Impact of Lockdown on Families
Help us understand how lockdown measures have affected your family life, routines, and well-being.
Please provide your full name.
*
First Name
Last Name
What is your email address?
*
example@example.com
How many people are in your household?
*
Please indicate the age groups of household members (select all that apply).
*
Children (0-12 years)
Teenagers (13-19 years)
Adults (20-64 years)
Seniors (65+ years)
How would you rate the overall impact of the lockdown on your family?
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Very Negative
1
2
3
4
Very Positive
5
1 is Very Negative, 5 is Very Positive
During the lockdown, how did the following aspects of your family life change?
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Rows
Much Worse
Somewhat Worse
No Change
Somewhat Improved
Much Improved
Family relationships
1
2
3
4
5
Work-life balance
6
7
8
9
10
Children's education
11
12
13
14
15
Financial situation
16
17
18
19
20
Physical health
21
22
23
24
25
Mental/emotional health
26
27
28
29
30
What were the most significant challenges your family faced during the lockdown? (Select all that apply)
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Financial hardship
Access to education
Access to healthcare
Social isolation
Mental health issues
Balancing work and home life
Other
How did your family cope with the challenges of lockdown? (Select all that apply)
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Staying connected with friends/family online
Engaging in hobbies or activities
Seeking professional support (e.g., counseling)
Physical exercise
Other
On a scale of 1 to 5, how satisfied are you with your family's ability to adapt to the lockdown?
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Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
Please share any additional comments, experiences, or suggestions regarding the impact of lockdown on your family.
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