9_8: School/college

BEH9_9

Attending a sporting event

BEH9_9: Sporting event

BEH9_10

Parks or beaches

BEH9_10: Parks/beaches

BEH9_11

Public transportation (e.g., buses, subway)

BEH9_11: Public transportation

BEH9_12

Close contact with individuals outside household

BEH9_12: Close contact

BEH9_13

Gatherings with 10 or more people including those from outside of your household

BEH9_13: Gatherings with 10+ people


Value

Value Label

0

No

1

Yes

-99

Refused


Item #: BEH10

Question type: Grid

Variable Name: BEH10

Variable Text: For places you indicated that you have visited in the past 7 days, please indicate how often you wore a mask in the following statements.

Variable Label: BEH10: Locations: Masks

// Randomize order of subitems//

//Ask if BEH9 matching = 1(Yes) //

Variable Name

Variable Text

Variable Label

BEH10_1

Indoor dining at a restaurant (except when eating/drinking)

BEH10_1: Indoor dining

BEH10_2

Outdoor dining at a restaurant (except when eating/drinking)

BEH10_2: Outdoor dining

BEH10_3

Gym

BEH10_3: Gym

BEH10_4

Indoor religious service

BEH10_4: Indoor religious service

BEH10_5

Exercising outside

BEH10_5: Exercising outside

BEH10_6

Grocery shopping

BEH10_6: Grocery shopping

BEH10_7

Bars and clubs

BEH10_7: Bars/clubs

BEH10_8

School or college

BEH10_8: School/college

BEH10_9

Attending a sporting event

BEH10_9: Sporting event

BEH10_10

Parks or beaches

BEH10_10: Parks/beaches

BEH10_11

Public transportation (e.g., buses, subway)

BEH10_11: Public transportation

BEH10_12

Close contact with individuals outside household

BEH10_12: Close contact

BEH10_13

Gatherings with 10 or more people including those from outside of your household

BEH10_13: Gatherings with 10+ people



Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Most of the time

5

Always

-99

Refused



Item #: BEH11

Question type: Grid

Variable Name: BEH11

Variable Text: The following questions ask about your thoughts and behaviors about face mask wearing to prevent COVID-19. How frequently do you do the following? Select one response for each item.

Variable Label: BEH11: Guidelines: Masks

// Randomize order of subitems//

// Ask if BEH8 (Wear mask) = 2-5(Rarely - Always) //

Variable Name

Variable Text

Variable Label

BEH11_1

Adjust your face mask while wearing it

BEH11_1: Adjust mask




BEH11_2

Share your face mask with others (e.g., friends, family) [Reverse Coded]

BEH11_2: Share mask

BEH11_3

Cover your chin, mouth, and nostrils with your face mask

BEH11_3: Cover face with mask


Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

Refused

-100

Valid skip



Item #: BEH12

Question type: Single punch

Variable Name: BEH12

Variable Text: When you wear a face mask, what type of face mask do you typically wear?

Variable Label: BEH12: Mask type

// Ask if QXX (Wear mask) = 2-5(Rarely - Always) //

Value

Value Label

1

Cloth mask

2

Cloth mask with filter

3

Cone-style mask

4

Disposable surgical mask

5

N95 or other respirator (e.g., KN95)

6

Neck gaiter or balaclava

7

Bandana

8

Other [Please specify]

-99

Refused



Item #: BEH13

Question type: Single punch

Variable Name: BEH13

Variable Text: How long do you plan to maintain your current level of face mask wearing?

Variable Label: BEH13: Sustain mask wearing

// Ask if QXX (Wear mask) = 2-5(Rarely - Always) //

Value

Value Label

1

Until I receive a COVID-19 vaccine

2

Until most people receive a COVID-19 vaccine, including me

3

Until local, state, or federal mandates no longer require me to wear a face mask

4

Until even longer, after most people receive a COVID-19 vaccine and face masks are not required

-99

Refused



Item #: BEH14

Question type: Grid

Variable Name: BEH14

Variable Text: The following questions ask about your thoughts and behaviors about face mask wearing to prevent COVID-19. How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: BEH14: Masks: Intentions

Variable Name

Variable Text

Variable Label

BEH14_1

It is mostly up to me whether I wear a face mask.

BEH14_1: Up to me – wear mask

BEH14_2

It would be easy for me to wear a face mask.

BEH14_2: Easy for me – wear mask

BEH14_3

In the next week, I intend to wear a face mask.

BEH14_3: Intend – wear mask



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused




Social Distancing


The following questions will ask about your actions and beliefs related to social distancing, which includes limiting your exposure to individuals outside your household, maintaining physical distance while in public (i.e., staying at least 6 feet apart from other people), avoiding indoor spaces when with people from outside your household, and avoiding crowds.


Item #: BEH15

Question type: Single punch

Variable Name: BEH15

Variable Text: How often do you maintain social distance of at least 6 feet from others when outside your home in public? Exclude members from your household when responding.

Variable Label: BEH15: Social distanced

Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

Refused



Item #: BEH16

Question type: Single punch

Variable Name: BEH16

Variable Text: In the last 7 days, how many people outside of your household have you been closer to than 6 feet for more than a few seconds? Exclude members from your household when responding.

Variable Label: BEH16: Close contact_7days

Value

Value Label

1

None

2

1 person

3

2-3 people

4

4-5 people

5

6-9 people

6

10-25 people

7

More than 25 people

-99

Refused



Item #: BEH17

Question type: Single punch

Variable Name: BEH17

Variable Text: In the last 7 days, how many times were you in a room with a group of more than 10 people? Exclude your household and visits to the supermarket or pharmacy to get essential food or medicine

Variable Label: BEH17: 10 or more_7days

Value

Value Label

0

Zero times

1

One time

2

Two times

3

Three times

4

Four times

5

Five or more times

-99

Refused



Item #: BEH18

Question type: Single punch

Variable Name: BEH18

Variable Text: How long do you plan to maintain your current level of social distancing?

Variable Label: BEH18: Sustain distancing

Value

Value Label

1

Until I receive a COVID-19 vaccine

2

Until most people receive a COVID-19 vaccine, including me

3

Until local, state, or federal mandates no longer require me to social distance

4

Until even longer, after most people receive a COVID-19 vaccine and social distancing is not required

-99

Refused



Item #: BEH19

Question type: Grid

Variable Name: BEH19

Variable Text: The following questions ask about your thoughts and behaviors about social distancing to prevent COVID-19. How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: BEH19: Distancing: Intentions

Variable Name

Variable Text

Variable Label

BEH19_1

It is mostly up to me whether I maintain social distancing

BEH19_1: Up to me - social distance

BEH19_2

It would be easy for me to maintain social distancing

BEH19_2: Easy for me - social distance

BEH19_3

In the next week, I intend to social distance

BEH19_3: Intend - social distance


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Handwashing


The following questions will ask about your actions and beliefs related to handwashing, meaning cleaning your hands with soap and water.

Item #: BEH20

Question type: Single punch

Variable Name: BEH20

Variable Text: How often do you typically wash your hands with soap and water?

Variable Label: BEH20: Typically wash hands

Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

Refused



Item #: BEH21

Question type: Open End Numeric

Variable Name: BEH21

Variable Text: Thinking about yesterday, about how many times would you say you washed your hands with soap and water?

Variable Label: BEH21: Washed hands frequency

// Limit to whole numbers between 0-99 //

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Item #: BEH22

Question type: Single punch

Variable Name: BEH22

Variable Text: For how long do you usually wash your hands each time?

Variable Label: BEH22: Washed hands length

Value

Value Label

1

Less than 10 seconds

2

10-19 seconds

3

20 seconds or more

-99

Refused



It





I

Section 2: Your Opinions on COVID-19


This section asks for your opinion on statements related to COVID-19, handwashing (cleaning your hands with soap and water for at least 20 seconds), social distancing (keeping at least a 6-foot distance from others outside of your household), and wearing a face mask.

Item #: ATT1

Question Type: Grid

Variable Name: ATT1

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT1: Importance: Vaccines

Variable Name

Variable Text

Variable Label

ATT1_1

It is important for me to get all recommended COVID-19 vaccines.

ATT1_1: Important for me to get all recommended COVID-19 vaccines

ATT1_2

It is important for everyone to get all recommended COVID-19 vaccines.

ATT1_2: Important for everyone to get all recommended COVID-19 vaccines

ATT1_3

Getting all recommended vaccines helps to reduce the spread of COVID-19.

ATT1_3: Getting all recommended vaccines helps to reduce COVID-19


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT2

Question Type: Grid

Variable Name: ATT2

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT2: Importance: Masks

Variable Name

Variable Text

Variable Label

ATT2_1

It is important for me to wear a face mask when I am out in public.

ATT2_1: Important for me to wear mask out in public

ATT2_2

It is important for everyone to wear a face mask when they are out in public.

ATT2_2: Important for everyone to wear mask out in public

ATT2_3

Wearing a face mask helps to reduce the spread of COVID-19.

ATT2_3: Wearing mask helps to reduce COVID-19


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT3

Question Type: Grid

Variable Name: ATT3

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT3: Importance: Social Distance

Variable Name

Variable Text

Variable Label

ATT3_1

It is important for me to social distance when I am out in public.

ATT3_1: Important for me to social distance out in public

ATT3_2

It is important for everyone to social distance when they are out in public.

ATT3_2: Important for everyone to social distance out in public

ATT3_3

Maintaining social distance helps to reduce the spread of COVID-19.

ATT3_3: Social distancing helps to reduce COVID-19


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT4

Question Type: Grid

Variable Name: ATT4

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT4: Importance: Handwashing

Variable Name

Variable Text

Variable Label

ATT4_1

It is important for me to wash my hands with soap and water for 20 seconds.

ATT4_1: Important for me to wash my hands

ATT4_2

It is important for everyone to wash their hands with soap and water for 20 seconds.

ATT4_2: Important for everyone to wash their hands

ATT4_3

Washing hands with soap and water for 20 seconds helps to reduce the spread of COVID-19.

ATT4_3: Washing hands helps to reduce COVID-19


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT5

Question Type: Grid

Variable Name: ATT5

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT5: COVID beliefs

Variable Name

Variable Text

Variable Label

ATT5_1

COVID-19 is probably a hoax.

ATT5_1: Hoax

ATT5_2

Public health officials are exaggerating the seriousness of COVID-19.

ATT5_2: Exaggerating seriousness

ATT5_3

The malaria drug Hydroxychloroquine is an effective treatment for COVID-19.

ATT5_3: Hydroxychloroquine is effective

ATT5_4

There are people who want the pandemic to continue for their own personal gain.

ATT5_4: Information is being suppressed

ATT5_5

COVID-19 was created in a lab.

ATT5_5: COVID-19 created in lab

ATT5_6

COVID-19 is more dangerous than the flu.

ATT5_6: COVID-19 not more dangerous than flu

ATT5_7

If people wear face masks, it will slow the development of widespread immunity to COVID-19. [Reverse Code]

ATT5_7: Wearing masks slows immunity

ATT5_8

If people social distance, it will slow the development of widespread immunity to COVID-19. [Reverse Code]

ATT5_8: Social distancing slows immunity


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT6

Question Type: Grid

Variable Name: ATT6

Variable Text: How much do you agree or disagree that each of the following actions are effective at keeping you safe from COVID-19? Select one response for each item.

Variable Label: ATT6: Perceived effectiveness

Variable Name

Variable Text

Variable Text

ATT6_1

Wearing a face mask

ATT6_1: Wearing face mask

ATT6_2

Washing your hands

ATT6_2: Washing hands

ATT6_3

Maintaining social distance

ATT6_3: Maintaining social distance

ATT6_4

Receiving a COVID-19 vaccine

ATT6_4: Receiving vaccine


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT7

Question Type: Grid

Variable Name: ATT7

Variable Text: Which of the following do you think are symptoms of COVID-19? Select yes or no for each item.

Variable Label: ATT7: COVID symptoms beliefs

// Randomize subitem order //

Variable Name

Variable Text

Variable Label

ATT7_1

Abdominal discomfort

ATT7_1: Abdominal discomfort

ATT7_2

Changed or lost sense of taste or smell

ATT7_2: Changed/lost sense of taste or smell

ATT7_3

Chest congestion

ATT7_3: Chest congestion

ATT7_4

Chills

ATT7_4: Chills

ATT7_5

Cough

ATT7_5: Cough

ATT7_6

Diarrhea

ATT7_6: Diarrhea

ATT7_7

Fatigue or tiredness

ATT7_7: Fatigue/tiredness

ATT7_8

Fever

ATT7_8: Fever

ATT7_9

Headaches

ATT7_9: Headaches

ATT7_10

Loss of appetite

ATT7_10: Loss of appetite

ATT7_11

Muscle or body aches

ATT7_11: Muscle/body aches

ATT7_12

Nausea or vomiting

ATT7_12: Nausea/vomiting

ATT7_13

Runny or stuffy nose

ATT7_13: Runny/stuffy nose

ATT7_14

Shortness of breath

ATT7_14: Shortness of breath

ATT7_15

Skin rash

ATT7_15: Skin rash

ATT7_16

Sneezing

ATT7_16: Sneezing

ATT7_17

Sore throat

ATT7_17: Sore throat



Value

Value Label

0

No

1

Yes

-99

Refused



Item #: ATT8

Question Type: Grid

Variable Name: ATT8

Variable Text: Do you think COVID-19 is transmitted in the following ways? Select yes or no for each item.

Variable Label: ATT8: COVID knowledge

Variable Name

Variable Text

Variable Label

ATT8_1

Close contact with an infected person who has symptoms

ATT8_1: Close contact with symptomatic, infected person

ATT8_2

Close contact with an infected person even if they aren’t showing symptoms of infection

ATT8_2: Close contact with asymptomatic, infected person

ATT8_3

Contact with surfaces an infected person has touched

ATT8_3: Contact with surfaces infected person has touched

ATT8_4

Contact with someone who previously had COVID-19

ATT8_4: Contact with someone who had COVID-19

ATT8_5

Through the air while outdoors with an infected person

ATT8_5: Through the air outdoors

ATT8_6

Through the air while indoors with an infected person

ATT8_6: Through the air indoors


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: ATT9

Question Type: Grid

Variable Name: ATT9

Variable text: How much do you agree or disagree with the following statements about COVID-19? Select one response for each item.

Variable Label: ATT9: COVID vaccine worries

Variable Name

Variable Text

Variable Label

ATT9_1

I would accept a COVID-19 vaccine offered during a regularly scheduled appointment with my health care provider.

ATT9_1: Regular appointment

ATT9_2

I am worried that a COVID-19 vaccine could give me COVID-19.

ATT9_2: Worried vaccine will give me COVID-19

ATT9_3

I would rather build immunity by exposure to an infected individual than receive a COVID-19 vaccine.

ATT9_3: Immunity by exposure

ATT9_4

I would get a COVID-19 vaccine if it would help life return to normal more quickly.

ATT9_4: Life return normal

ATT9_5

I am worried about side effects of a COVID-19 vaccine for myself.

ATT9_5: Worried about side effects

ATT9_6

I am worried that side effects of a COVID-19 vaccine could be worse than COVID-19 itself.

ATT9_6: Side effects worse than COVID-19


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT10

Question Type: Grid

Variable Name: ATT10

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT10: Returning to norms

Variable Name

Variable Text

Variable Label

ATT10_1

A COVID-19 vaccine will allow me to spend more time with my loved ones.

ATT10_1: More time with loved ones

ATT10_2

A COVID-19 vaccine will allow me to return to normal day-to-day activities.

ATT10_2: Normal day-to-day activities

ATT10_3

A COVID-19 vaccine will improve the economy

ATT10_3: Improve the economy

ATT10_4

A COVID-19 vaccine will allow schools and businesses to reopen.

ATT10_4: Allow schools/businesses to reopen

ATT10_5

The benefits of a COVID-19 vaccine outweigh any risks associated with it.

ATT10_5: Benefits of vaccine outweigh risks


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT11

Question Type: Grid

Variable Name: ATT11

Variable text: How much do you agree or disagree with the following statements about vaccines in general? Select one response for each item.

Variable Label: ATT11: Confidence in vaccines

Variable Name

Variable Text

Variable Label

ATT11_1

I am completely confident that vaccines are safe.

ATT11_1: Vaccines are safe

ATT11_2

Vaccinations are effective.

ATT11_2: Vaccines are effective

ATT11_3

I am confident that public authorities decide to approve vaccines when it is in the best interest of the community.

ATT11_3: Confident in public authorities

ATT11_4

Diseases that have a vaccine (e.g., chicken pox, polio, measles) are not so bad that I need to get the vaccine for them.

ATT11_4: Not severe

ATT11_5

This is a quality control check. Please check disagree for this item.

ATT11_5: QC check

ATT11_6

When I think about getting vaccinated, I weigh benefits and risks to make the best decision possible.

ATT11_6: Weigh benefits and risks

ATT11_7

When everyone is vaccinated, I don’t have to get vaccinated, too.

ATT11_7: Don’t have to get vaccinated

ATT11_8

I get vaccinated because it protects people with a weaker immune system.

ATT11_8: Protects others with weak immune system


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT12

Question Type: Grid

Variable Name: ATT12

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT12: Severity of COVID

Variable Name

Variable Text

Variable Label

ATT12_1

Concerns regarding COVID-19 are overblown.

ATT12_1: Concerns are overblown

ATT12_2

There is currently too much panic around COVID-19.

ATT12_2: Too much panic

ATT12_3

COVID-19 is not as dangerous as the media claim.

ATT12_3: Not as dangerous as media claims

ATT12_4

People should not be worried about COVID-19.

ATT12_4: People shouldn’t be worried about COVID-19

ATT12_5

I will go to the hospital if I get infected.

ATT12_5: Will go to hospital if infected

ATT12_6

Someone in my social circle (family, friends, colleagues) will die if they are infected.

ATT12_6: Someone in social circle will die if infected


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT13

Question Type: Grid

Variable Name: ATT13

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT13: Perceived norms

Variable Name

Variable Text

Variable Label

ATT13_1

People who are important to me believe that I should receive a COVID-19 vaccine when it is available.

ATT13_1: Receive a vaccine

ATT13_2

People who are important to me want me to wear a face mask when I am out in public.

ATT13_2: Wear a face mask

ATT13_3

People who are important to me believe that I should maintain social distance from those outside of my household.

ATT13_3: Maintain social distance

ATT13_4

People who are important to me believe that I should wash my hands frequently.

ATT13_4: Wash hands frequently


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT14

Question Type: Grid

Variable Name: ATT14

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT14: Perceived norms

Variable Name

Variable Text

Variable Label

ATT14_1

Getting all recommended vaccines is the right thing to do.

ATT14_1: Get all recommended vaccines

ATT14_2

Wearing a face mask is the right thing to do

ATT14_2: Wear mask

ATT14_3

Social distancing is the right thing to do.

ATT14_3: Social distancing

ATT14_4

Washing my hands frequently is the right thing to do.

ATT14_4: Wash hands frequently


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: ATT15

Question Type: Grid

Variable Name: ATT15

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: ATT15: Message fatigue

Variable Name

Variable Text

Variable Label

ATT15_1

I have heard enough about how important it is to follow COVID-19 health guidelines.

ATT15_1: Have heard enough

ATT15_2

After hearing them for months, messages about COVID-19 seem repetitive.

ATT15_2: Messages are repetitive

ATT15_3

I am burned out from hearing that COVID-19 is a serious problem.

ATT15_3: Burned out from hearing about COVID-19

ATT15_4

I want more information regarding COVID-19

ATT15_4: Want more information


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



[Page Break]


The last questions in this section ask for your opinion on statements related to another disease, the flu.


Item #: ATT16

Question type: Single punch

Variable Name: ATT16

Variable Text: In your opinion, how much would the flu vaccine protect you against getting the flu?

Variable Label: ATT16: Flu Vaccine Beliefs

Value

Value Label

1

Not at all

2

A little

3

A moderate amount

4

A lot

-99

Refused



Item #: ATT17

Question type: Grid

Variable Name: ATT17

Variable Text: For the following years, did you receive a flu vaccine? Select one response for each item.

Variable Label: ATT17: Past flu behaviors

Variable Name

Variable Text

Variable Label

ATT17_1

2020/2021 (this flu season)

ATT17_1: this flu season

ATT17_2

2019/2020 (last flu season)

ATT17_2: last flu season


Value

Value Label

0

No

1

Yes

2

I prefer not to answer

3

I don’t remember

-99

Refused



Item #: ATT18

Question type: Single punch

Variable Name: ATT18

Variable Text: What is the likelihood you will get the flu vaccine within the next 12 months?

Variable Label: ATT18: Intention to get vaccinated

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

Refused





Section 3: Views on Science, Research, and Medical Professionals


The following questions are about your trust in individuals in science, research, and medical fields.


Item #: SCI1

Question Type: Grid

Variable Name: SCI1

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: SCI1: Trust in scientists

Variable Name

Variable Text

Variable Label

SCI1_1

When scientists change their minds about a scientific idea it diminishes my trust in their work. [Reverse coded]

SCI1_1: Scientists changing minds reduces trust

SCI1_2

Scientists ignore evidence that contradicts their work. [Reverse coded]

SCI1_2: Scientists ignore contradictory evidence

SCI1_3

We can trust scientists to share their discoveries even if they don't like their findings.

SCI1_3: Trust scientists to share findings they don’t like

SCI1_4

We should trust the work of scientists.

SCI1_4: Should trust work of scientists

SCI1_5

We cannot trust scientists because they are biased in their perspectives. [Reverse coded]

SCI1_5: Scientists are biased

SCI1_6

Today's scientists will sacrifice the well-being of others to advance their research. [Reverse coded]

SCI1_6: Scientists will sacrifice well-being of others

Value

Value Label

1

Strongly disagree

2

Disagree

3

Not sure

4

Agree

5

Strongly agree

-99

Refused



Item #: SCI2

Question Type: Grid

Variable Name: SCI2

Variable Text: How much do you agree or disagree with the following statements regarding government public health experts? A government public health expert is a person with a degree and career in protecting and promoting community health that works for a government agency such as the CDC or the FDA. Select one response for each item.

Variable Label: SCI2: Trust in government

Variable Name

Variable Text

Variable Label

SCI2_1

I trust the information I receive from government public health experts.

SCI2_1: Trust experts

SCI2_2

Government public health experts have their own agenda.

SCI2_2: Experts have agenda

SCI2_3

Government public health experts have my best interests in mind.

SCI2_3: Experts have my best interests in mind

SCI2_4

Information provided by government public health experts changes too often for me. [Reverse coded]

SCI2_4: Information from experts changes too often

SCI2_5

Information provided by governmental public health experts has been helpful to me in the past.

SCI2_5: Information from experts has been helpful

SCI2_6

I have been misled by government public health experts in the past. [Reverse coded]

SCI2_6: Misled by experts


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused



Item #: SCI3

Question type: Single punch

Variable Name: SCI3

Variable Text: This question is for quality control purposes. Please select ‘disagree’ from the list below.

Variable Label: SCI3: Attention check

Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused





Section 4: Public Health Campaigns



Item #: CAM1

Question type: Single punch 

Variable Name: CAM1

Variable Text: In the past four months, have you seen or heard any media content from the U.S. Department of Health and Human Services (HHS) COVID-19 Public Education Campaign? Campaign content would have included the statement [TAGLINE] and the images below. 

[Collage of ads example] 


 

Variable Label: CAM1: Campaign awareness 

 // Soft Prompt: “We would like your response to this question.” //

Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM2

Question type: Single punch 

Variable Name: CAM2

Variable Text: In the past four months, how frequently have you seen or heard any media content from the HHS COVID-19 Public Education Campaign?

Campaign content would have included the statement [TAGLINE] and the images below. 


 [Collage of ads example] 

 

 Variable Label: CAM2: Campaign awareness frequency

// Soft Prompt: “We would like your response to this question.” //

// Ask if CAM1 (Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

1

Never 

2

Rarely 

3

Sometimes 

4

Often 

5

Very often 

-99

Refused



Item #: CAM3

Question type: Single punch

Variable Name: CAM3

Variable Text: How believable do you find the information from the HHS COVID-19 Public Education Campaign?

Variable Label: CAM3: Believability of campaign 

// Ask if CAM1 (Campaign Recall in last 4 months) = “Yes” // 

Value

Value Label

1

Very unbelievable 

2

Unbelievable 

3

Neither believable nor unbelievable 

4

Believable 

5

Very believable 

-99

Refused



Item #: CAM4

Question type: Single punch

Variable Name: CAM4

Variable Text: Do you agree or disagree with the following statement? The HHS COVID-19 Public Education Campaign media content is for everyone, including me.

Variable Label: CAM4: Relevance of campaign

// Ask if CAM1 (Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

Refused




Item #: CAM5

Question type: Single punch

Variable Name: CAM5

Variable Text: Do you agree or disagree with following statement? The HHS COVID-19 Public Education Campaign media content grabbed my attention.

Variable Label: CAM5: Attention grabbing of campaign  

// Ask if CAM1 (Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

Refused



Item #: CAM6

Question type: Single punch 

Variable Name: CAM6

Variable Text: After seeing or hearing this media content, did you feel more negative, more positive, or no different about a COVID-19 vaccine?

[Collage of ads example] 

 

 Variable Label: CAM6 valence of campaign

// Ask if CAM1 (Campaign Recall in last 4 months) = “Yes” //

Value 

Value Label 

1

Negative

2

Positive

3

No different

-99 

Refused 

-100

Valid skip



Item #: CAM7

Question type: Single punch 

Variable Name: CAM7

Variable Text: After seeing or hearing this media content, did you talk about it with those in your immediate social network (e.g. friends, family, colleagues)?

 Variable Label: CAM7: Discussed campaign

// Ask if CAM1 (Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM8

Question type: Single punch 

Variable Name: CAM8

Variable Text: In the last four months, have you seen or heard any media content from [Fake Campaign Name]? Campaign content would have included the statement [TAGLINE] and the images below. 

[Collage of ads example] 

 

Variable Label: CAM8: Fake campaign awareness 

Value

Value Label

0

No

1

Yes

-99

Refused


Item #: CAM9

Question type: Single punch 

Variable Name: CAM9

Variable Text: In the past four months, how frequently have you seen or heard any media content from [Fake Campaign Name]? Campaign content would have included the statement [TAGLINE] and the images below. 

[Collage of ads example] 

 

Variable Label: CAM9: Fake Campaign awareness frequency

// Soft Prompt: “We would like your response to the question above.” //

// Ask if CAM8 (Fake Campaign Recall in last 4 months) = “Yes” // 

Value

Value Label

1

Never 

2

Rarely 

3

Sometimes 

4

Often 

5

Very often 

-99

Refused



Item #: CAM10

Question type: Single punch

Variable Name: CAM10

Variable Text: How believable do you find the information from the [Fake Campaign Name]?

Variable Label: CAM10: Believability of fake campaign 

// Ask if CAM8 (Fake Campaign Recall in last 4 months) = “Yes” // 

Value

Value Label

1

Very unbelievable 

2

Unbelievable 

3

Neither believable nor unbelievable 

4

Believable 

5

Very believable 

-99

Refused



Item #: CAM11

Question type: Single punch

Variable Name: CAM11

Variable Text: Do you agree or disagree with the following statement? The [Fake Campaign Name] media content is for everyone, including me.

Variable Label: CAM11: Relevance of fake campaign

// Ask if CAM8 (Fake Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

Refused



Item #: CAM12

Question type: Single punch

Variable Name: CAM12

Variable Text: Do you agree or disagree with following statement? The [Fake Campaign Name] media content grabbed my attention.

Variable Label: CAM12: Attention grabbing of fake campaign  

// Ask if CAM8 (Fake Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

Refused



Item #: CAM13

Question type: Single punch 

Variable Name: CAM13

Variable Text: After seeing or hearing this media content, did you feel more negative, more positive, or no different about a COVID-19 vaccine?

[Collage of ads example] 

 

Variable Label: CAM13: Valence of fake campaign

// Ask if CAM8 (Fake Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

1

Negative

2

Positive

3

No different

-99

Refused



Item #: CAM14

Question type: Single punch 

Variable Name: CAM14

Variable Text: After seeing or hearing this media content, did you talk about it with those in your immediate social network (e.g. friends, family, colleagues)?

 Variable Label: CAM14: Discussed campaign

// Ask if CAM8 (Fake Campaign Recall in last 4 months) = “Yes” //

Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM15

Variable Name: CAM15

Question Type: Grid

Variable Text: In the last week, have you used the following government sources to get information about COVID-19? Select yes or no for each item.

Variable Label: CAM15: Government sources used

Variable Name

Variable Text

Variable Label

CAM15_1

Official U.S. government websites

CAM15_1: Official government websites

CAM15_2

The President of the United States/The White House

CAM15_2: President/White House

CAM15_3

U.S. Department of Health and Human Services (HHS)

CAM15_3: HHS

CAM15_4

U.S. Food and Drug Administration (FDA)

CAM15_4: FDA

CAM15_5

World Health Organization (WHO)

CAM15_5: WHO

CAM15_6

U.S. Centers for Disease Control and Prevention (CDC)

CAM15_6: CDC

CAM15_7

Dr. Fauci/Dr. Collins/National Institute of Allergy and Infectious Diseases (NIAID)

CAM15_7: Fauci/Collins/NIAID

CAM15_8

The Surgeon General of the United States

CAM15_8: Surgeon General

CAM15_9

My state, county, or city health department

CAM15_9: State/County/ City health department

CAM15_10

My State Governor

CAM15_10: Governor

CAM15_11

National Institute of Health (NIH)

CAM15_11: NIH

CAM15_12

U.S. Military/Department of Defense

CAM15_12: DoD


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM16

Question Type: Grid

Variable Name: CAM16

Variable Text: In the last week, have you used the following news media sources to get information about COVID-19? Select yes or no for each item.

Variable Label: CAM16: Most used news sources

Variable Name

Variable Text

Value Label

CAM16_1

Fox News

CAM16_1: Fox

CAM16_2

Breitbart News

CAM16_2: Breitbart

CAM16_3

One America News (OAN)

CAM16_3: OAN

CAM16_4

New York Post

CAM16_4: NY Post

CAM16_5

Wall Street Journal

CAM16_5: WSJ

CAM16_6

ABC News

CAM16_6: ABC

CAM16_7

NBC News

CAM16_7: NBC

CAM16_8

CBS News

CAM16_8: CBS

CAM16_9

MSNBC

CAM16_9: MSNBC

CAM16_10

CNN

CAM16_10: CNN

CAM16_11

New York Times

CAM16_11: NY Times

CAM16_12

NPR / PBS

CAM16_12: NPR/PBS


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM17

Question Type: Grid

Variable Name: CAM17

Variable Text: In the last week, have you used the following social media sources to get information about COVID-19? Select yes or no for each item.

Variable Label: CAM17: Most used social media

Variable Name

Variable Text

Variable Label

CAM17_1

Facebook

CAM17_1: Facebook

CAM17_2

Twitter

CAM17_2: Twitter

CAM17_3

Instagram

CAM17_3: Instagram

CAM17_4

Snapchat

CAM17_4: Snapchat

CAM17_5

YouTube

CAM17_5: Youtube

CAM17_6

TikTok

CAM17_6: TikTok

CAM17_7

Reddit

CAM17_7: Reddit

CAM18_8

Other [Specify]

CAM18_8: Other [Specify]


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM18

Question Type: Single Punch

Variable Name: CAM18

Variable Text: Before today, have you heard of the website cdc.gov/coronavirus?

Variable Label: CAM18: CDC site awareness

Value

Value Label

0

No

1

Yes

-99

Refused



Item #: CAM19

Question Type: Single-Punch

Variable Name: CAM19

Variable Text: Before today, have you visited the website cdc.gov/coronavirus?

Variable Label: CAM19: CDC site visit

// Ask if CAM18 (CDC site heard) = “Yes” //

Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: CAM20

Question Type: Grid

Variable Name: CAM20

Variable Text: How much do you agree or disagree with the following statements about the website cdc.gov/coronavirus? Select one response for each item.

Variable Label: CAM20: CDC website receptivity

// Ask if CAM19 (CDC site visit) = “Yes” //

Variable Name

Variable Text

Variable Label

CAM20_1

The information on the website is believable.

CAM20_1: Believable

CAM20_2

The information on the website is helpful.

CAM20_2: Helpful

CAM20_3

The website allows me to take action.

CAM20_3: Allows me to take action

CAM20_4

The website grabbed my attention.

CAM20_4: Grabbed my attention

CAM20_5

I like the website.

CAM20_5: I like the HHS website



Value

Value Label

Strongly Disagree

Disagree

Neither Agree/Disagree

Agree

Strongly Agree

-99

Refused

-100

Valid skip



Item #: CAM21

Question Type: Grid

Variable Name: CAM21

Variable Text: How much do you trust each of the following sources to provide accurate COVID-19 information? Select one response for each item.

Variable Label: CAM21: Trust sources on COVID

Variable Name

Variable Text

Variable Label

CAM21_1

Official U.S. government websites

CAM21_1: Official government websites

CAM21_2

The President of the United States/The White House

CAM21_2: President/White House

CAM21_3

U.S. Department of Health and Human Services (HHS)

CAM21_3: HHS

CAM21_4

U.S. Food and Drug Administration (FDA)

CAM21_4: FDA

CAM21_5

World Health Organization (WHO)

CAM21_5: WHO

CAM21_6

U.S. Centers for Disease Control and Prevention (CDC)

CAM21_6: CDC

CAM21_7

Dr. Fauci/Dr. Collins/National Institute of Allergy and Infectious Diseases (NIAID)

CAM21_7: Fauci/Collins/NIAID

CAM21_8

The Surgeon General of the United States

CAM21_8: Surgeon General

CAM21_9

My State, County, or City health department

CAM21_9: State/County/ City health department

CAM21_10

My State Governor

CAM21_10: Governor

CAM21_11

National Institute of Health (NIH)

CAM21_11: NIH

CAM21_12

U.S. Military/Department of Defense

CAM21_12: DoD


Value

Value Label

1

Not at all

2

Somewhat

3

Mostly

4

Completely

-99

Refused



Item #: CAM22

Question Type: Grid

Variable Name: CAM22

Variable Text: How much do you trust each of the following sources to provide accurate COVID-19 information? Select one response for each item.

Variable Label: CAM22: Trust social media on COVID

Variable Name

Variable Text

Variable Label

CAM22_1

Facebook

CAM22_1: Facebook

CAM22_2

Twitter

CAM22_2: Twitter

CAM22_3

Instagram

CAM22_3: Instagram

CAM22_4

Snapchat

CAM22_4: Snapchat

CAM22_5

YouTube

CAM22_5: Youtube

CAM22_6

TikTok

CAM22_6: TikTok

CAM22_7

Reddit

CAM22_7: Reddit


Value

Value Label

1

Not at all

2

Somewhat

3

Mostly

4

Completely

-99

Refused



Item #: CAM23

Question Type: Grid

Variable Name: CAM23

Variable Text: How much do you trust each of the following sources to provide accurate COVID-19 information? Select one response for each item.

Variable Label: CAM23: Trust news sources on COVID

Variable Name

Variable Text

Value Label

CAM23_1

Fox News

CAM23_1: Fox

CAM23_2

Breitbart News

CAM23_2: Breitbart

CAM23_3

One America News (OAN)

CAM23_3: OAN

CAM23_4

New York Post

CAM23_4: NY Post

CAM23_5

Wall Street Journal

CAM23_5: WSJ

CAM23_6

ABC News

CAM23_6: ABC

CAM23_7

NBC News

CAM23_7: NBC

CAM23_8

CBS News

CAM23_8: CBS

CAM23_9

MSNBC

CAM23_9: MSNBC

CAM23_10

CNN

CAM23_10: CNN

CAM23_11

New York Times

CAM23_11: NY Times

CAM23_12

NPR / PBS

CAM23_12: NPR/PBS


Value

Value Label

1

Not at all

2

Somewhat

3

Mostly

4

Completely

-99

Refused



Item #: CAM24

Question Type: Single Punch

Variable Name: CAM24

Variable Text: How often, if ever, do you think governmental public health organizations (e.g., HHS, CDC, FDA, etc.) get the facts right about the COVID-19 outbreak?

Variable Label: CAM24: Information accuracy

Value

Value Label

1

Never

2

Hardly ever

3

Sometimes

4

Most of the time

5

Almost all the time

-99

Refused



Item #: CAM25

Question Type: Single Punch

Variable Name: CAM25

Variable Text: Which of the following best describes your feelings about the COVID-19 outbreak in the U.S.?

Variable Label: CAM25: Hope and despair - Feelings

Value

Value Label

1

The worst is yet to come.

2

The worst is behind us.

3

COVID-19 is not/will not be a major problem in the U.S.

-99

Refused



Item #: CAM26

Question Type: Single Punch

Variable Name: CAM26

Variable Text: How hopeful are you that the U.S. will get COVID-19 under control in the next 6 months?

Variable Label: CAM26: Feelings six months

Value

Value Label

1

Not hopeful at all

2

Hardly hopeful

3

Somewhat hopeful

4

Hopeful

5

Very hopeful

-99

Refused



Item #: CAM27

Question Type: Single Punch

Variable Name: CAM27

Variable Text: How hopeful are you that the U.S. will get COVID-19 under control in the next year?

Variable Label: CAM27: Feelings next year

Value

Value Label

1

Not hopeful at all

2

Hardly hopeful

3

Somewhat hopeful

4

Hopeful

5

Very hopeful

-99

Refused



Item #: CAM28

Question Type: Single Punch

Variable Name: CAM28

Variable Text: Have you posted or shared any materials from the HHS COVID-19 Public Education Campaign on social media?

Variable Label: CAM28: Social media sharing

// Ask if CAM1 (Aware of campaign) = “Yes” //

Value

Value Label

0

Yes, I have.

1

No, I have not.

-99

Refused



Item #: CAM29

Question Type: Single Punch

Variable Name: CAM29

Variable Text: Have you talked with others (e.g., friends, family, or colleagues) about what you have seen in the HHS COVID-19 Public Education Campaign?

Variable Label: CAM29: Sharing with others

// Ask if CAM28 (Shared Materials) = “Yes, I have” //

Value

Value Label

0

Yes, I have.

1

No, I have not.

-99

Refused




Section 5: Your COVID-19 Experience


The following questions are about your experience with COVID-19.


Item #: COV1

Question type: Single punch

Variable Name: COV1

Variable Text: Have you ever been tested to see if you have COVID-19?

Variable Label: COV1: Ever tested for COVID

Value

Value Label

0

No

1

Yes

2

I do not want to share this information

-99

Refused



Item #: COV2

Question type: Single punch

Variable Name: COV2

Variable Text: How easy or difficult was it for you to get a test for COVID-19?

Variable Label: COV2: Ever tested for COVID difficulty

// Ask if COV1 (Ever tested for COVID) = “Yes” //

Value

Value Label

1

Very difficult

2

Difficult

3

Easy

4

Very easy

-99

Refused

-100

Valid skip



Item #: COV3

Question type: Grid

Variable Name: COV3

Variable Text: Was getting a COVID-19 test difficult because of the following reasons? Select yes or no for each item.

Variable Label: COV3: Reasons: Not tested for COVID

// Randomize order of subitems //

// Ask if COV2 (Difficulty getting a test) = “Very Difficult” or “Difficult” //

Variable Name

Variable Text

Variable Label

COV3_1

My doctor originally said I did not meet the criteria to get tested

COV3_1: Didn’t meet testing criteria

COV3_2

I was unsure where to get tested

COV3_2: Unsure where to get tested

COV3_3

The lines to get tested were long

COV3_3: Long testing lines

COV3_4

I had to wait a long time to receive my test results

COV3_4: Long wait time for test results

COV3_5

The test itself was difficult/painful

COV3_5: Test was difficult/painful

COV3_6

I had to take time off from work and/or arrange childcare

COV3_6: Had to take time off from work

COV3_7

I had to take the test multiple times

COV3_7: Had to take test multiple times

COV3_8

It’s hard to get to a testing site (e.g., cost of transportation or gas, location, etc.)

COV3_8: Couldn’t find transportation

COV3_9

Other [Specify]

COV3_9: Other [Specify]


Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: COV4

Question type: Single punch

Variable Name: COV4

Variable Text: Have you ever thought that you had COVID-19 because of symptoms but were unsuccessful in getting tested?

Variable Label: COV4: Unable to get tested

// Ask if COV1 (Ever tested for COVID) = “No” //

Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: COV5

Question type: Single punch

Variable Name: COV5

Variable Text: What is the main reason that you were unsuccessful in getting tested for COVID-19?

Variable Label: COV5: Reasons: Ever symptoms

// Ask if COV4 (Unable to get tested) = “Yes” //

Value

Value Label

1

Could not find a place to get tested

2

Health care provider (e.g., primary care doctor) said that I did not need to get tested

3

Trouble collecting the sample from my nose or throat

4

The test costs too much

5

No transportation

6

Other [Specify]

-99

Refused

-100

Valid skip



Item #: COV6

Question type: Single punch

Variable Name: COV6

Variable Text: If you were given the opportunity to take a free COVID-19 test within the next 3 days, would you take the test?

Variable Label: COV6: Would take test

Value

Value Label

0

No, I would not take the test.

1

Yes, I would take the test.

-99

Refused

-100

Valid skip



Item #: COV7

Question type: Grid

Variable Name: COV7

Variable Text: Do you prefer not to take the COVID-19 test for the following reasons? Select yes or no for each item.

Variable Label: COV7: Not take test: Reasons

// Ask if COV6 (Would take test) = “No” //

Variable Name

Variable Text

Variable Label

COV7_1

I do not think I have COVID-19

COV7_1: Don’t think I have COVID-19

COV7_2

I would not change my behavior if I learned I had the virus.

COV7_2: Would not change behavior if I had virus

COV7_3

I do not want to self-isolate for 14 days.

COV7_3: Don’t want to self-isolate

COV7_4

My job prevents me from self-isolating for 14 days.

COV7_4: Job prevents me from self-isolating

COV7_5

I think I have already had the virus.

COV7_5: I think I already had the virus

COV7_6

It would cause me emotional discomfort if I knew I had the virus.

COV7_6: Emotional discomfort

COV7_7

It does not matter to me if I get tested or not.

COV7_7: Don’t care about getting tested

COV7_8

I worry I might get the virus by going to a testing center

COV7_8: Worried about getting virus

COV7_9

Other [Specify]

COV7_9: Other


Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: COV8

Question type: Grid

Variable Name: COV8

Variable Text: For each of the following statements, have you experienced the following? Select yes or no for each item.

Variable Label: COV8: Tested: Reasons

Variable Name

Variable Text

Variable Label

COV8_1

I have tested positive for COVID-19

COV8_1: I tested positive

COV8_2

An immediate member of my household has tested positive for COVID-19

COV8_2: Household member tested positive

COV8_3

An extended family member outside of my household has tested positive for COVID-19

COV8_3: Extended family member tested positive

COV8_4

A friend outside of my household has tested positive for COVID-19

COV8_4: Friend tested positive

COV8_5

A roommate who lives with me has tested positive for COVID-19

COV8_5: Roommate tested positive

COV8_6

A coworker has tested positive for COVID-19

COV8_6: Coworker tested positive

COV8_7

A friend of a friend has tested positive for COVID-19

COV8_7: Friend of a friend tested positive

COV8_8

I do not know anyone who has tested positive for COVID-19

COV8_8: Don’t know anyone who tested positive


Value

Value Label

0

No

1

Yes

60

I do not want to share this information

-99

Refused



Item #: COV9

Question type: Calendar (Month/Year)

Variable Name: COV9

Variable Text: What month did you first test positive for COVID-19?

Variable Label: COV9: Tested date

// Ask if COV8_1 (I tested positive) = “Yes”//


Shape4 Shape3

Month/Year




Value

Value Label

-99

Refused

-100

Valid skip



Item #: COV10

Question type: Single punch

Variable Name: COV10

Variable Text: What was the primary reason you were tested for COVID-19?

Variable Label: COV10: Reason for COVID test

// Ask if COV1 (Ever been tested for COVID-19) = “Yes”//

Value

Value Label

1

I showed symptoms of COVID-19.

2

A family member showed symptoms of COVID-19.

3

A friend showed symptoms of COVID-19.

4

I showed no symptoms but wanted to know if I was infected.

5

A family member was tested positive for COVID-19.

6

A friend of a friend was tested positive for COVID-19.

7

I was required to get tested for school, work, travel, or by a medical facility for an unrelated procedure (e.g. surgery, screening

8

Other [specify]

-99

Refused

-100

Valid skip



Item #: COV11

Question type: Single punch

Variable Name: COV11

Variable Text: Where did you go to get tested for COVID-19?

Variable Label: COV11: Testing location

// Ask if COV1 (Ever been tested for COVID-19) = “Yes”//

Value

Value Label

1

Doctor's office, health clinic, or hospital

2

A drive-thru testing site

3

Pharmacy (e.g., CVS, Rite Aid, Walgreens)

4

A test was mailed to my home

5

Other [Specify]

-99

Refused

-100

Valid skip



Item #: COV12

Question Type: Grid

Variable Name: COV12

Variable Text: There are some options for testing people for COVID-19. If these options were available to you, how likely would you be to participate in them? Select one response for each item.

Variable Label: COV12: Secondary: Behaviors

Variable Name

Variable Text

Variable Label

COV12_1

Getting tested for a COVID-19 infection using a Q-Tip to swab your cheek or nose

COV12_1: Cheek/nose swab

COV12_2

Getting tested for immunity to COVID-19 by drawing a small amount of blood

COV12_2: Draw blood


Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

Refused



Item #: COV13

Question type: Single punch

Variable Name: COV13

Variable Text: How severe was your COVID-19 infection?

Variable Label: COV13: Severity of COVID

// Ask if COV8_1 (I tested positive) = “Yes”//

Value

Value Label

1

No symptoms/mild symptoms

2

Moderate symptoms, but did not seek health care

3

Moderate symptoms and sought health care

4

Severe symptoms/hospitalization

-99

Refused

-100

Valid skip



Item #: COV14

Question type: Single punch

Variable Name: COV14

Variable Text: How much do you agree or disagree that you are fully recovered from your COVID-19 infection?

Variable Label: COV14: recovered from COVID

// Ask if COV8_1 (I tested positive) = “Yes”//

Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused

-100

Valid skip



Item #: COV15

Question type: Single punch

Variable Name: COV15

Variable Text: Do you know anyone who has been hospitalized with COVID-19?

Variable Label: COV15: Hospitalized for COVID

Value

Value Label

0

No

1

Yes

60

I do not want to share this information

-99

Refused



Item #: COV16

Question type: Single punch

Variable Name: COV16

Variable Text: Do you know anyone in your immediate social network (e.g., friends, family, or colleagues) who has been hospitalized for COVID-19?

Variable Label: COV16: COVID in social network

// Ask if COV15 (Hospitalized for COVID) = “Yes”//

Value

Value Label

0

No

1

Yes


Item #: COV17

Question type: Single punch

Variable Name: COV17

Variable Text: Of the people you know who have had COVID-19, did any of them die as a result of COVID-19?

Variable Label: COV17: Died from COVID

Value

Value Label

0

No

1

Yes

60

I do not want to share this information

-99

Refused


Item #: COV18

Question type: Single punch

Variable Name: COVXX

Variable Text: Of the people you know who have had COVID-19, did anyone in your immediate social network (e.g., friends, family, or colleagues) die as a result of COVID-19?

Variable Label: COV18: Died in social circle

// Ask if COV17 (Died from COVID) = “Yes”//

Value

Value Label

0

No

1

Yes

60

I do not want to share this information

-99

Refused



Item #: COV19

Question type: Grid

Variable Name: COV19

Variable Text: Have you experienced any of the following symptoms in the past 7 days? Select yes or no for each item.

Variable Label: COV19: Symptoms: COVID

// Randomize response options //

Variable Name

Variable Text

Variable Label

COV19_1

Abdominal discomfort

COV19_1: Abdominal discomfort

COV19_2

Changed or lost sense of taste or smell

COV19_2: Changed/lost sense of taste or smell

COV19_3

Chest congestion

COV19_3: Chest congestion

COV19_4

Chills

COV19_4: Chills

COV19_5

Cough

COV19_5: Cough

COV19_6

Diarrhea

COV19_6: Diarrhea

COV19_7

Fatigue or tiredness

COV19_7: Fatigue/tiredness

COV19_8

Fever

COV19_8: Fever

COV19_9

Headaches

COV19_9: Headaches

COV19_10

Loss of appetite

COV19_10: Loss of appetite

COV19_11

Muscle or body aches

COV19_11: Muscle/body aches

COV19_12

Nausea or vomiting

COV19_12: Nausea/vomiting

COV19_13

Runny or stuffy nose

COV19_13: Runny/stuffy nose

COV19_14

Shortness of breath

COV19_14: Shortness of breath

COV19_15

Skin rash

COV19_15: Skin rash

COV19_16

Sneezing

COV19_16: Sneezing

COV19_17

Sore throat

COV19_17: Sore throat


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: COV20

Question Type: Grid

Variable Name: COV20

Variable Text. Have you taken the following actions because of the spread of COVID-19? Select yes or no for each item.

Variable Label: COV20: Steps to slow spread of COVID

// Randomize order of subitems //

Variable Name

Variable Text

Variable Label

COV20_1

Stopped shaking hands with people

COV20_1: Stopped shaking hands

COV20_2

Stopped hugging and kissing close friends or relatives

COV20_2: Stopped hugging/kissing

COV20_3

Limited my use of public transportation (e.g., buses, ridesharing services)

COV20_3: Limited public transportation

COV20_4

Stayed home instead of going to work, school, or other regular activities

COV20_4: Stayed home

COV20_5

Avoided places where many people gather, like shopping centers, markets, movie theaters, sporting events, or restaurants

COV20_5: Avoided places with large gatherings

COV20_6

Avoided attendance at religious places of worship

COV20_6: Avoided religious places of worship

COV20_7

Avoided family or personal events, such as parties, wedding ceremonies, or funeral services

COV20_7: Avoided family/personal events

COV20_8

Stopped traveling outside my local community

COV20_8: Stopped traveling outside of local community

COV20_9

Limited the number of trips to the grocery store

COV20_9: Limited trips to grocery store


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: COV21

Question type: Single punch

Variable Name: COV21

Variable Text: As a part of the COVID-19 response, scientists will need volunteers for research studies, also commonly called “clinical trials.” How willing would you be to volunteer for a clinical trial about treatments to reduce the symptoms and severity of COVID-19?

Variable Label: COV21: Interest in clinical trials

Value

Value Label

1

Definitely not willing

2

Probably not willing

3

Not sure

4

Probably willing

5

Definitely willing

-99

Refused



Item #: COV22

Question type: Grid

Variable Name: COV22

Variable Text: Do you have any of the following concerns about volunteering for a clinical trial about treatments to reduce the symptoms and severity of COVID-19? Select yes or no for each item.

Variable Label: COV22: Concerns: Clinical trials

// Randomize order of response options //

Variable Name

Variable Text

Variable Label

COV22_1

The treatment might not be safe

COV22_1: Not safe

COV22_2

The treatment might not work

COV22_2: Might not work

COV22_3

I have health problems and may not be able to volunteer

COV22_3: Health problems

COV22_4

I do not trust doctors

COV22_4: Don’t trust doctors

COV22_5

People might find out that I am in the clinical trial

COV22_5: Privacy

COV22_5

Something else, please specify [Specify]

COV22_6: Something else


Value

Value Label

0

No

1

Yes

-99

Refused


Item #: COV23

Question type: Grid

Variable Name: COV23

Variable Text: Have you experienced any of the following symptoms in the past two weeks? Select one response for each item.

Variable Label: COV23: Health: Mental

// Randomize subitem order //

Variable Name

Variable Text

Variable Label

COV23_1

Feeling nervous, anxious, or on edge

COV23_1: Nervous

COV23_2

Not being able to stop or control worrying

COV23_2: Worried

COV23_3

Feeling down, depressed, or hopeless

COV23_3: Depressed

COV23_4

Little interest or pleasure in doing things

COV23_4: Little interest/pleasure in things


Value

Value Label

1

Not at all

2

Several days

3

More than half the days

4

Nearly every day

-99

Refusal



Item #: COV24

Question Type: Grid

Variable Name: COV24

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Label: COV24: Worry about COVID

Variable Name

Variable Text

Variable Label

COV24_1

I worry a lot about COVID-19.

COV24_1: Worry a lot

COV24_2

I am afraid of dying because of COVID-19.

COV24_2: Afraid of losing life

COV24_3

I am afraid of losing the lives of my family members because of COVID-19.

COV24_3: Afraid of family members dying

COV24_4

When watching news and stories about COVID-19 on social media, I become nervous or anxious.

COV24_4: Watching news makes me nervous


Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

Refused




Section 6: Other Health Conditions


The following questions are about other health conditions that may be important when understanding your COVID-19 experience.


Item #: MOB1

Question Type: Grid

Variable Name: MOB1

Panel Available: NORC (Yes)

Variable Text: People with certain health conditions may be more at risk of serious illness when contracting COVID-19. Has a health care provider (e.g., primary care doctor) ever told you that you have any of the following conditions? Select yes or no for each item.

Varriable Label: MOB1: Comorbidities

// Randomize MOB1_1-MOB1_20 //

Variable Name

Variable Text

Variable Label

MOB1_1

High blood pressure or hypertension

MOB1_1: High blood pressure

MOB1_2

Diabetes or high blood sugar

MOB1_2: Diabetes

MOB1_3

High blood cholesterol level

MOB1_3: High cholesterol

MOB1_4

Cancer or a malignant tumor, excluding minor skin cancer

MOB1_4: Cancer

MOB1_5

Lung disease such as chronic bronchitis or emphysema

MOB1_5: Lung disease

MOB1_6

A heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems

MOB1_6: Heart attack

MOB1_7

A stroke

MOB1_7: Stroke

MOB1_8

Any emotional, nervous, or psychiatric problem

MOB1_8: Psychiatric problem

MOB1_9

Alzheimer’s disease

MOB1_9: Alzheimer’s

MOB1_10

Dementia, senility or any other serious memory impairment

MOB1_10: Dementia

MOB1_11

Arthritis or rheumatism

MOB1_11: Arthritis/rheumatism

MOB1_12

Asthma

MOB1_12: Asthma

MOB1_13

Cerebrovascular disease (affects blood vessels and blood supply to the brain)

MOB1_13: Cerebrovascular disease

MOB1_14

Chronic kidney disease

MOB1_14: Chronic kidney disease

MOB1_15

Sickle cell disease

MOB1_15: Sickle cell disease

MOB1_16

Liver disease, including end stage liver disease

MOB1_16: Liver disease

MOB1_17

A compromised immune system

MOB1_17: Compromised immune system

MOB1_18

Overweight or obesity

MOB1_18: Overweight/obesity

MOB1_19

Other, please specify: [TEXTBOX]

MOB1_19: Other

MOB1_20

None of the above

MOB_1_20: None of the above


Value

Value Label

0

No

1

Yes

-99

Refused



Item #: MOB2

Question Type: Single Punch

Variable Name: MOB2

Variable Text: Are you currently pregnant?

Variable Label: MOB2: Pregnancy status

// Ask if respondent’s sex is female. //

Value

Value Label

0

Yes

1

No

-99

Refused



Item #: MOB3

Question Type: Single Punch

Variable Name: MOB3

Panel Available: NORC (Yes)

Variable Text: Do you smoke cigarettes every day, some days, or not at all?

Variable Label: MOB3: Smoke cigarettes

Value

Value Label

1

Every day

2

Some days

3

Not at all

-99

Refused



Item #: MOB4

Question Type: Single Punch

Variable Name: MOB4

Variable Text: Do you smoke e-cigarettes (i.e., vape) every day, some days, or not at all?

Variable Label: MOB4: Smoke e-cigarettes

Value

Value Label

1

Every day

2

Some days

3

Not at all

-99

Refused



Item #: MOB5

Question Type: Single Punch

Variable Name: MOB5

Variable Text: In general, how would you rate your MENTAL OR EMOTIONAL health?

Variable Label: MOB5: Mental/emotional health

Value

Value Label

1

Poor

2

Fair

3

Good

4

Very Good

5

Excellent

-99

Refused



Item #: MOB6

Question Type: Single Punch

Variable Name: MOB6

Variable Text: Have you ever been diagnosed with an anxiety disorder?

Variable Label: MOB6: Anxiety

Value

Value Label

0

No

1

Yes

-99

Refused



Item #: MOB7

Question Type: Single Punch

Variable Name: MOB7

Variable Text: Have you ever been diagnosed with depression?

Variable Label: MOB7: Depression

Value

Value Label

0

No

1

Yes

-99

Refused



Section 7: More About You


The following questions are about your background, which may be important when understanding your COVID-19 experience.


Item #: DEM1

Question Type: Single Punch

Variable Name: DEM1

Panel Available: NORC (Yes)

Variable Text: Which statement best describes your current employment status?

Variable Label: DEM1: Employment status

Value

Value Label

1

Working – as a paid employee

2

Working – self-employed

3

Not working – on temporary layoff from a job

4

Not working – looking for work

5

Not working – retired

6

Not working – disabled

7

Not working – other

-99

Refused



Item #: DEM2

Question Type: Open-End Numeric

Variable Name: DEM2

Panel Available: NORC (No)

Variable Text: In the past four months, how many hours did you usually work per week?

Variable Label: DEM2: Number of hours worked per week

// Ask if DEM1 = “Working as a paid employee” or “Working – self employed” //

// Limit to 168 hours (24 hours x 7 days). Do not allow negative numbers. //



Item #: DEM3

Question Type: Single Punch

Variable Name: DEM3

Panel Available: NORC (No)

Variable Text: Does where you work (e.g., state/territory) designate your occupation as providing “essential” services? “Essential” may vary depending on where you live, but may include those who provide:

  • Public health and safety (janitors and cleaners, registered nurses, police and sheriff’s patrol officers, physicians and surgeons, EMT’s and paramedics, pharmacists)

  • Essential products (cashiers, hand laborers and freight/stock/material movers, delivery truck drivers and driver/sales workers, agricultural workers, food processing workers, postal service workers)

  • Other infrastructure support (general maintenance and repair workers, engineers, electricians, computer support specialists, financial managers, plant and system operators, information security analysts, hazard materials removal workers)

Variable Label: DEM3: Essential service status

// Ask if DEM1 = “Working as a paid employee” or “Working – self employed”) //

Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: DEM4

Question Type: Single Punch

Variable Name: DEM4

Panel Available: NORC (Yes)

Variable Text: Are you now covered by any form of health insurance or health plan? A health plan would include any private insurance plan through your employer or a plan that you purchased yourself, as well as a government program like Medicare or Medicaid.

Variable Label: DEM4: Health insurance status

Value

Value Label

0

No

1

Yes

77

Don’t know

-99

Refused



Item #: DEM5

Question Type: Single Punch

Variable Name: DEM5

Panel Available: NORC (Yes)

Variable Text: Which best describes the building where you live?

Variable Label: DEM5: Building type

Value

Value Label

1

A one-family house detached from any other house

2

A one-family house attached to one or more houses

3

A building with 2 or more apartments

4

A mobile home or trailer

5

Boat, RV, van.

-99

Refused



Item #: DEM6

Question Type: Single Punch

Variable Name: DEM6

Panel Available: NORC (No)

Variable Text: Some apartment buildings are part of a complex of multiple apartment buildings. Is this building part of a complex?

Variable Label: DEM6: Complex status

// Ask if DEM5 = “A building with 2 or more apartments”. //

Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip



Item #: DEM7

Question Type: Open-End Numeric

Variable Name: DEM7

Panel Available: NORC (Yes, diff)

Variable Text: How many total people – adults and children – currently live in your household, including yourself? Please enter a number.

Variable Label: DEM7: Total number of people in household




Item #: DEM8

Question Type: Open-End Numeric

Variable Name: DEM8

Panel Available: NORC (Yes, diff)

Variable Text: How many people under 18 years-old currently live in your household? Please enter a number.

Variable Label: DEM8: Number of minors living in household

// Response cannot exceed total number of people living in household. //




Item #: DEM9

Question Type: Open-end numeric

Variable Name: DEM9

Panel Available: NORC (No)

Variable Text: How many people in your household, excluding yourself, work in occupations that are designated as providing “essential” services? “Essential” may vary depending on where you live, but may include those who provide:

  • Public health and safety (janitors and cleaners, registered nurses, police and sheriff’s patrol officers, physicians and surgeons, EMT’s and paramedics, pharmacists)

  • Essential products (cashiers, hand laborers and freight/stock/material movers, delivery truck drivers and driver/sales workers, agricultural workers, food processing workers, postal service workers)

  • Other infrastructure support (general maintenance and repair workers, engineers, electricians, computer support specialists, financial managers, plant and system operators, information security analysts, hazard materials removal workers)

Variable Label: DEM9: Number of essential workers in household (excluding self)

// Response cannot exceed total number of people in household, minus one. //




Item #: DEM10

Question Type: Single Punch

Variable Name: DEM10

Panel Available: NORC (Yes, diff)

Variable Text: Last year, that is in [2019/2020/2021], what was your total household income from all sources, before taxes?

Variable Label: DEM10: Family income

Value

Value Label

1

Less than $15,000

2

$15,000 to $24,999

3

$25,000 to $34,999

4

$35,000 to $49,999

5

$50,000 to $74,999

6

$75,000 to $99,999

7

$100,000 to $149,999

8

$150,000 to $199,999

9

$200,000 and over

-99

Refused



Note, Table 1 below shows the planned additional profile variables that will be included in the final dataset from the panel. These questions come from the panel either from other surveys or from screeners during recruitment of panelists. It is not feasible to modify any of these variables. There is a cost implication for each variable, where each has a price per respondent per wave. We expect that certain basic demographic variables, such as geographic location, and basic operations metadata may be included at no additional cost.



Table 1: Additional Included Variables

Demographic Variables (16 total) 

  1. Race

  2. Ethnicity

  3. Age

  4. Geographic location (i.e., zip code)

  5. College student status

  6. Highest degree/level of school completed

  7. Occupation/Industry

  8. Birth sex

  9. Gender identity

  10. Sexual orientation

  11. Parental status

  12. Political party

  13. Political ideology

  14. Country of birth

  15. Citizenship status

  16. Veteran status





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AuthorCummings, Hope
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File Created2021-05-24

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