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Covid 19 Questionnaire

50 Shared Subjects

A survey used to determine whether study participants may have been exposed to the virus, and if so, whether they have ever tested positive or experienced symptoms.
Clinical Assessments
Questionnaire
02/04/2021
covidques01
10/26/2023
View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported
covid01 Integer Recommended Have you been tested for coronavirus? 0::5; -9 0 = No; 1 = Yes; 2 = Prefer to not answer; 3 = Yes, and I tested negative; 4 = Yes, and I tested positive; 5 = Yes, but I do not yet have the results; -9 = Do not know covid19q1
covid02 Integer Recommended Have you ever tested positive for coronavirus? 0::2 0=No; 1=Yes; 2=Don't know/results pending covid_2
covid03 Date Recommended What was the date of the positive test?
covid04 Integer Recommended Don't remember (ask participant for month and approximate timing) In what month would you say you had the positive test 1::12 1=January; 2=February; 3=March; 4=April; 5=May; 6=June; 7=July; 8=August; 9=September; 10=October; 11=November; 12=December
covid05 Integer Recommended Would you say you had the test in the early, middle or late part of the month? 0::2 0=Early; 1=Middle; 2=Late
covid06 Date Recommended (If test negative or pending)What was the date of your test?
covid07 Integer Recommended Don't remember (ask participant for month and approximate timing)In what month would you say you had the test for coronavirus? 1::12 1=January; 2=February; 3=March; 4=April; 5=May; 6=June; 7=July; 8=August; 9=September; 10=October; 11=November; 12=December
covid08 Integer Recommended Would you say you had the test in the early, middle or late part of the month? 0::2 0=Early; 1=Middle; 2=Late
covid09 Integer Recommended Have you ever had a blood draw to test for coronavirus antibodies in your blood? 0::2 0=No; 1=Yes; 2=Unknown
covid10 Integer Recommended Have you ever tested positive for coronavirus antibodies? 0::2 0=No; 1=Yes; 2=Don't know/results pending
covid11 Date Recommended What was the date of the positive antibody test?
covid12 Integer Recommended Don't remember (ask participant for month and approximate timing) In what month would you say you had the positive antibody test? 1::12 1=January; 2=February; 3=March; 4=April; 5=May; 6=June; 7=July; 8=August; 9=September; 10=October; 11=November; 12=December
covid13 Integer Recommended Would you say you had the test in the early, middle or late part of the month? 0::2 0=Early; 1=Middle; 2=Late
covid14 Integer Recommended Did not experience and symptoms. 0;1 0=No; 1=Yes
covid15 Integer Recommended Fever of 100.5 F (38 C) or higher: Present? 0;1 0=No; 1=Yes
covid16 Integer Recommended Fever of 100.5 F (38 C) or higher: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid17 Integer Recommended Fever of 100.5 F (38 C) or higher: How many days did symptoms last?
covid18 Integer Recommended Fever of 100.5 F (38 C) or higher: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid19 Integer Recommended Felt feverish: Present? 0;1 0=No; 1=Yes
covid20 Integer Recommended Felt feverish: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid21 Integer Recommended Felt feverish: How many days did symptoms last?
covid22 Integer Recommended Felt feverish: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid23 Integer Recommended Chills: Present? 0;1 0=No; 1=Yes
covid24 Integer Recommended Chills: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid25 Integer Recommended Chills: How many days did symptoms last?
covid26 Integer Recommended Chills: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid27 Integer Recommended Cough: Present? 0;1 0=No; 1=Yes
covid28 Integer Recommended Cough: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid29 Integer Recommended Cough: How many days did symptoms last?
covid30 Integer Recommended Cough: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid31 Integer Recommended Shortness of Breath: Present? 0;1 0=No; 1=Yes
covid32 Integer Recommended Shortness of Breath: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid33 Integer Recommended Shortness of Breath: How many days did symptoms last?
covid34 Integer Recommended Shortness of Breath: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid35 Integer Recommended Muscle Aches: Present? 0;1 0=No; 1=Yes
covid36 Integer Recommended Muscle Aches: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid37 Integer Recommended Muscle Aches: How many days did symptoms last?
covid38 Integer Recommended Muscle Aches: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid39 Integer Recommended Headache: Present? 0;1 0=No; 1=Yes
covid40 Integer Recommended Headache: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid41 Integer Recommended Headache: How many days did symptoms last?
covid42 Integer Recommended Headache: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid43 Integer Recommended Fatigue or tiredness: Present? 0;1 0=No; 1=Yes
covid44 Integer Recommended Fatigue or tiredness: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid45 Integer Recommended Fatigue or tiredness: How many days did symptoms last?
covid46 Integer Recommended Fatigue or tiredness: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid47 Integer Recommended Sore throat: Present? 0;1 0=No; 1=Yes
covid48 Integer Recommended Sore throat: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid49 Integer Recommended Sore throat: How many days did symptoms last?
covid50 Integer Recommended Sore throat: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid51 Integer Recommended Runny Nose: Present? 0;1 0=No; 1=Yes
covid52 Integer Recommended Runny Nose: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid53 Integer Recommended Runny Nose: How many days did symptoms last?
covid54 Integer Recommended Runny Nose: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid55 Integer Recommended Loss of taste: Present? 0;1 0=No; 1=Yes
covid56 Integer Recommended Loss of taste: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid57 Integer Recommended Loss of taste: How many days did symptoms last?
covid58 Integer Recommended Loss of taste: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid59 Integer Recommended Loss of smell: Present? 0;1 0=No; 1=Yes
covid60 Integer Recommended Loss of smell: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid61 Integer Recommended Loss of smell: How many days did symptoms last?
covid62 Integer Recommended Loss of smell: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid63 Integer Recommended Abdominal Pain: Present? 0;1 0=No; 1=Yes
covid64 Integer Recommended Abdominal Pain: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid65 Integer Recommended Abdominal Pain: How many days did symptoms last?
covid66 Integer Recommended Abdominal Pain: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid67 Integer Recommended Nausea or Vomiting: Present? 0;1 0=No; 1=Yes
covid68 Integer Recommended Nausea or Vomiting: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid69 Integer Recommended Nausea or Vomiting: How many days did symptoms last?
covid70 Integer Recommended Nausea or Vomiting: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid71 Integer Recommended Diarrhea: Present? 0;1 0=No; 1=Yes
covid72 Integer Recommended Diarrhea: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid73 Integer Recommended Diarrhea: How many days did symptoms last?
covid74 Integer Recommended Diarrhea: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid75 Integer Recommended Loss of Appetite: Present? 0;1 0=No; 1=Yes
covid76 Integer Recommended Loss of Appetite: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid77 Integer Recommended Loss of Appetite: How many days did symptoms last?
covid78 Integer Recommended Loss of Appetite: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid79 Integer Recommended Something Else: Present? 0;1 0=No; 1=Yes
covid80 Integer Recommended Something Else: Severity 0::2 0=Mild; 1=Moderate; 2=Severe
covid81 Integer Recommended Something Else: How many days did symptoms last?
covid82 Integer Recommended Something Else: Symptoms in the past 14 days? 0;1 0=No; 1=Yes
covid83 Integer Recommended Did any of these symptoms happen at the same time? 0;1 0=No; 1=Yes
covid84 Date Recommended (If yes) When did you first experience symptoms?
covid85 Integer Recommended Don't remember (probe for best guess)In what month would you say the symptoms started? 1::12 1=January; 2=February; 3=March; 4=April; 5=May; 6=June; 7=July; 8=August; 9=September; 10=October; 11=November; 12=December
covid86 Integer Recommended Would you say they started in the early, middle, or late part of month? 0::2 0=Early; 1=Middle; 2=Late
suspectedtocovid19 Integer Recommended Have you ever been suspected to have COVID19 0;1 0=No; 1=Yes
symptomssomethingelse String 100 Recommended SymptomsSomething Else
testedcovid19pos_age Integer Recommended If positive AGE IN MONTHS at test
testedcovid19negative_age Integer Recommended If negative AGE IN MONTHS at test
covidposantibodies_age Integer Recommended If Antibodies Positive AGE IN MONTHS at test
covidnegantibodies_age Integer Recommended If Antibodies Negative AGE IN MONTHS at test
firstexpsym_age Integer Recommended If yes AGE IN MONTHS when you first experienced symptoms
vac2nddose_date Date Recommended Date when final (second) vaccine was received: datevac2_datevaccinated_2
syn_vacbooster_yn Integer Recommended Had the participant received a COVID-19 vaccinate booster dose at time of blood draw? 0= No; 1=Yes received booster prod_vacbooster_yn
vacbooster_name String 50 Recommended Which vaccine?(booster)
vacbooster_date Date Recommended Date when vaccine booster was received:
visit String 60 Recommended Visit name
perceivedinfection_self Integer Recommended Perceived Infection - Self 1;2 1=Positive; 2=Negative
syn_vac_yn Integer Recommended Had the participant received any COVID-19 vaccination at time of blood draw? 0::2 0=No; 1=Yes Fully vaccinated; 2=Yes partially vaccinated prod_vac_yn
vacname String 50 Recommended Which vaccine?
vac1stdose_date Date Recommended Date when first vaccine was received: MM/DD/YYYY datevac_datevaccinated
covid_vac_5_no___3 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: The vaccine could be harmful to my unborn child/child. 0;1 0=No; 1=Yes
covid_vac_5_no___4 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: The vaccine is not useful. 0;1 0=No; 1=Yes
covid_vac_5_no___5 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: My provider did not recommend the vaccine. 0;1 0=No; 1=Yes
covid_vac_5_no___6 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: Other 0;1 0=No; 1=Yes
covid_vac_5_no___7 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: Prefer not to respond. 0;1 0=No; 1=Yes
covid_vac_5_yes___1 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If yes, why?: I feel at risk. 0;1 0=No; 1=Yes
covid_vac_5_yes___2 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If yes, why?: The SARS-CoV-2, the virus that causes COVID-19, could be harmful for my health. 0;1 0=No; 1=Yes
covid_vac_5_yes___3 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If yes, why?: The vaccine useful. 0;1 0=No; 1=Yes
covid_vac_5_yes___4 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If yes, why?: My provider recommende the vaccine. 0;1 0=No; 1=Yes
covid_vac_5_yes___5 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If yes, why?: Other 0;1 0=No; 1=Yes
covid_vac_5_yes___6 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If yes, why?: Prefer not to respond. 0;1 0=No; 1=Yes
covid_vac_5_undec___1 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: I am unsure if I am at risk. 0;1 0=No; 1=Yes
covid_vac_5_undec___2 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: I feel I need more information about the vaccine. 0;1 0=No; 1=Yes
covid_vac_5_undec___3 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: The vaccine could be harmful to me. 0;1 0=No; 1=Yes
covid_vac_5_undec___4 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: The vaccine could be harmful to my unborn child/child. 0;1 0=No; 1=Yes
covid_vac_5_undec___5 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: The vaccine is not useful. 0;1 0=No; 1=Yes
covid_vac_5_undec___6 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: My provider did not recommend the vaccine. 0;1 0=No; 1=Yes
covid_vac_5_undec___7 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If undecided, why?: Prefer not to respond. 0;1 0=No; 1=Yes
covid_vac_6a Integer Recommended At the time of this survey, have you received at least one COVID-19 vaccine dose? 1::4 1=No, I have not received any dose of COVID-19 vaccination; 2=Yes, partially vaccinated. (one dose of a two-part series; applicable only for vaccines, with a two-dose regimen.);3=Yes, fully vaccinated. (when booster COVID-19 vaccines are FDA approved, proceed, to question 6b.); 4=Prefer not to respond.
covid_vac_6b Integer Recommended If you are fully vaccinated, have you received a booster vaccine in addition to the complete initial vaccine series? 1::3 1=Yes, I have received a booster vaccine; 2=No, I have not received a booster vaccine; 3=Prefer not to respond.
covid_vac_1 Integer Recommended How likely do you think it is that you have been exposed to SARS-CoV-2, the virus that causes COVID-19? 1::11 1=Very Low; 10=Very High; 11=Prefer not to respond
covid19_vac_survey_complete Integer Recommended Covid-19 Vaccination Survey Complete? 0::2 0=Incomplete; 1=Unverified; 2=Complete
covid_vac_2 Integer Recommended Did you get the seasonal influenza vaccination (a flu shot) in the most recent fall/winter season? 1::3 1=Yes; 2=No; 3=Prefer not to respond
covid_vac_3 Integer Recommended How useful do you think the COVID-19 vaccine is? (1 useless; 10 very useful) 1::11 1=Useless; 10=Very useful; 11=Prefer not to respond
covid_vac_4 Integer Recommended Do you think that it is dangerous for you to get the COVID-19 vaccination? (1 not dangerous; 10 very dangerous) 1::11 1=Not dangerous; 10=Very dangerous; 11=Prefer not to respond
covid_vac_5 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? 1::4 1=Yes; 2=No; 3=Undecided; 4=Prefer not to respond
covid_vac_5_no___1 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: I do not feel at risk. 0;1 0=No; 1=Yes
covid_vac_5_no___2 Integer Recommended Do you intend to receive the COVID-19 vaccine, if it is offered/available to you? If no, why?: The vaccine could be harmful to me. 0;1 0=No; 1=Yes
numberofbooster Integer Recommended How many COVID-19 booster doses had the participant received at time of blood draw? 0::12 number of boosters
vacbooster_name_2 String 25 Recommended Second Booster: Which Vaccine?
vacbooster_date_2 Date Recommended Date When 2nd Vaccine Booster Was Received MM/DD/YYYY
vacbooster_name_3 String 25 Recommended Third Booster: Which Vaccine?
vacbooster_date_3 Date Recommended Date When 3rd Vaccine Booster Was Received MM/DD/YYYY
vacbooster_name_4 String 25 Recommended Fourth Booster: Which Vaccine?
vacbooster_date_4 Date Recommended Date When 4th Vaccine Booster Was Received MM/DD/YYYY
covid19q9 Integer Recommended I do not want to get a vacine to prevent COVID-19. 1::6 1 = Strongly disagree; 2 = Somewhat disagree; 3 = Neither agree nor disagree; 4 = Somewhat agree; 5 = Strongly agree; 6 = I prefer not to answer
covid19q2 Integer Recommended Have you ever received a diagnosis of COVID-19? 0::2 0 = No; 1 = Yes; 2 = Prefer to not answer
covid19q3 Integer Recommended Have you ever received a COVID-19 vaccine? 0::2 0 = No; 1 = Yes; 2 = Prefer to not answer
covid19q4 Integer Recommended If you did receive a COVID-19 vaccine, which vaccine did you receive? 1::6 1 = Pfizer; 2 = Moderna; 3 = Johnson & Johnson; 4 = I don't know; 5 = I prefer to not answer; 6=Other
covid19q5 Integer Recommended If you did receive a COVID-19 vaccine, how many doses of the vaccine have you received? 1::4 1 = 1; 2 = 2; 3 = 3; 4 = I prefer to not answer
covid19q6 Integer Recommended If you have received less than 2 doses and not Johnson & Johnson, do you have your second dose scheduled? 0::2 0 = No; 1 = Yes; 2 = Prefer to not answer
covid19q7 Integer Recommended I am worried that the COVID-19 vaccines could be harmful. 1::6 1 = Strongly disagree; 2 = Somewhat disagree; 3 = Neither agree nor disagree; 4 = Somewhat agree; 5 = Strongly agree; 6 = I prefer not to answer
covid19q8 Integer Recommended I do not trust the COVID-19 vaccines. 1::6 1 = Strongly disagree; 2 = Somewhat disagree; 3 = Neither agree nor disagree; 4 = Somewhat agree; 5 = Strongly agree; 6 = I prefer not to answer
covid19_testpast_intake Integer Recommended Were you formally tested during your past COVID-19 illness? 0;1 0 = No; 1 = Yes
covid19_testdatep_intake Date Recommended During your past COVID-19 illness, what date did you test positive?
covid19_symppast_intake Integer Recommended During your past COVID-19 illness, did you experience symptoms? 0;1 0 = No, I was asymptomatic; 1 = Yes, I had symptoms
covid19_past_symptom1 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Temperature/fever greater than 99.5 F? 0;1 0 = No; 1 = Yes
covid19_past_symptom2 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Cough? 0;1 0 = No; 1 = Yes
covid19_past_symptom3 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Difficulty breathing? 0;1 0 = No; 1 = Yes
covid19_past_symptom4 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Chills? 0;1 0 = No; 1 = Yes
covid19_past_symptom5 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Night sweats? 0;1 0 = No; 1 = Yes
covid19_past_symptom6 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Muscle pain? 0;1 0 = No; 1 = Yes
covid19_past_symptom7 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Joint pain? 0;1 0 = No; 1 = Yes
covid19_past_symptom8 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Headache? 0;1 0 = No; 1 = Yes
covid19_past_symptom9 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Diarrhea? 0;1 0 = No; 1 = Yes
covid19_past_symptom10 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Eye pain? 0;1 0 = No; 1 = Yes
covid19_past_symptom11 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Decreased sense of smell? 0;1 0 = No; 1 = Yes
covid19_past_symptom12 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Decreased sense of taste? 0;1 0 = No; 1 = Yes
covid19_past_symptom13 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: Extreme fatigue? 0;1 0 = No; 1 = Yes
covid19_past_symptom14 Integer Recommended Please select ALL symptoms you experienced during your past COVID-19 illness: None of the above? 0;1 0 = No; 1 = Yes
covid19_sympres_intake Date Recommended What date did you notice that all of your symptoms fully resolved from your past COVID-19 illness? If your symptoms are still ongoing, please fill in 01/01/2000.
covid19_poscur_intake Integer Recommended Have you tested positive for COVID-19 recently or suspect you have COVID-19 currently? 0;1 0= No; 1= Yes
covid19_priorcur_intake Integer Recommended Have you filled out a questionnaire with us before about your current COVID-19 illness? 0::2 0= No; 1= Yes; 2= Unsure
timepoint_label String 50 Recommended Timepoint/visit label
covid19_suspcur_intake Date Recommended During your current COVID-19 illness, what date did you first suspect you might have COVID-19 (either due to symptoms manifesting or concerns about contact with a COVID-19 positive person)?
covid19_testcur_intake Integer Recommended Were you formally tested during your current COVID-19 illness? 0;1 0 = No; 1 = Yes
covid19_testdatec_intake Date Recommended During your current COVID-19 illness, what date did you test positive?
covid19_sympcur_intake Integer Recommended Are you currently experiencing symptoms? 0;1 0= No, I am asymptomatic; 1= Yes, I have symptoms
covid19_symplistcur Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Temperature/fever greater than 99.5 F? 0;1 0 = No; 1 = Yes
covid19_curr_symptom1 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Cough? 0;1 0 = No; 1 = Yes
covid19_curr_symptom2 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Difficulty breathing? 0;1 0 = No; 1 = Yes
covid19_curr_symptom3 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Chills? 0;1 0 = No; 1 = Yes
covid19_curr_symptom4 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Night sweats? 0;1 0 = No; 1 = Yes
covid19_curr_symptom5 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Muscle pain? 0;1 0 = No; 1 = Yes
covid19_pospast_intake Integer Recommended Have you tested positive for COVID-19 in the past or suspect you had COVID-19 in the past? 0;1 0 = No; 1 = Yes
covid19_curr_symptom6 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Joint pain? 0;1 0 = No; 1 = Yes
covid19_curr_symptom7 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Headache? 0;1 0 = No; 1 = Yes
covid19_curr_symptom8 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Diarrhea? 0;1 0 = No; 1 = Yes
covid19_curr_symptom9 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Eye pain? 0;1 0 = No; 1 = Yes
covid19_curr_symptom10 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Decreased sense of smell? 0;1 0 = No; 1 = Yes
covid19_curr_symptom11 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Decreased sense of taste? 0;1 0 = No; 1 = Yes
covid19_curr_symptom12 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: Extreme fatigue? 0;1 0 = No; 1 = Yes
covid19_curr_symptom13 Integer Recommended Please select ALL symptoms you experienced during your current COVID-19 illness: None of the above? 0;1 0 = No; 1 = Yes
covid19_vacc Integer Recommended Have you been vaccinated against COVID-19? 0::4 0 = No; 1 = Yes - Moderna series; 2 = Yes - Pfizer series; 3 = Yes - Johnson and Johnson single dose; 4 = Yes - mixed series of Moderna or Pfizer
covid19_booster Integer Recommended Have you received a booster shot? 0::2 0 = No; 1 = Yes - Moderna booster; 2 = Yes - Pfizer booster
covid19_priorpast_intake Integer Recommended Have you filled out a questionnaire with us before about your past COVID-19 illness? 0::2 0 = No; 1 = Yes; 2 = Unsure
covid19_sympresfu_intake Date Recommended What date did you notice that all of your COVID-19 symptoms fully resolved? If you were asymptomatic or your symptoms are still ongoing, please fill in 01/01/2000.
covid19_susppast_intake Date Recommended During your past COVID-19 illness, what date did you first suspect you might have it (either due to symptoms manifesting or concerns about contact with a COVID-19 positive person)?
covid_009 Integer Recommended Have any of the following happened to your alcohol use because of COVID-19? 0::4 0= No changes; 1=Drank more than usual; 2= Drank less than usual; 3= Stocked up on alcohol; 4= Avoided sharing drinks with others (more than usual) covid_9
covid_010a Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? No Changes 0;1 0= No; 1= Yes covid_10
covid_010b Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? Sleep quality 0;1 0= No; 1= Yes
covid_010c Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? Physical activity 0;1 0= No; 1= Yes
covid_010d Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? Diet/Nutrition quality 0;1 0= No; 1= Yes
covid_010e Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? Other substance use 0;1 0= No; 1= Yes
covid_010f Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? Stress/ anxiety level 0;1 0= No; 1= Yes
covid_010g Integer Recommended Due to the COVID-19 pandemic, in the past month, did any of your health behaviors and/or mental health change? Symptoms of depression (e.g. low mood) 0;1 0= No; 1= Yes
covid_011 Integer Recommended How has your sleep quality changed? 1;2 1= My sleep quality has increased; 2= My sleep quality has decreased covid_11
covid_012 Integer Recommended How has your physical activity changed? 1;2 1= My physical activity has increased; 2= My physical activity has decreased covid_12
covid_013 Integer Recommended How has your diet/nutrition quality changed? 1;2 1= My diet/nutrition quality has increased; 2= My diet/nutrition quality has decreased covid_13
covid_014 Integer Recommended How has your other substance use changed? 1;2 1= My other substance use has increased; 2= My other substance use has decreased covid_14
covid_015 Integer Recommended How has your stress/anxiety level changed? 1;2 1= My stress/anxiety level has increased; 2= My stress/anxiety level has decreased covid_15
covid_016 Integer Recommended How has your mood changed? 1;2 1= My mood has worsenec; 2= My mood has improved covid_16
covid_001 Integer Recommended Overall, how much has the COVID-19 pandemic impacted your day-to-day life? 0::5 0=Not at all; 1= A little; 3=Much; 4= Very Much; 5= Extremely covid_1
covid_003 Integer Recommended What safety precautions, if any, are you practicing within the last month of the COVID-19 pandemic? 0::7 0=None of the above practices; 1= Practice social distancing; 2= Isolating or quaranting yourself; 3= Following media coverage related to COVID-19; 4=Changing travel plans; 5= Increasing hand-washing and use of hand sanitizer; 6=Covering my nose and mouth in public; 7= Avoiding public transportation covid_3
covid_004 Integer Recommended Regardless of how closely you personally follow the COVID-19 social distancing guidelines, how important do you think they are? 0::4 0= Not important; 1= Slightly important; 2= Important; 3= Very important; 4= Extremely important covid_4
covid_005 Integer Recommended In the past month has your employment status changed? 0;1 0= No; 1= Yes covid_5
covid_006 Integer Recommended Please select the option that best reflects your current employment status. Please check all that apply. 1::5 1= I got a new job/work/business; 2= I lost my job/work/business; 3= I am unemployed; looking for work; 4= I am unemployed; not looking for work; 5= I am temporarily unemployed covid_6
covid_007 Integer Recommended Are you currently a student? 0::2 0= No; 1= Yes; 2= I was attending schooling; but due to COVID-19 I am no longer able to covid_7
covid_008 Integer Recommended How has your experience as a student changed due to COVID-19 in the past month? 0::3 0= No change; still attending in-person classes; 1= I have a mix of in-person and virtual classes; 2= I have only virtual classes; 3= My program was always online only covid_8
covid_other String 250 Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: Other (specific)
covid_income Integer Recommended Have you experienced a personal loss of income as a result of the Coronavirus/COVID-19 crisis? 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
covid_fired Integer Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: I was fired/laid off 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
covid_timeoff_nopay Integer Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: I was given time off without pay (not fired, but not working) 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
covid_timeoff_reduced Integer Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: I was given time off with reduced pay (employer provided benefits) 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
covid_hours_reduced Integer Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: My hours were reduced 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
covid_highrisk Integer Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: I felt I was at high risk and did not want to leave the home 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
covid_closed Integer Recommended (If covid_income=1) Which of the following contributed to a personal loss of income?: Business temporarily closed 1;2;888;999 1=Yes; 2=No; 888=Don''t know; 999=No answer
colds_num_past_yr Integer Recommended Number of colds in past year colds_colds_num_past_yr
mask_percent_worn Integer Recommended Percentage of time you wear a mask outside home 1::10;99 1 = Less than 10%; 2 = 10-20%; 3 = 20-30%; 4 = 30-40%; 5 = 40-50%; 6 = 50-60%; 7 = 60-70%; 8 = 70-80%; 9 = 80-90%; 10 = Greater than 90%; 99 = Unknown mask_mask_percent_worn
received_vaccine_yn Integer Recommended Did you receive the COVID vaccine? 1;5;8;9 1 = No; 5 = Yes; 8 = N/A; 9 = Missing vaccin_received_vaccine_yn
mask_june2021_yn Integer Recommended Have you changed your mask wearing since June 2021? 1;5;8;9 1 = No; 5 = Yes; 8 = N/A; 9 = Missing mask_wearing_changed_june2021_yn
mask_per_worn_june2021 Integer Recommended Percentage time you wear a mask since June 2021 1::10;99 1 = Less than 10%; 2 = 10-20%; 3 = 20-30%; 4 = 30-40%; 5 = 40-50%; 6 = 50-60%; 7 = 60-70%; 8 = 70-80%; 9 = 80-90%; 10 = Greater than 90%; 99 = Unknown mask_percentage_worn_after_june2021
mask_worn_required_yn Integer Recommended Currently, do you wear a mask only where required? 1;5;8;9 1 = No; 5 = Yes; 8 = N/A; 9 = Missing mask_only_worn_where_required_yn
covid_prevent8 Integer Recommended What type of COVID-19 vaccination shot did you get? 1 :: 4;9998 1= Moderna; 2= Pfizer; 3= Johnson and Johnson; 4= I do not know; 9998= Do not want to answer
covid_prevent9 Integer Recommended How much of the decision to get vaccinated or not was yours compared to your parents? 1 :: 6;9998 1= The decision was completely mine, my parents had no say; 2= The decision was mostly mine, my parents had a little say; 3= The decision was equally mine and my parents; 4= The decision was mostly my parents, I had a little say; 5= The decision was completely my parent, I had no say; 6= The only reason I got vaccinated was because I was required to (like for school or sports); 9998= Do not want to answer
covid_prevent10 Integer Recommended How much were the following true or untrue for you before you got the vaccine? I was worried about whether the vaccine would make me sick later in my life. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent11 Integer Recommended How much were the following true or untrue for you before you got the vaccine? I was worried that I would have a really strong reaction to the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent12 Integer Recommended How much were the following true or untrue for you before you got the vaccine? I was worried that I would have to pay for the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent13 Integer Recommended How much were the following true or untrue for you before you got the vaccine? With school and my other responsibilities, it was hard to find time to get the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent14 Integer Recommended How much were the following true or untrue for you before you got the vaccine? I did not think I needed the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent15 Integer Recommended How much were the following true or untrue for you before you got the vaccine? I was worried the vaccine would cause infertility. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent16 Integer Recommended (For those who did not answer or noted 0 for COVID-19 vaccination and boosters) I am worried about whether the vaccine would make me sick later in my life. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent17 Integer Recommended (For those who did not answer or noted 0 for COVID-19 vaccination and boosters) I am worried that I will have a really strong reaction to the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent18 Integer Recommended (For those who did not answer or noted 0 for COVID-19 vaccination and boosters) I am worried that I will have to pay for the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent19 Integer Recommended (For those who did not answer or noted 0 for COVID-19 vaccination and boosters) With school and my other responsibilities, I do not have time to get the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent20 Integer Recommended (For those who did not answer or noted 0 for COVID-19 vaccination and boosters) I do not think I need the vaccine. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent21 Integer Recommended (For those who did not answer or noted 0 for COVID-19 vaccination and boosters) I am worried the vaccine will cause infertility. 1 :: 4;9998 1= Not true about me at all; 2= A little true about me; 3= Mostly true about me; 4= Completely true about me; 9998= Do not want to answer
covid_prevent22 Integer Recommended Do you know anyone who has the Coronavirus / COVID-19? 1;2;9998 1= No; 2= Yes; 9998= Do not want to answer
covid_prevent23 Integer Recommended How many times have you had COVID-19? 0 :: 5;9998 0= 0, I have never had COVID; 1=1; 2=2; 3=3; 4=4; 5= 5 or more; 9998= Do not want to answer
covid_prevent24 Integer Recommended Thinking about the most recent time you had COVID-19, how did you know you had COVID-19? 1 :: 4;9998 1= I had a positive COVID-19 test that I took at-home; 2= I had a positive COVID-19 test I took at a clinic or pharmacy; 3= I was diagnosed by a doctor; 4= I had symptoms (but did not get a test or a doctors diagnosis); 9998= Do not want to answer
covid_prevent25 Integer Recommended How did you know you had COVID-19? 1 :: 4;9998 1= I had a positive COVID-19 test that I took at-home; 2= I had a positive COVID-19 test I took at a clinic or pharmacy; 3= I was diagnosed by a doctor; 4= I had symptoms (but did not get a test or a doctors diagnosis); 9998= Do not want to answer
covid_prevent26 Integer Recommended Did you have at least one vaccination shot before you got COVID-19? 1 :: 4;9998 1= No, I got the vaccination shot after I got COVID; 2= Yes, I got one vaccination shot before I got COVID; 3= Yes, I got two vaccination shots before I got COVID; 4= Yes, I got three or more vaccination shots before I got COVID; 9998= Do not want to answer
covid_prevent27 Integer Recommended When was the most recent time you had COVID-19? 1 :: 4;9998 1= I have tested positive in the past 10 days; 2= Yes, I got one vaccination shot before I got COVID; 3= Yes, I got two vaccination shots before I got COVID; 4= Yes, I got three or more vaccination shots before I got COVID; 9998= Do not want to answer
covid_prevent1 Integer Recommended In the past 2 weeks, how often did you wear a mask or face covering, keeping it over your nose and mouth, when you were: In an indoor public place (this includes school, stores, restaurants and other public places). 1 :: 6;9998 1= Never; 2= Rarely; 3= Sometimes; 4= Most of the time; 5= All of the time; 6= I have not done this in the past 2 weeks; 9998= Do not want to answer
covid_prevent2 Integer Recommended In the past 2 weeks, how often did you wear a mask or face covering, keeping it over your nose and mouth, when you were: Doing something outside when you are in close contact with other people. 1 :: 6;9998 1= Never; 2= Rarely; 3= Sometimes; 4= Most of the time; 5= All of the time; 6= I have not done this in the past 2 weeks; 9998= Do not want to answer
covid_prevent3 Integer Recommended In the past 2 weeks, how often did you wear a mask or face covering, keeping it over your nose and mouth, when you were: On public transportation, including a bus, train, or plane. 1 :: 6;9998 1= Never; 2= Rarely; 3= Sometimes; 4= Most of the time; 5= All of the time; 6= I have not done this in the past 2 weeks; 9998= Do not want to answer
covid_prevent4 Integer Recommended Friends who are vaccinated. 1 :: 5;9998 1= None of them; 2= Some of them; 3= About half of them; 4= Almost all of them; 5= All of them; 9998= Do not want to answer
covid_prevent5 Integer Recommended Family who are vaccinated. 1 :: 5;9998 1= None of them; 2= Some of them; 3= About half of them; 4= Almost all of them; 5= All of them; 9998= Do not want to answer
covid_prevent6 Integer Recommended How many, if any, vaccination shots (or doses) for COVID-19 have you received (including booster shots)? 0 :: 5;9998 0=0; 1=1; 2=2; 3=3; 4=4; 5= 5 or more; 9998= Do not want to answer
covid_prevent7 Integer Recommended What type of COVID-19 vaccination shots have you gotten? 1 :: 4;9998 1= Moderna; 2= Pfizer; 3= Johnson and Johnson; 4= I do not know; 9998= Do not want to answer
what_mode_of_transportatio Integer Recommended What mode of transportation do you use most? 1::7 1 = Car; 2 = Bus; 3 = Train; 4 = Walking; 5 = Bike; 6 = Other; 7 = NA
if_other_please_explain String 1,000 Recommended If you selected ''other'' mode of transportation, please explain:
pfever Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Fever? 0;1 0 = No; 1 = Yes
pcough Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Cough? 0;1 0 = No; 1 = Yes
pshortness_of_breath Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Shortness Of Breath? 0;1 0 = No; 1 = Yes
ptrouble_breathing Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Trouble Breathing? 0;1 0 = No; 1 = Yes
ppersistent_pain Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Persistent Pain or Inability to Arouse? 0;1 0 = No; 1 = Yes
pblue_lips Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Bluish Lips or Face? 0;1 0 = No; 1 = Yes
ploss_taste Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Abnormal or Loss of Taste (Anosmia, Hyposmia, Dysgeusia)? 0;1 0 = No; 1 = Yes
psweating Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Sweating? 0;1 0 = No; 1 = Yes
pchills Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Chills? 0;1 0 = No; 1 = Yes
pfatigue Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Fatigue? 0;1 0 = No; 1 = Yes
pdiarrhea Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Diarrhea (>3 BM a day or loose stool)? 0;1 0 = No; 1 = Yes
pmusclepains Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Muscle/Body Pains? 0;1 0 = No; 1 = Yes
pvomiting Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: Vomiting? 0;1 0 = No; 1 = Yes
pnone Integer Recommended Since the COVID-19 Pandemic began, have you experienced the following symptom: None of these symptoms? 0;1 0 = No; 1 = Yes
wfever Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Fever? 0;1 0 = No; 1 = Yes
wcough Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Cough? 0;1 0 = No; 1 = Yes
wshortness_of_breath Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Shortness Of Breath? 0;1 0 = No; 1 = Yes
wtrouble_breathing Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Trouble Breathing? 0;1 0 = No; 1 = Yes
if_yes_were_you_admitted_a Integer Recommended If yes, were you admitted as an inpatient to treat COVID-19? 0;1 0 = No; 1 = Yes
wpersistent_pain Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Persistent Pain or Inability to Arouse? 0;1 0 = No; 1 = Yes
wblue_lips Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Bluish Lips or Face? 0;1 0 = No; 1 = Yes
wloss_taste Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Abnormal or Loss of Taste (Anosmia, Hyposmia, Dysgeusia)? 0;1 0 = No; 1 = Yes
wsweating Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Sweating? 0;1 0 = No; 1 = Yes
wchills Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Chills? 0;1 0 = No; 1 = Yes
wfatigue Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Fatigue? 0;1 0 = No; 1 = Yes
wdiarrhea Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Diarrhea (>3 BM a day or loose stool)? 0;1 0 = No; 1 = Yes
wmusclepains Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Muscle/Body Pains? 0;1 0 = No; 1 = Yes
wvomiting Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: Vomiting? 0;1 0 = No; 1 = Yes
wnone Integer Recommended When you tested positive for COVID-19, did you experience the following symptom: None of these symptoms? 0;1 0 = No; 1 = Yes
has_anyone_in_your_househo Integer Recommended Has anyone in your household tested positive for COVID-19? 0;1 0 = No; 1 = Yes
cfever Integer Recommended Are you currently experiencing the following symptom: Fever? 0;1 0 = No; 1 = Yes
ccough Integer Recommended Are you currently experiencing the following symptom: Cough? 0;1 0 = No; 1 = Yes
cshortness_of_breath Integer Recommended Are you currently experiencing the following symptom: Shortness Of Breath? 0;1 0 = No; 1 = Yes
ctrouble_breathing Integer Recommended Are you currently experiencing the following symptom: Trouble Breathing? 0;1 0 = No; 1 = Yes
cpersistent_pain Integer Recommended Are you currently experiencing the following symptom: Persistent Pain or Inability to Arouse? 0;1 0 = No; 1 = Yes
cblue_lips Integer Recommended Are you currently experiencing the following symptom: Bluish Lips or Face? 0;1 0 = No; 1 = Yes
closs_taste Integer Recommended Are you currently experiencing the following symptom: Abnormal or Loss of Taste (Anosmia, Hyposmia, Dysgeusia)? 0;1 0 = No; 1 = Yes
csweating Integer Recommended Are you currently experiencing the following symptom: Sweating? 0;1 0 = No; 1 = Yes
cchills Integer Recommended Are you currently experiencing the following symptom: Chills? 0;1 0 = No; 1 = Yes
cfatigue Integer Recommended Are you currently experiencing the following symptom: Fatigue? 0;1 0 = No; 1 = Yes
have_you_taken_care_of_a_c Integer Recommended Have you taken care of a COVID-19 patient? 0;1 0 = No; 1 = Yes
cdiarrhea Integer Recommended Are you currently experiencing the following symptom: Diarrhea (>3 BM a day or loose stool)? 0;1 0 = No; 1 = Yes
cmusclepains Integer Recommended Are you currently experiencing the following symptom: Muscle/Body Pains? 0;1 0 = No; 1 = Yes
cvomiting Integer Recommended Are you currently experiencing the following symptom: Vomiting? 0;1 0 = No; 1 = Yes
cnone Integer Recommended Are you currently experiencing the following symptom: None of these symptoms? 0;1 0 = No; 1 = Yes
initialwhysymptoms Integer Recommended Are you experiencing your current symptoms because of COVID-19? 0;1 0 = No; 1 = Yes
initialsymptomreason String 1,000 Recommended What is the cause of your current symptoms?
initialworseningsymptoms Integer Recommended Are your current symptoms more severe as a result of your COVID-19 infection? 0;1 0 = No; 1 = Yes
since_covid_19_smell Integer Recommended Since the COVID-19 pandemic began, have you noticed any change in your sense of smell? 0;1 0 = No; 1 = Yes
if_yes_what_change Integer Recommended If yes you have noticed any change in your sense of smell, what change? 1::4 1 = Less Smell; 2 = Loss of Smell; 3 = Abnormal Smell; 4 = Other
if_other_please_explain_smell String 1,000 Recommended If other, please explain:
covidvax Integer Recommended Have you been vaccinated for COVID-19? 0;1 0 = No; 1 = Yes
during_the_covid_19_pandem Integer Recommended Since the COVID-19 pandemic began have you had trouble maintaining your usual diet? 0;1 0 = No; 1 = Yes
vaxdate Date Recommended If yes, what was the approximate date you received your first dose? MM/DD/YYYY
have_you_traveled_since_th Integer Recommended Have you traveled since the COVID-19 pandemic began? 0;1 0 = No; 1 = Yes
if_yes_please_explain_e_g String 1,000 Recommended If yes, please explain (e.g., location):
covid_death1 Integer Recommended Do you know someone who has died from the Coronavirus / COVID-19? 1;2;9998 1= No; 2= Yes; 9998= Do not want to answer
covidexperience_8 Integer Recommended I have been in close proximity with someone who has had coronavirus-like symptoms in the last two months. 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_9 Integer Recommended I watch/read a lot of news about the Coronavirus (COVID-19). 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_10 Integer Recommended I purposefully try NOT to watch/read news on Coronavirus (COVID-19). 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_11 Integer Recommended I spend a huge percentage of my time trying to find updates online or on TV about Coronavirus (COVID-19). 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_score Integer Recommended Total score summed according to scoring key. Sum of covidexperience_1 to 11
covidexperience_1 Integer Recommended I have been tested for coronavirus (COVID-19) 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_2 Integer Recommended I have been diagnosed with coronavirus (COVID-19) 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_3 Integer Recommended I have had coronavirus-like symptoms at some point in the last two months. 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_4 Integer Recommended I have been sick with something other than the coronavirus in the last two months 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_5 Integer Recommended know someone who has been diagnosed with Coronavirus (COVID-19). 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_6 Integer Recommended I have been in close proximity with someone who has had coronavirus-like symptoms in the last two months. 0 :: 2 0= Uncertain; 1= No; 2= Yes
covidexperience_7 Integer Recommended I know someone who has had coronavirus-like symptoms in the last two months. 0 :: 2 0= Uncertain; 1= No; 2= Yes
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

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