EndDate

End Date

Status

Response Type

Progress

Progress

Duration_in_seconds

Duration (in seconds)

Finished

Finished

RecordedDate

Recorded Date

ResponseId

Response ID

DistributionChannel

Distribution Channel

UserLanguage

User Language

CSNT

Consent:

Q2.1

Please identify your primary professional role.

Q77_1

What type of license do you currently have? (check all that apply) - Selected Choice Occupational Therapy Assistant

Q77_2

What type of license do you currently have? (check all that apply) - Selected Choice Occupational Therapy

Q77_4

What type of license do you currently have? (check all that apply) - Selected Choice Other

Q77_4_TEXT

What type of license do you currently have? (check all that apply) - Other - Text

Q76_4

What type of license do you currently have? (check all that apply) - Selected Choice LPN

Q76_1

What type of license do you currently have? (check all that apply) - Selected Choice RN

Q76_2

What type of license do you currently have? (check all that apply) - Selected Choice NP

Q76_3

What type of license do you currently have? (check all that apply) - Selected Choice Other

Q76_3_TEXT

What type of license do you currently have? (check all that apply) - Other - Text

Q78_1

What type of license do you currently have? (check all that apply) - Selected Choice LSW

Q78_2

What type of license do you currently have? (check all that apply) - Selected Choice LGSW

Q78_3

What type of license do you currently have? (check all that apply) - Selected Choice LISW

Q78_4

What type of license do you currently have? (check all that apply) - Selected Choice LICSW

Q78_5

What type of license do you currently have? (check all that apply) - Selected Choice Other

Q78_5_TEXT

What type of license do you currently have? (check all that apply) - Other - Text

Q2.2

How long have you worked in your primary professional role as a nurse, occupational therapist, or social worker?

Q2.3_1

What is your current employment status? (check all that apply) - Selected Choice Full-time employee

Q2.3_2

What is your current employment status? (check all that apply) - Selected Choice Part-time employee

Q2.3_3

What is your current employment status? (check all that apply) - Selected Choice Per diem employee

Q2.3_4

What is your current employment status? (check all that apply) - Selected Choice Self-employed or business owner

Q2.3_5

What is your current employment status? (check all that apply) - Selected Choice Volunteer

Q2.3_8

What is your current employment status? (check all that apply) - Selected Choice Layed off or furloughed due to COVID-19

Q2.3_7

What is your current employment status? (check all that apply) - Selected Choice Unemployed

Q2.3_6

What is your current employment status? (check all that apply) - Selected Choice Other (please specify)

Q2.3_6_TEXT

What is your current employment status? (check all that apply) - Other (please specify) - Text

Q2.4_1

What service sector do you work in? (check all that apply) - Selected Choice Hospital or clinic-based

Q2.4_2

What service sector do you work in? (check all that apply) - Selected Choice Community-based

Q2.4_8

What service sector do you work in? (check all that apply) - Selected Choice Government

Q2.4_5

What service sector do you work in? (check all that apply) - Selected Choice Educational setting

Q2.4_6

What service sector do you work in? (check all that apply) - Selected Choice Disability services

Q2.4_7

What service sector do you work in? (check all that apply) - Selected Choice Other (please specify)

Q2.4_7_TEXT

What service sector do you work in? (check all that apply) - Other (please specify) - Text

Q2.5_1

How are your services funded? (check all that apply) - Selected Choice Clients/patients pay out-of-pocket

Q2.5_2

How are your services funded? (check all that apply) - Selected Choice Private health insurance

Q2.5_3

How are your services funded? (check all that apply) - Selected Choice Government health insurance (Medicaid, CHIP, etc.)

Q2.5_4

How are your services funded? (check all that apply) - Selected Choice School district funds

Q2.5_5

How are your services funded? (check all that apply) - Selected Choice Community funds

Q2.5_7

How are your services funded? (check all that apply) - Selected Choice Grant or foundation funded

Q2.5_8

How are your services funded? (check all that apply) - Selected Choice Do not know

Q2.5_6

How are your services funded? (check all that apply) - Selected Choice Other (please specify)

Q2.5_6_TEXT

How are your services funded? (check all that apply) - Other (please specify) - Text

Q2.6

Approximately how many clients/patients were on your caseload at the end of last week?

Q2.7

How do you typically provide services? - Selected Choice

Q2.7_4_TEXT

How do you typically provide services? - Other (please specify) - Text

Q63_1

Please indicate the age group(s) of the clients/patients with whom you work. (check all that apply) Birth to 3

Q63_3

Please indicate the age group(s) of the clients/patients with whom you work. (check all that apply) 4-6

Q63_4

Please indicate the age group(s) of the clients/patients with whom you work. (check all that apply) 7-12

Q63_5

Please indicate the age group(s) of the clients/patients with whom you work. (check all that apply) 13-17

Q63_6

Please indicate the age group(s) of the clients/patients with whom you work. (check all that apply) 18 or older

Q64_1

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Vision

Q64_2

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Movement

Q64_3

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Thinking

Q64_4

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Remembering

Q64_5

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Learning

Q64_6

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Communication

Q64_7

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Hearing

Q64_8

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Mental health

Q64_9

Please indicate if your clients/patients have any of the following disabilities. (check all that apply) Social relationships

Q54_1

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Wildfire

Q54_2

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Flood

Q54_3

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Severe summer/winter storm

Q54_4

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Hurricane

Q54_5

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Heatwave

Q54_6

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Tornado

Q54_7

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Earthquake

Q54_8

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Drought

Q54_9

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Pandemic (e.g., COVID-19)

Q54_10

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - House fire

Q54_11

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Power outage lasting longer than two days

Q54_12

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Other (please specify)

Q54_12_TEXT

An emergency is a serious, dangerous, and often unexpected situation requiring immediate action. We are going to primarily ask you questions about (a) emergencies triggered by natural hazards (e.g., floods, severe storms, earthquakes, tornados); (b) pandemics (e.g., COVID-19); and (c) other types of emergencies (e.g., house fire, power outage lasting longer than two days).

Have you personally experienced one or more of the following emergencies either where you currently live, somewhere else, or both? (check all that apply) - Other (please specify) - Text

Q3.4_1

To what degree do you understand your risk of being affected by different types of emergencies? - Wildfire

Q3.4_2

To what degree do you understand your risk of being affected by different types of emergencies? - Flood

Q3.4_3

To what degree do you understand your risk of being affected by different types of emergencies? - Severe summer/winter storm

Q3.4_4

To what degree do you understand your risk of being affected by different types of emergencies? - Heatwave

Q3.4_5

To what degree do you understand your risk of being affected by different types of emergencies? - Tornado

Q3.4_6

To what degree do you understand your risk of being affected by different types of emergencies? - Drought

Q3.4_7

To what degree do you understand your risk of being affected by different types of emergencies? - Pandemic (e.g., COVID-19)

Q3.4_8

To what degree do you understand your risk of being affected by different types of emergencies? - House fire

Q3.4_9

To what degree do you understand your risk of being affected by different types of emergencies? - Power outage lasting longer than two days

Q3.4_10

To what degree do you understand your risk of being affected by different types of emergencies? - Other (please specify)

Q3.4_10_TEXT

To what degree do you understand your risk of being affected by different types of emergencies? - Other (please specify) - Text

Q3.3_1

How important do you think it is to learn about … - Emergencies triggered by natural hazards (e.g., floods, severe summer/winter storms, earthquakes, tornados)

Q3.3_2

How important do you think it is to learn about … - A pandemic (e.g., COVID-19)

Q3.3_3

How important do you think it is to learn about … - Other types of emergencies (e.g., house fire, power outage lasting longer than two days)

Q4.1_1

How important do you think it is to personally prepare for … - Emergencies triggered by natural hazard

Q4.1_2

How important do you think it is to personally prepare for … - A pandemic

Q4.1_3

How important do you think it is to personally prepare for … - Other types of emergencies (e.g., house fire, power outage lasting longer than two days)

Q4.2_1

How much do you know about preparing for different types of emergencies? - Wildfire

Q4.2_2

How much do you know about preparing for different types of emergencies? - Flood

Q4.2_3

How much do you know about preparing for different types of emergencies? - Severe summer/winter storm

Q4.2_4

How much do you know about preparing for different types of emergencies? - Heatwave

Q4.2_5

How much do you know about preparing for different types of emergencies? - Tornado

Q4.2_6

How much do you know about preparing for different types of emergencies? - Drought

Q4.2_7

How much do you know about preparing for different types of emergencies? - Pandemic

Q4.2_8

How much do you know about preparing for different types of emergencies? - House fire