Your Quarantine Fatigue Assessment

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Your 2-minute Quarantine Fatigue Assessment

Answer 15 multiple choice questions to access the 12-day Quarantine Fatigue Challenge. None of your data will be shared with any other organisation.

1
How much of the time during the past 4 weeks have you felt irritable?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
2
Type a question
3
How much of the time during the past 4 weeks have you felt stressed?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
4
Type a question
5
How much of the time during the past 4 weeks have you felt anxious?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
6
Type a question
7
How much of the time during the past 4 weeks have you experienced racing thoughts?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
8
Type a question
9
How much of the time during the past 4 weeks have you felt generally on edge?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
10
Type a question
11
How much of the time during the past 4 weeks have you had difficulty in getting to sleep?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
12
Type a question
13
How many hours of sleep are you getting on a nightly basis?* This field is required.Please give the one answer that comes closest to the way you have been feeling
Less than 6 hours
6-7 hours
7-9 hours
9-10 hours
Over 10 hours
14
Type a question
15
How much of the time during the past 4 weeks have you slept well and woken up feeling well-rested?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
16
Type a question
17
How much of the time during the past 4 weeks have you been LESS productive than you normally are?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
18
Type a question
19
How much of the time during the past 4 weeks have you been LESS motivated than you normally are?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
20
Type a question
21
How much of the time during the past 4 weeks have you been eating MORE than you normally do?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
22
Type a question
23
How much of the time during the past 4 weeks have you been eating LESS than you normally do?* This field is required.Please give the one answer that comes closest to the way you have been feeling
All of the time
Most of the time
A good bit of the time
Some of the time
A little of the time
None of the time
24
Type a question
25
How much are you moving on a daily basis?* This field is required.Estimate if you are unsure. Moderate intensity exercise includes brisk walking, cycling or sports.
Up to 2k steps OR 15 mins moderate exercise
2k-5k steps OR 15-30 mins of moderate exercise
5k-8k steps OR 30-45 mins of moderate exercise
8k-10k steps OR 45-60 mins of moderate exercise
Over 10k steps OR 60 mins of moderate exercise
26
Type a question
27
Roughly what percentage of the food that you eat contains refined sugar or carbohydrates?* This field is required.Refined carbohydrates are usually found in processed foods including fizzy drinks, baked goods, white bread, sweets, sauces, etc. Non-refined carbohydrates are found in fresh fruit, grains and other whole foods.
Less than 20%
20-50%
50-80%
80-100%
28
Type a question
29
Roughly how many glasses or cups of caffeinated beverages do you consume per day?* This field is required.Caffeinated beverages include coffee, black tea and energy drinks. Decaffeinated varieties and herbal teas can be excluded.
Up to 1 per day
1-2 per day
2-4 per day
4+ per day
30
Type a question
31
Do you ever consume caffeinated beverages after 2pm?* This field is required.
No, never
Yes, sometimes
Yes, regularly
32
Type a question
33
Roughly how many units of alcohol do you consume per week?* This field is required.A pint of lager contains 2 to 3 units of alcohol. A 125ml glass of wine contains 1.5 to 2 units of alcohol.
None
Up to 14 units per week
14-21 units per week
21+ units per week
34
Type a question
35
What is your name?* This field is required.
First Name
Last Name
36
What is the best email to send you the results?* This field is required.Make sure it's real!
example@example.com
37
utm_source
38
utm_medium
39
utm_campaign
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