__ no changes to my life or behavior
__ practicing social distancing (i.e., reducing your physical contact with other people in social, work, or school settings by avoiding large groups and staying 3-6 feet away from other people)
(if yes – how long have you been doing/did you do this for? [days])
Of these X days, how many did you end up needing to be physically near people (i.e., you were not able to practice social distancing on those days)?
(if yes – did you choose to do this yourself or did someone else require you to?)
(if yes – did you do this to protect someone else in your household?)
__ isolating or quarantining yourself (i.e., while you are sick or if you have been exposed, separating yourself from other people to prevent others from getting it)
(if yes – how long have you been doing/did you do this for? [days])
Of these X days, how many did you end up breaking the isolation or quarantine (i.e., you were not isolated or quarantined on those days)?
(if yes – did you choose to do this yourself or did someone else require you to?)
(if yes – did you do this to protect someone else in your household?)
__ caring for someone at home
(if yes –
__ a child or children
__ an elderly person
__ working from home
(if yes – did you have to balance this with taking care of others [e.g., parents, kids, partners?])
__ not working
(if yes – did you lose your source of income because of COVID-19/coronavirus?)
(if yes – why? (check all that apply)
__ because I am/was sick or under quarantine
__ because someone in my household was sick/under quarantine
__ because my place of work was closed and didn’t offer a remote work option
__ because I was laid off or lost my employment
__ a change in use of healthcare services (e.g., calling your healthcare provider, going to urgent care, etc.)
(if yes – was this an increase or decrease?)
__ following media coverage related to COVID-19 (e.g., watching or reader the news, following social media coverage, etc.)
(if yes: on average, how many hours per day did you spend on this?)
__ changing travel plans
(if yes – did you travel more or less?)
__ being diagnosed with COVID-19
__ fear of getting COVID-19
__ fear of giving COVID-19 to someone else
__ worrying about friends, family, partners, etc.
if yes:
__ locally
__ in other parts of the US
__ outside the US
__ stigma or discrimination from other people (e.g., people treating you differently because of your identity, having symptoms, or other factors related to COVID-19)
__ personal financial loss (e.g., lost wages, job loss, investment/retirement loss, travel-related cancelations)
__ frustration or boredom
__ not having enough basic supplies (e.g., food, water, medications, a place to stay)
__ more anxiety
__ more depression
__ more sleep, less sleep, or other changes to your normal sleep pattern
__ increased alcohol or other substance use
__ a change in sexual activity
(if yes – was this an increase or decrease?)
__ loneliness
__ confusion about what COVID-19 is, how to prevent it, or why social distancing/isolation/quarantines are needed
__ feeling that I was contributing to the greater good by preventing myself or others from getting COVID-19
__ getting emotional or social support from family, friends, partners, a counselor, or someone else
__ getting financial support from family, friends, partners, an organization, or someone else
__ other difficulties or challenges (We want to hear from you! Please tell us more__________)
Please use the following citation:
Harkness, A. (2020). The Pandemic Stress Index. University of Miami