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Please answer the following questions. During the PAST TWO WEEKS:

During the PAST TWO WEEKS:

… on average, what time did you go to bed on WEEKDAYS?

Before 9 pm 9 pm-11 pm 11 pm-1 am After 1 am

… on average, what time did you go to bed on WEEKENDS?

Before 9 pm 9 pm-11 pm 11 pm-1 am After 1 am

… on average, how many hours per night did you sleep on WEEKDAYS?

<6 hours 6-8 hours 8-10 hours > 10 hours

… on average, how many hours per night did you sleep on WEEKENDS?

<6 hours 6-8 hours 8-10 hours > 10 hours

… how many days per week did you exercise (e.g., increased heart rate) for at least 30 minutes?

None 1-2 days 3-4 days 5-6 days Daily

… how many days per week did you spend time outdoors?

None 1-2 days 3-4 days 5-6 days Daily

During the PAST TWO WEEKS:

… how worried were you generally?

Not worried at all Slightly worried Moderately worried Very worried Extremely worried

… how happy versus sad were you?

Vert sad/depressed/unhappy Moderately sad/depressed/unhappy Neutral Moderately happy/cheerful Very happy/cheerful

… how much were you able to enjoy your usual activities?

Not at all Slightly Moderately Very much A lot

… how relaxed versus anxious were you?

Very relaxed/calm Moderately relaxed/calm Neutral Moderately nervous/anxious Very nervous/anxious

… how fidgety or restless were you?

Not fidgety/restless at all Slightly fidgety/restless Moderately fidgety/restless Very fidgety/restless Extremely fidgety/restless

… how fatigued or tired were you?

Not fatigued or tired at all Slightly fatigued or tired Moderately fatigued or tired Vary fatigued or tired Extremely fatigued or tired

… how well were you able to concentrate or focus?

Very focused/attentive Moderately focused/ attentive Neutral Moderately unfocused/distracted Very unfocused/distracted

… how irritable or easily angered were you?

Not irritable or easily angered at all Slightly irritable or easily angered Moderately irritable or easily angered Very irritable or easily angered Extremely irritable or easily angered

… how lonely were you?

Not lonely at all Slightly loneley Moderately loneley Very lonely Extremely lonely

… to what extent did you have negative thoughts, thoughts about unpleasant experiences or things that made you feel bad?

Not at all Rarely Occasionally Often A lot of the time

During the PAST TWO WEEKS:

… how much time per day did you spend watching TV or digital media (e.g., Netflix, YouTube, web surfing)?

No TV or digital media Under 1 hour 1-3 hours 4-6 hours More than 6 hours

… how much time per day did you spend using social media (e.g., Facetime, Facebook, Instagram, Snapchat, Twitter, TikTok)?

No social media Under 1 hour 1-3 hours 4-6 hours More than 6 hours

… how much time per day did you spend, playing video games?

No video games Under 1 hour 1-3 hours 4-6 hours More than 6 hours

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)

Resource room Tutoring Mentoring programs After school activity programs Volunteer porgams Psychotherapy Psychiatric care Occupational therapy Physical therapy Speech/language therapy Sporting activities Medical care for chronic illnesses Other

If you responded “other” to the above question, please describe:

Please describe anything else that concerns you about the impact of Coronavirus/COVID-19 on you, your friends, or your family.

Please provide any comments that you would like about this survey and/or related topics.

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