The CoRonavIruS Health Impact Survey
The CRISIS Survey is designed to enable researchers and care providers to examine the extent and impact of life changes induced by the epidemic on the mental health and behavior of individuals and families across diverse international settings. Our hope is that such data will enable the identification of pre-, peri, and post-COVID-19 demographic, social, and clinical predictors of both short- and long-term impairment and distress induced by COVID-19 and its sequelae.
This study utilizes several questionnaires, targeting three different samples: adults, youth, and caregivers/parents.
There are four versions of the CRISIS questionnaires each for adults, youth and caregivers/parents:
(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; 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.
Two questionnaires from the BASELINE CURRENT FORM have been annotated, one for adults called the "Adult Self-Report Baseline: Current form" and the other for youth called the "Youth Self-Report Baseline Form: Current form".