Given the unprecedented nature of COVID-19, the Tulane University School of Social Work is conducting a needs assessment to better understand behavioral health and the challenges people are facing. You must be 18 years of older to continue.  This survey is completely voluntary and you may stop at any time.  You can also skip any questions that you do not feel comfortable answering.  You are providing consent by continuing with the survey.
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What is your marital status?
What is your gender?
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What is your race/ethnicity? Mark all that apply.
What is the highest level of education you completed?
What was your annual income for 2019?
In the past year did you experience any of the following life changes? (check all that apply)
Prior to COVID-19 did you experience any of the following? (check all that apply)
Please indicate any of the following you have experienced as a result of the recent COVID-19 outbreak (check all that apply).
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Please answer your level of agreement with the following questions?
 
 
 
 
 
Using a 0 - 4 scale where 0 represents “not at all” and 4 represents “extremely”; please mark ONE circle for each scale...
 
 
 
How often in the past 30 days, have you been bothered by the following problems?
 
 
 
 
The next questions are about your ability to handle stress. How true are the following statements?
 
 
The following questions ask you to say how good or satisfied you have felt about various aspects of your life over the last two weeks.
 
 
 
 
 
 
 
The following questions ask about how completely you experience or were able to do certain things in the last two weeks.
 
 
 
 
In the past 30 days…