Research on the Fear of Contagious Diseases
This is an investigative study about the "fear of contagious diseases" related to the Coronavirus. Your answers will not be interpreted individually. The possible changes affecting your daily life after hearing about the Coronavirus have been stated. Please select the appropriate options according to the changes you have observed in yourself. Thank you for your contribution!

Dr. Ömer AKGÜL
Sign in to Google to save your progress. Learn more
After hearing about the Coronavirus... *
Decreased Substantially
Decreased
Did Not Change
Increased
Increased Substantially
My wish to have a medical examination
How often I use public transportation
My irritation of people coughing or sneezing
Desire to frequently wash my hands
My curiosity for following the news
How often I wash foods
My hesitation to eat or drink out
Trouble with keeping up with my sleeping routine
My worries about the future
My concerns for my personal health
Differences in my routine/daily life
My interest in what is going on with my body
My pains and aches
My fear of diseases
My concerns of personal health compared to other people
My belief that people are not taking necessary precautions about contagious diseases
The “what if” feeling I have, although my medical examination results were good
How likely I find the possibility of me catching a contagious disease
How much symptoms bother me
My doubts about the symptoms I have
How well I cope with thoughts about illness
How much thoughts like “what will happen if I get ill” occupy my mind
My desire to get away from environments where the disease is being talked about
My curiosity about the reasons for the changes in my body
My belief that I have the risk of catching the disease
How interested people are in my health
My belief in the healing power of modern medicine
My belief that even if I have serious illness, I will continue to enjoy life
Difficulty in focusing on my occupations
My belief that people are not taking my health seriously
Anxiety of a serious illness affecting all aspects of my life
My joy in life
My ability to focus on the purpose of life
My desire to stay away from crowded places
How careful I am about eating healthy
Feeling of uneasiness
My heart rate
My need for talking to others
My desire to keep out of closed spaces
My wish to reside in the countryside until the epidemic is over
Request for providing mask and disinfectant
Request for storage of viands
Your Age *
which country are you in *
Your Sex *
Your Educational Status *
Marital Status *
How many children do you have? (Write 0 if you don't have any) *
How many siblings do you have? (Including you) *
How many people reside in your household? (Including you) *
How many employees are there in your workplace? (Including you)
Your Economic Status *
Do you have private health insurance? *
Your Field *
If the options below do not suit you, you can type the other option by clicking.
From which channels do you follow current events? *
Often
Rarely
Never
Television
Newspaper
Internet Journalism
Social Media
Close Circle (friends, family etc.)
Informative Meetings
Do you have a chronicle illness? *
Do you catch temporary illnesses? *
Have you lost any first degree relatives (mother, father, sibling, spouse, child) to an illness? *
Your email address? (Please write your email address if you would like to be informed about the results)
Please press SEND/GÖNDER for us to receive the results
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.