Please complete all questions and submit your answers when finished.

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* 1. Choose your age range

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* 2. Do you reside in the United States?

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* 3. Identify your gender

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* 4. Please indicate your social work degree

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* 5. Are you actively employed as a social worker?

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* 6. How many years have you been practicing?

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* 7. Do you identify as White/Caucasian?

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* 8. Do you identify as a person of color?

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* 9. What racial group do you identify with?

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* 10. Answer the following questions based on how you have felt in the past two weeks during the COVID-19 Pandemic.

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* 11. Please select one

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* 12. Please select one

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* 13. Please select one

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* 14. Please select one

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* 15. Please select one

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* 16. Please select one

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* 17. Please select one

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* 18. Please select one

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* 19. Please select one

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* 20. Please select one

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* 21. Please select one

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* 22. Please select one

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* 23. Please select one

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* 24. Please select one

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* 25. Please select one

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* 26. Please select one

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* 27. Please select one

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* 28. Please select one

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* 29. Please select one

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* 30. Please select one

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* 31. Feeling nervous, anxious or on edge

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* 32. Not being able to stop or control worrying.

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* 33. Worrying too much about different things

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* 34. Trouble relaxing

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* 35. Being so restless that it is hard to sit still.

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* 36. Becoming easily annoyed or irritable

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* 37. Feeling afraid, as if something awful might happen

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* 38. In your day-to-day life, how often do any of the following things happen to you?
You are treated with less courtesy than other people are.

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* 39. You are treated with less respect than other people are.

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* 40. You receive poorer service than other people at restaurants or stores.

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* 41. People act as if they think you are not smart.

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* 42. People act as if they are afraid of you.

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* 43. People act as if they think you are dishonest.

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* 44. People act as if they are better than you are.

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* 45. You are called names or insulted.

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* 46. You are threatened or harassed.

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* 47. Have you, or do you know anyone close to you who has/have had COVID-19? (Check all that apply).

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* 48. In the past year, have you had to provide direct services to clients or are you able to provide telehealth services?

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* 49. How much of your time (percentage) has been spent working with clients in person in the past 6 months?

Thank you for contributing to our study!
To enter the gift card raffle, email code: "RacialTrauma" and your name to VAlvarez1@Tulane.edu. 

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