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Table 1 Selected items used in the current analysis from the planning tool

From: Mental health and wellbeing implications of the COVID-19 quarantine for disabled and disadvantaged children and young people: evidence from a cross-cultural study in Zambia and Sierra Leone

Survey details

 

Question

Response option

A. Socio-demographics

 

Gender

Male

 

Female

 

Prefer not to say

Age

[dropdown, age rollup]

Nationality

Zambian

 

Sierra Leonean

Zambia/Sierra Leone Province

[dropdown, provinces rollup]

Educational Level

[dropdown, specify]

Type of Disabilities

[dropdown, specify]

Family occupation/income per month

Very low (0$) to very high (1,3600$)

Who owns land/housing

[dropdown, specify]

B. Wellbeing

 

I’ve been feeling optimistic about the future

None of the time (1)

I’ve been feeling useful

Rarely (2)

I’ve been feeling relaxed

Some of the time (3)

I’ve been dealing with problems well

Often (4)

I’ve been thinking clearly

All of the time (5)

I’ve been feeling close to other people

 

I’ve been able to make up my own mind about things

 

C. Social networks

 

I feel I have lots of close friends who support me

one of the time

 

Rarely

 

Some of the time

 

Often

 

All of the time

I have a lot of friends and family around me who I can trust

 

Since the outbreak of COVID-19, I have felt more connected to others

 

D. My response to COVID-19

 

We’d like to know how many people live in your household. Please tell us how many people, including yourself, are living with you:

I’m living alone

 

2 people

 

3 people

 

4 people

 

5 people

 

6 people or more

How many rooms are in your home? (Not including any bathrooms or toilets)

[dropdown, number rollup]

Do you have access to outside space where you can currently play, walk or hang out?

Yes in public places/private place

 

No

How would you rate your understanding to stay safe and well due to COVID-19 (Coronavirus)?

[Dropdown, specify]

Have you or other members of your family had COVID-19 (Coronavirus)?

[Dropdown, specify]

Are you worried about the long-term impact that COVID-19 (Coronavirus) and lockdown will have on your education, training and work?

[Dropdown, specify]

Which statement applies for you during epidemics of COVID-19 (Coronavirus)?

[Dropdown, specify]

Have you or any member of your family received any help response towards COVID-19?

[Dropdown, yes/no]

Do you feel you would need to be supported in relation to your response to COVID-19 and thereafter?

Not at all

 

Yes, a bit

 

Yes, a lot

 

Yes, completely

What kind of supports would you like to receive in relation to your response to COVID-19 (Coronavirus) and isolation during epidemics and thereafter?

[Dropdown, specify]

Have you exercised during social distancing and taken part in sport?

[Dropdown, specify]

Is there anything else you would like to add about how COVID-19 has impacted on you and your life?

[Open-ended questions]

Suggest ways in which sports can be used as a solution to COVID-19

[Open-ended questions]