Skip to main content

Table 1 The personal demographics questionnaire

From: Comparison of hospital worker anxiety in COVID-19 treating and non-treating hospitals in the same city during the COVID-19 pandemic

1. Gender:

male / female / other

2. Age:

___

3. Who lives in your household?

spouse / parents / children / siblings / flat mate / alone / other

4. In which hospital do you work?

Ein Kerem / Mount Scopus / other

5. What is your position in the hospital?

senior doctor / resident / nursing staff / intern / lab worker / clerical staff / general services / technician / physical or occupational therapist / dietician / national service volunteer / nurse aid / volunteer / social worker or psychologist / other

6. In what department do you work?

______________________

7. Are you on a COVID-19 Department team?

yes / no / other

8. Are you currently working?

working in the hospital / COVID-19 home isolation / at home for other reason (maternity leave, other illness, on work leave without pay ect.)

9. The following are risk factors for COVID-19. Do you suffer from any of them?

diabetes / obesity / hypertension / chronic heart disease / chronic lung disease / smoker

10. Have you been in isolation because of the COVID-19?

yes / no

11. Have you have been tested for COVID-19?

yes / no

12. What were the COVID-19 test result?

positive /negative / results not received

13. Did you feel relieved after getting tested?

yes / maybe / no

13. Of all of the following, which is of the most concern?

getting COVID-19 / infecting family / giving corona to patients / my children are at home when I am in hospital / financial problems / professional burnout / other

14. Of the following, which would make the corona epidemic easier for you?

better protective gear / educational solution for my children / psychological support / group support / financial help / other

15. What percentage do you estimate that you already have gotten the corona virus?

______%