The first portion of our survey is used to determine if you are eligible for this study. If you are deemed eligible, you will then be asked to read through our consent form and provide your informed consent decision.
]]>This portion of our survey is to gain your informed consent. Please read through the following consent form and make an informed decision about whether you would like to participate.
]]>This portion of our survey is to better understand your clinical symptoms and management of COVID-19. The purpose of this portion of the survey is to gather standardized clinical data from individuals after hospital discharge or after the acute illness regarding the medium- and long-term consequences of COVID-19.
The acute illness is defined as the initial 28 days from a confirmed or suspected COVID-19 infection.
]]><![CDATA[S2]]>one year ago, how would you rate your health in general now?]]><![CDATA[S3]]>now limit you in these activities? If so, how much?]]><![CDATA[S4]]>past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? ]]><![CDATA[S5]]>past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?]]><![CDATA[S6]]>past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbours, or groups?]]><![CDATA[S7]]>bodily pain have you had during the past 4 weeks?]]><![CDATA[S8]]>past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?]]><![CDATA[S9]]>These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling.
How much of the time during the past 4 weeks...
]]><![CDATA[S10]]>past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?]]><![CDATA[S11]]> true or false each of the following statements is for you.]]><![CDATA[W8]]><![CDATA[W9]]><![CDATA[W10]]>second confirmed or suspected COVID-19 episode/reinfection?]]><![CDATA[W11]]><![CDATA[W12]]><![CDATA[W13]]><![CDATA[W14]]>past 7 days, how much difficulty have you had with the following?]]><![CDATA[W15]]><![CDATA[W151]]><![CDATA[W71]]><![CDATA[W72]]><![CDATA[W73]]><![CDATA[W711]]><![CDATA[W721]]><![CDATA[W731]]><![CDATA[W81]]><![CDATA[W82]]><![CDATA[W101]]><![CDATA[W102]]><![CDATA[W111]]><![CDATA[W1111]]>first dose?]]><![CDATA[W1112]]>first dose of the COVID-19 vaccine?]]><![CDATA[W1121]]>second dose?]]><![CDATA[W1131]]> third dose?]]><![CDATA[W1122]]>second dose of the COVID-19 vaccine?]]><![CDATA[W1132]]>third dose of the COVID-19 vaccine?]]><![CDATA[W121]]><![CDATA[W1211]]><![CDATA[W15SQ039]]><![CDATA[W15SQ40]]><![CDATA[W85]]><![CDATA[W84]]><![CDATA[W841]]><![CDATA[W842]]><![CDATA[W83]]><![CDATA[W851]]><![CDATA[W81111111]]><![CDATA[W151A]]><![CDATA[W78]]><![CDATA[W851A]]><![CDATA[W851B]]>qidparent_qidsidgidtypetitlequestionpreghelpothermandatoryquestion_orderlanguagescale_idsame_defaultrelevancemodulename<![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ001]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ009]]><![CDATA[SQ010]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ009]]><![CDATA[SQ010]]><![CDATA[SQ001]]><![CDATA[SQ002]]><![CDATA[SQ004]]><![CDATA[SQ003]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ009]]><![CDATA[SQ010]]><![CDATA[SQ011]]><![CDATA[SQ012]]><![CDATA[SQ013]]><![CDATA[SQ014]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ009]]><![CDATA[SQ010]]><![CDATA[SQ011]]><![CDATA[SQ012]]><![CDATA[SQ013]]><![CDATA[SQ014]]><![CDATA[SQ015]]><![CDATA[SQ016]]><![CDATA[SQ017]]><![CDATA[SQ018]]><![CDATA[SQ019]]><![CDATA[SQ020]]><![CDATA[SQ021]]><![CDATA[SQ022]]><![CDATA[SQ023]]><![CDATA[SQ024]]><![CDATA[SQ025]]><![CDATA[SQ026]]><![CDATA[SQ027]]><![CDATA[SQ028]]><![CDATA[SQ029]]><![CDATA[SQ030]]><![CDATA[SQ031]]><![CDATA[SQ032]]><![CDATA[SQ033]]><![CDATA[SQ034]]><![CDATA[SQ035]]><![CDATA[SQ036]]><![CDATA[SQ037]]><![CDATA[SQ038]]><![CDATA[SQ039]]><![CDATA[SQ040]]><![CDATA[SQ041]]><![CDATA[SQ042]]><![CDATA[SQ043]]><![CDATA[SQ044]]><![CDATA[SQ045]]><![CDATA[SQ046]]><![CDATA[SQ047]]><![CDATA[SQ048]]><![CDATA[SQ049]]><![CDATA[SQ050]]><![CDATA[SQ051]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ002]]><![CDATA[SQ003]]><![CDATA[SQ004]]><![CDATA[SQ005]]><![CDATA[SQ006]]><![CDATA[SQ007]]><![CDATA[SQ008]]><![CDATA[SQ009]]>idsidnameqlimitactionactiveautoload_urlidsidqidquota_idcodequotals_idquotals_quota_idquotals_languagequotals_namequotals_messagequotals_urlquotals_urldescripsidadminexpiresstartdateadminemailanonymizedfaxtoformatsavetimingstemplatelanguageadditional_languagesdatestampusecookieallowregisterallowsaveautonumber_startautoredirectallowprevprintanswersipaddrrefurlpublicstatisticspublicgraphslistpublichtmlemailsendconfirmationtokenanswerspersistenceassessmentsusecaptchausetokensbounce_emailattributedescriptionsemailresponsetoemailnotificationtotokenlengthshowxquestionsshowgroupinfoshownoanswershowqnumcodebouncetimebounceprocessingbounceaccounttypebounceaccounthostbounceaccountpassbounceaccountencryptionbounceaccountusershowwelcomeshowprogressquestionindexnavigationdelaynokeyboardalloweditaftercompletiongoogleanalyticsstylegoogleanalyticsapikeysurveyls_survey_idsurveyls_languagesurveyls_titlesurveyls_descriptionsurveyls_welcometextsurveyls_endtextsurveyls_urlsurveyls_urldescriptionsurveyls_email_invite_subjsurveyls_email_invitesurveyls_email_remind_subjsurveyls_email_remindsurveyls_email_register_subjsurveyls_email_registersurveyls_email_confirm_subjsurveyls_email_confirmsurveyls_dateformatsurveyls_attributecaptionsemail_admin_notification_subjemail_admin_notificationemail_admin_responses_subjemail_admin_responsessurveyls_numberformatattachmentsWelcome to our survey for our study titled "Co-Creating a Rehabilitation Strategy to Support Psychosocial Recovery of Individuals with Long COVID".
‘Long COVID’ (LC) is emerging as a condition that impacts up to 35% of COVID patients and involves a collection of symptoms that develop during or after a COVID infection (either confirmed or suspected) and that continues for more than 28 days. Symptoms may include severe fatigue, headaches, brain fog, muscle aches and pain, and reduced quality of life. In light of these pervasive physical and psychosocial symptoms, we do not yet know the best ways to holistically support PWLC through rehabilitation.
The purpose of this study is to gain a better understanding of how to support people with long-COVID's (PWLC) psychosocial recovery. To address this goal, we are asking you to complete a 30-minute survey to help us learn more about the experiences and needs of PWLC. We will ask you questions about your background, your health status, your quality of life, and any persisting COVID symptoms.
You do not have to complete the survey all at once and can pause and resume as many times as needed. Upon completing this survey, you will be re-directed to another survey link where you will be asked to input your contact information if you'd like to learn more about our optional virtual interview (by phone or Zoom) which should take approximately 45-60 minutes to complete. Before you complete this survey, we ask for you to please provide your consent and ensure you meet our eligibility criteria. To provide consent and ensure you are eligible for the study, please click 'Next'.
]]>
you have been invited to participate in a survey.
The survey is titled:
"{SURVEYNAME}"
"{SURVEYDESCRIPTION}"
To participate, please click on the link below.
Sincerely,
{ADMINNAME} ({ADMINEMAIL})
----------------------------------------------
Click here to do the survey:
{SURVEYURL}
If you do not want to participate in this survey and don't want to receive any more invitations please click the following link:
{OPTOUTURL}
If you are blacklisted but want to participate in this survey and want to receive invitations please click the following link:
{OPTINURL}]]>
Recently we invited you to participate in a survey.
We note that you have not yet completed the survey, and wish to remind you that the survey is still available should you wish to take part.
The survey is titled:
"{SURVEYNAME}"
"{SURVEYDESCRIPTION}"
To participate, please click on the link below.
Sincerely,
{ADMINNAME} ({ADMINEMAIL})
----------------------------------------------
Click here to do the survey:
{SURVEYURL}
If you do not want to participate in this survey and don't want to receive any more invitations please click the following link:
{OPTOUTURL}]]>
You, or someone using your email address, have registered to participate in an online survey titled {SURVEYNAME}.
To complete this survey, click on the following URL:
{SURVEYURL}
If you have any questions about this survey, or if you did not register to participate and believe this email is in error, please contact {ADMINNAME} at {ADMINEMAIL}.]]>
this email is to confirm that you have completed the survey titled {SURVEYNAME} and your response has been saved. Thank you for participating.
If you have any further questions about this email, please contact {ADMINNAME} on {ADMINEMAIL}.
Sincerely,
{ADMINNAME}]]>
A new response was submitted for your survey '{SURVEYNAME}'.
Click the following link to reload the survey:
{RELOADURL}
Click the following link to see the individual response:
{VIEWRESPONSEURL}
Click the following link to edit the individual response:
{EDITRESPONSEURL}
View statistics by clicking here:
{STATISTICSURL}]]>
A new response was submitted for your survey '{SURVEYNAME}'.
Click the following link to reload the survey:
{RELOADURL}
Click the following link to see the individual response:
{VIEWRESPONSEURL}
Click the following link to edit the individual response:
{EDITRESPONSEURL}
View statistics by clicking here:
{STATISTICSURL}
The following answers were given by the participant:
{ANSWERTABLE}]]>