Post-COVID Mental Health Survey
On behalf of CITYWIDE, thank you for taking a moment to complete this survey.

Sign in to Google to save your progress. Learn more
Email *
Since the COVID-19 pandemic, have you experienced increased levels of stress or anxiety? *
Have you found it more difficult to concentrate on daily tasks post-COVID? *
Do you feel that your sleep patterns have been disrupted after the COVID-19 pandemic? *
Have you felt a sense of loneliness or isolation more frequently since COVID-19? *
Are you experiencing more frequent mood swings post-COVID? *
Have you sought mental health support or counseling since the pandemic? *
Do you feel that your relationships with family and friends have been affected by the pandemic? *
Have you noticed changes in your appetite or eating habits post-COVID? *
Do you feel more worried about your future since the pandemic? *
Have you experienced a decrease in motivation for activities you used to enjoy since COVID-19? *
Have you had difficulty managing emotions like sadness or anger post-COVID? *
Do you feel that your professional or academic performance has been impacted by the pandemic? *
Have you felt a decline in your physical health since the COVID-19 pandemic? *
Are you experiencing increased feelings of uncertainty or insecurity about the future post-COVID? *
Have you made any significant lifestyle changes due to the mental health impact of COVID-19? *
Since the COVID-19 pandemic, do you feel more optimistic about your personal future? *
Do you feel more confident in your ability to handle future challenges due to your experiences during COVID-19? *
Are you optimistic about the general state of the world post-COVID? *
Do you believe that the COVID-19 pandemic has led to positive changes in your community or society? *
Are you hopeful about advancements in public health and safety due to the lessons learned from COVID-19? *
Are you aware of the mental health resources available to you in your community post-COVID? *
Do you feel confident in your ability to access mental health support if needed? *
Have you shared your feelings about post-COVID mental health with family, friends, or professionals? *
Do you believe that mental health is adequately discussed and addressed in your community or workplace? *
Do you feel that the stigma around discussing mental health has decreased since the COVID-19 pandemic? *
Since the COVID-19 pandemic, have you become more open to the idea of seeking mental health support? *
Do you feel that seeking mental health help is more acceptable in society now than before COVID-19? *
Are you more willing to recommend mental health resources to others since the pandemic? *
Has the pandemic made you more aware of the importance of mental health in overall well-being? *
Do you think that workplaces and educational institutions should provide more mental health support post-COVID? *
Which do you prefer, in person or Telehealth therapy? *
What is your age?
Would you like to be apart of your text community? If so add your phone number below.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms