Survey

Consent: Dear Participant, this questionnaire includes 4 domains related to Physical Health, Mental Health, Coping strategies and Lifestyle. Your response to each question is based on the options available and you can choose any one or for some questions more than one answer. Please read the questions carefully and your honest response will be appreciated.The data collected will be used for research purposes only and the confidentiality of the collected data will be maintained strictly

I agree to take part in this survey on my own without any coercion or use of force. I authorize the Investigators to use this data in the manner described above respecting my confidentiality.

I Agree

2. Gender:

Male

Female

Other

9. Occupation:

10. Education:

10a. Affiliated Institution of IYA :

11. During lockdown are you staying with

Family

Friends

Colleagues

Alone

Away from home

12. During lock down are you

Working from home

Working from Office

Not working

13. Are you experiencing any of the following (Please ignore if you do not have any)

Cough

Fever

Difficulty in breathing

Other

14. Have you traveled anywhere internationally since January 2020? *

Yes

No

15.Which of the following applies to you (Please ignore if not applicable)

I have recently interacted or lived with someone who has been tested positive for COVID-19.

I have been in quarantine

I am in quarantine currently

I am a healthcare worker and I examined a COVID-19 confirmed case without protective gear

I am currently admitted in a hospital for COVID treatment

16. Number of days passed since you interacted or lived with someone who has been tested positive for COVID-19 (Please ignore if not applicable)

17. Number of days passed since you are in quarantine. Please ignore if you were not quarantined.

18. Weight (Kilograms) *

For converting pounds to kilograms Click Here

19. Height (Centimeters)

For converting feet to meters Click Here

20. How do you rate your physical strength and endurance? *

Very good

Good

Average

Bad

Very bad

21. Do you have any of the following health problems(Please ignore if not applicable)

High blood pressure

Lung disease

Heart disease

Arthritis

Cancer

Diabetes

Any other chronic disabling disease

22. Do you feel you are low in energy and down hearted during this lock-down period? *

Not at all

Somewhat

Very much

23. How anxious are you about the implications of COVID-19 in your life ? *

Not at all

Somewhat

Very much

24. How much do the following issues worry you during this lock-down period? *

Fear of Getting infected and the associated physical suffering *

Not at all

Somewhat

Very much

Fear of death

Not at all

Somewhat

Very much

Fear of a possible financial burden

Not at all

Somewhat

Very much

Fear of unknown related to Covid

Not at all

Somewhat

Very much

Fear of spreading infection to near and dear ones

Not at all

Somewhat

Very much

25. How do you rate your personality? *

Are you caring and ready to help others all the time

Not at all

Somewhat

Very much

Are you generally goal driven; perfectionist and persistent

Not at all

Somewhat

Very much

Do you always feel insecure; stressed and have mood swings

Not at all

Somewhat

Very much

Are you always open to new ideas and suggestions and willing to try them

Not at all

Somewhat

Very much

Do you always enjoy sharing your thoughts and ideas with others

Not at all

Somewhat

Very much

26.How do you rate your coping abilities during this lock-down period ? *

Poor

Average

Very good

Excellent

27.How do you prefer spending time (apart from your regular, work-related engagements) during this national lock-down period? *

Watching TV/ Playing computer games

Yes

No

Reading/Writing

Yes

No

Cooking

Yes

No

Exercise

Yes

No

Yogasana

Yes

No

Exercise

Yes

No

Yogasana

Yes

No

Meditation

Yes

No

Faith based practices including prayer etc

Yes

No

Social Media and Internet

Yes

No

Lifestyle

28. As a coping strategy do you use ? *

Tobacco

Never

Regularly

Drink Alcoho

Never

Regularly

or use any other substance

Never

Regularly

29. Has the lock-down increased your dependency on use of tobacco, alcohol or any other substances? *

Yes

No

Not applicable for me

30.In general, how do you describe your eating habits as ? *

I am disciplined with respect to time and place of eating

Yes

No

I am a strict vegetarian/ vegan

Yes

No

I like eating junk food

Yes

No

I likee spicy and hot food

Yes

No

I like sweet and sour food

Yes

No

I like cold and refrigerated food

p69

No

I tend to frequently snack

Yes

No

31.How would you describe your overnight sleep DURING this lock-down period? *

Very good

Good

Ok

Bad

Very bad

32. How would you describe your overnight sleep BEFORE this lock-down period? *

Very good

Good

Ok

Bad

Very bad

33. What activity were you engaged with BEFORE this lock-down period? * Tick all that apply.

I practiced Yoga

I went to a fitness regime

I went walking

I did household activities including gardening etc.

Other

34. What activity were you engaged with DURING this lock-down period? *Tick all that apply.

I practiced Yoga

I went to a fitness regime

I went walking

I did household activities including gardening etc.

Other

35.How much time do you spend for a structured physical activity as mentioned above during this lock-down period? *

Never

Less than 30 minutes

30 min to 1 hour

More than one hour

36.Duration of practices per week during this lock-down period? *

Asana

Do not practice

Less than two hours

Four to Six hours

Six or more hours

Pranayama

Do not practice

Less than two hours

Four to Six hours

Six or more hours

Meditation

Do not practice

Less than two hours

Four to Six hours

Six or more hours

Religious practices

Do not practice

Less than two hours

Four to Six hours

Six or more hours

37. How motivated are/were you to start Yoga during this lock-down period ? *

Not at all

Somewhat

Very much so

38. In general, how do you rate the happiness/peace you derive from the following ? *

Yoga and/ or Religious Practices

Not at all

Somewhat

Very much

Money

Not at all

Somewhat

Very much

Sensory pleasures

Not at all

Somewhat

Very much

Name and fame

Not at all

Somewhat

Very much

Service to society

Not at all

Somewhat

Very much

39. Do you use any of the following therapies during this lock-down period? (Please ignore if not using any) Tick all that apply

Ayurveda

Yoga

Unani

Siddha

Homeopathy

Naturopathy

Sowa-Rigpa

Other

40. During this period are you using any of the following as decoction (kashayam/ Kadha) or in food: (Please ignore if not using any)

41. During this period are you using any of the following Ayurveda medicine:: (Please ignore if not using any)

Chavanprash

Agastya Harithaki

Dashamoola Harithaki

Indhukantha Kashayam

Other

42.During this period are you using any of the following Unani medicine: (Please ignore if not using any)

Behidana

Sapistan

Other

43. During this period are you using any of the following Siddha medicine: (Please ignore if not using any)

Kabasura kudineer

Nilavembu kudineer

Other

44. During this period are you using any of the following Homeopathy medicine: (Please ignore if not using any)

Arsenicum album

Bryonia alba

Belladonna

Other

A survey using covid 19 health assessment scale

Survey

Corona Risk Assessment

1.Physical Health

2.Mental Health

3. Coping Strategies

Lifestyle