Mental Health During COVID-19: A Comparative Study of White Social Workers and Social Workers of Color
Please complete all questions and submit your answers when finished.
1.
Choose your age range
22-29 years old
30-39 years old
40-49 years old
50-59 years old
60-69 years old
70+ years old
2.
Do you reside in the United States?
Yes
No
3.
Identify your gender
Female
Male
Transgender Male
Transgender Female
Non-Conforming
Not listed: _________________________
4.
Please indicate your social work degree
Bachelors of Social Work
Masters of Social Work
PhD in Social Work or DSW
Other _________________________
5.
Are you actively employed as a social worker?
Yes
No
6.
How many years have you been practicing?
0-2 years
3-5 years
6-10 years
11-15 years
16-20 years
20+ years
7.
Do you identify as White/Caucasian?
Yes
No
8.
Do you identify as a person of color?
Yes
No
9.
What racial group do you identify with?
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
Multi-racial or Biracial
Not listed: __________________
10.
Answer the following questions based on how you have felt in the past two weeks during the COVID-19 Pandemic.
0- I do not feel sad
1- I feel sad
2- I am sad all the time and I can’t snap out of it
3- I am so sad and unhappy that I can’t stand it
11.
Please select one
0- I am not particularly discouraged about the future
1- I feel discouraged about the future
2- I feel I have nothing to look forward to
3- I feel the future is hopeless and that things cannot improve
12.
Please select one
0- I do not feel like a failure
1- I feel I have failed more than the average person
2- As I look back on life, all I can see is a lot of failures
3- I feel I am a complete failure as a person
13.
Please select one
0- I get as much satisfaction out of things as I used to
1- I don’t enjoy things the way I used to
2- I don’t get real satisfaction out of anything anymore
3- I am dissatisfied or bored with everything
14.
Please select one
0- I don’t feel particularly guilty
1- I feel guilty a good part of the time
2- I feel quite guilty most of the time
3- I feel guilty all of the time
15.
Please select one
0- I don’t feel I am being punished
1- I feel I may be punished
2- I expect to be punished
3- I feel I am being punished
16.
Please select one
0- I don’t feel disappointed in myself
1- I am disappointed in myself
2- I am disgusted with myself
3- I hate myself
17.
Please select one
0- I don’t feel I am any worse than anybody else
1- I am critical of myself for my weaknesses or mistakes
2- I blame myself all the time for my faults
3- I blame myself for everything bad that happens
18.
Please select one
0- I don’t have any thoughts of killing myself
1- I have thoughts of killing myself but I would not carry them out
2- I would like to kill myself
3- I would kill myself if I had the chance
19.
Please select one
0- I don’t cry anymore than usual
1- I cry more now than I used to
2- I cry all the time now
3- I used to be able to cry, but now I can’t cry even though I want to
20.
Please select one
0- I am not more irritated by things than I ever was
1- I am slightly more irritated now than usual
2- I am quite annoyed or irritated a good deal of the time
3- I feel irritated all the time
21.
Please select one
0- I have not lost interest in other people
1- I am less interested in other people than I used to be
2- I have lost most of my interest in other people
3- I have lost all of my interest in other people
22.
Please select one
0- I make decisions about as well as I ever could
1- I put off making decisions more than I used to
2- I have greater difficulty in making decisions more than I used to
3- I can’t make decisions at all anymore
23.
Please select one
0- I don’t feel that I look any worse than I used to
1- I am worried that I am looking old or unattractive
2- I feel there are permanent changes in my appearance that make me look unattractive
3- I believe that I look ugly
24.
Please select one
0- I can work about as well as before
1- It takes an extra effort to get started at doing something
2- I have to push myself very hard to do anything
3- I can’t do any work at all
25.
Please select one
0- I can sleep as well as usual
1- I don’t sleep as well as I used to
2- I wake up 1-2 hours earlier than usual and find it hard to get back to sleep
3- I wake up several hours than I used to and cannot get back to sleep
26.
Please select one
0- I don’t get more tired than usual
1- I get tired more easily than I used to
2- I get tired from doing almost anything
3- I am too tired to do anything
27.
Please select one
0- My appetite is no worse than usual
1- My appetite is not as good as it used to be
2- My appetite is much worse now
3- I have no appetite at all anymore
28.
Please select one
0- I haven’t lose much weight, if any, lately
1- I have lost more than five pounds
2- I have lost more than ten pounds
3- I have lost more than fifteen pounds
29.
Please select one
0- I am no worried about my health than usual
1- I am worried about physical problems like aches, pains, upset stomach, or constipation
2- I am very worried about physical problems that I cannot think of anything else
3- I am so worried about my physical problems that I cannot think of anything else
30.
Please select one
0- I have not noticed any recent change in my interest in sex
1- I am less interested in sex than I used to be
2- I have almost no interest in sex
3- I have lost all interest in sex completely
31.
Feeling nervous, anxious or on edge
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
32.
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
33.
Worrying too much about different things
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
34.
Trouble relaxing
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
35.
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
36.
Becoming easily annoyed or irritable
0- Not at all
1- Several days
2- More than half the days
3- Nearly every day
37.
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
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.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
39.
You are treated with less respect than other people are.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
40.
You receive poorer service than other people at restaurants or stores.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
41.
People act as if they think you are not smart.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
42.
People act as if they are afraid of you.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
43.
People act as if they think you are dishonest.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
44.
People act as if they are better than you are.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
45.
You are called names or insulted.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
46.
You are threatened or harassed.
Almost everyday
At least once a week
A few times a month
A few times a year
Less than once a year
Never
47.
Have you, or do you know anyone close to you who has/have had COVID-19? (Check all that apply).
Yes, I have/ had COVID-19
Yes, a close family member or friend has had COVID-19
I have never had COVID-19
No one close to me has had COVID-19
48.
In the past year, have you had to provide direct services to clients or are you able to provide telehealth services?
Direct Services
Telehealth Services
Hybrid
*
49.
How much of your time (percentage) has been spent working with clients in person in the past 6 months?
(Required.)
Thank you for contributing to our study!
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