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The CoRonavIruS Health Impact Survey (CRISIS)

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The CoRonavIruS Health Impact Survey (CRISIS) V0.3

If you are unfamiliar with GitHub, you can also read information about the CRISIS survey at crisissurvey.org(http://www.crisissurvey.org/) or just download the forms directly.

USAGE NOTES

The following information is also available in CRISIS V 0.3 Usage Form.docx.

Attribution License: CC-BY-4.0 (https://creativecommons.org/licenses/by/4.0/)

The CRISIS questionnaires were developed through a collaborative effort between the research teams of Kathleen Merikangas and Argyris Stringaris at the National Institute of Mental Health Intramural Research Program Mood Spectrum Collaboration, and those of Michael P. Milham at the Child Mind Institute and the New York State Nathan S. Kline Institute for Psychiatric Research. There are a number of items, e.g. race, education and other demographic information that could be adapted for the country where they are being used. Translations are ongoing, please write to us (Argyris.Stringaris@nih.gov) for back-translations/permissions. These forms are also available at crisissurvey.org.

CRISIS Description

Measures

The CRISIS questionnaires include the following domains:

  • Background (e.g., Demographics, Health, Family/living situation)
  • Coronavirus/covid-19 health/exposure status
  • Life changes due to coronavirus/covid-19 crisis
  • Daily behaviors (e.g., sleep, physical activity, time outdoors)
  • Emotions/worries (e.g., mood circumplex)
  • Media use (e.g., mobile devices, media, etc.)
  • Substance use (e.g., tobacco, alcohol, other drugs)

Versions

There are four versions of the CRISIS questionnaires:

  1. BASELINE FORM that is completed at the first contact and includes the following sections: (1) a Background section that obtains some basic demographic information; (2) Past Three Month assessment of the survey domains shown below; and (3) Past Two Week assessment of the same domains;

  2. BASELINE CURRENT FORM that is a shorter version of the BASELINE FORM that excludes the Past Three-Month assessment;

  3. FOLLOW UP FORM that assesses the same domains across optional time study-specific periods (e.g., weekly, bi-weekly, monthly);

  4. FOLLOW UP CURRENT FORM that does not ask about disruption of supports.

The Baseline takes about 10-12 minutes and the Follow Up about 5-7 minutes.

Translations

Translations are available in the Translations directory.
v0.1.5 translations:

  • Turkish (Baseline and Follow Up) v0.2 translations:
  • Hebrew
  • German v0.3 translations:
  • Spanish
  • Brazilian Portuguese (Baseline Forms)
  • Greek
  • Turkish (Current Forms)
  • French (Baseline Forms)
  • Swedish (Adult Current)
  • Mandarin (Simplified)

Adaptations

Adaptations of the CRISIS survey to additional populations are available in the Adaptations directory.

  • Autism and related neurodevelopmental conditions (AFAR; Baseline Parent Form)

Version History

Word documents with track changes for English versions are available in the Changes directory.

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The CoRonavIruS Health Impact Survey (CRISIS)

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