Corona Quarantine — Operation Vet Fit Operation Vet FIt

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Research Investigation: Examining the mental health impact of the Corona Virus Pandemic on the General Public. Specifically as it pertains to anxiety, depression and well-being.

Name

First Name

Last Name

In the last 7 days, how many days have you exercised?

In the last 7 days how many minutes was your typical workout?

10, 15, 30, 45, 60, 90, 120?

Well Being Questionnaire - PANAS

This first of three scales consists of a number of words that describe different feelings and emotions. Read each word then list the number as it relates to each word. Indicate to what extent during the prior MONTH of the pandemic you recall feeling.

1. Interested

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

2. Distressed

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

3. Excited

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

4. Upset

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

5. Strong

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

6. Guilty

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

7. Scared

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

8. Hostile

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

9. Enthusiastic

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

10. Proud

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

11. Irritable

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

12. Alert

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

13. Ashamed

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

14. Inspired

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

15. Nervous

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

16. Determined

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

17. Attentive

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

18. Jittery

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

19. Active

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

20. Afraid

1=Very Slightly or Not at All - 2= A Little - 3=Moderately - 4= Quite a bit - 5= Extremely

Depression Scale - PHQ-9

During the prior MONTH of the pandemic, how often were you bothered by any of the following problems? Please enter a number only.

1. Little interest or pleasure in doing things

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

2. Feeling down, depressed, or hopeless

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

3. Trouble falling asleep or staying asleep, or sleeping too much

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

4. Feeling tired or having little energy

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

5. Poor appetite or overeating

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

7. Trouble concentrating on things, such as reading the newspaper or watching television

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

8. Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

9. Thoughts that you would be better off dead or of hurting yourself in some way

0=Not at all, 1=Several Days, 2=More than half the days, 3=Nearly every day.

10. If you checked off any problems, how difficult have these problems made it for you to work, take care of things at home, or get along with other people?

0=Not Difficult at all, 1=Somewhat difficult, 2=Very difficult 3=Extremely difficult

Anxiety Scale GAD 7

During the prior MONTH of the pandemic, how often were you bothered by any of the following problems? Please enter a number only.

1. Feeling nervous, anxious, or on edge?

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

2. Not being able to stop or control worrying?

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

3. Worrying too much about different things

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

4. Trouble relaxing?

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

5. Being so restless that it is hard to sit still?

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

6. Becoming easily annoyed or irritable?

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

7. Feeling afraid as if something awful might happen?

0=not at all, 1= Several days, 2=More than half the days, 3=Nearly every day

8. If you checked off any problems, how difficult have these problems made it for you to work, take care of things at home, or get along with other people?

1= Not at all difficult, 2= Somewhat difficult, 3=Very difficult, 4=Extremely difficult