Protocol - Vulnerability and Exposure to COVID-19

1. Prior to the COVID-19 outbreak, did you have a medical condition that could cause you to get very sick if you were to get COVID-19? (e.g., asthma, a breathing or lung problem, suppressed immune system, diabetes, high blood pressure, obesity, or some other significant health problem)

[ ] No -> GO TO 2

[ ] Yes

   If yes, ask:

   1.a. What was that? _________________________________

2. During or in the few months prior to the COVID-19 outbreak, were you a smoker or vaper? [check all that apply]

[ ] No -> GO TO 3

[ ] Yes, smoker

[ ] Yes, vaper

   If smoker, ask:

   2a. How much [do/did] you smoke?

         [ ] A pack or more a day (a pack is 20 cigarettes)

         [ ] Daily, 10-19 cigarettes

         [ ] Daily, 4-9 cigarettes

         [ ] Daily 1-3 cigarettes

         [ ] Less than one cigarette per day

   If vaper, ask:

   2b. How often did you vape?

         [ ] More than once a day

         [ ] Daily or almost every day

         [ ] 3-4 days a week

         [ ] 1-2 days a week

         [ ] Less than that

3. During or after the COVID-19 outbreak started, were you pregnant?

[ ] No

[ ] Yes

4. During the COVID-19 outbreak, did you ever live with someone that was sick with COVID-19?

[ ] No -> GO TO 5

[ ] Yes

[ ] Not sure, I think someone I lived with might have had COVID-19

   If yes or not sure, ask:

   4a. Who was this? [check all that apply]

         [ ] Partner

         [ ] Parent

         [ ] Child

         [ ] Sibling

         [ ] Grandparent

         [ ] Other family members (e.g. aunt, uncle, cousin)

         [ ] Roommate

         [ ] Other: ___________________

   4b. Were they (any of them) hospitalized for COVID-19?

         [ ] No

         [ ] Yes

   4c. Did they (any of them) die because of COVID-19?

         [ ] No -> GO TO 5

         [ ] Yes

   If yes, ask:

   4d. Who died? [check all that apply]

         [ ] Partner

         [ ] Parent

         [ ] Child

         [ ] Sibling

         [ ] Grandparent

         [ ] Other family members (e.g. aunt, uncle, cousin)

         [ ] Roommate

         [ ] Other

5. Has anyone in your family who you did not live with or any of your close friends been diagnosed or been sick with COVID-19?

[ ] No -> GO TO 6

[ ] Yes

[ ] Not sure, I think someone in my family or a close friend might have had COVID-19

   If yes or not sure, ask:

   5a. Who was this? [check all that apply]

         [ ] Partner

         [ ] Parent

         [ ] Child

         [ ] Sibling

         [ ] Grandparent

         [ ] Other family members (e.g. aunt, uncle, cousin)

         [ ] Close friend

         [ ] Other

   5b. Were you around (any of) them when they were sick or just before, in the 2 weeks before they got sick?

         [ ] No

         [ ] Yes

   5c. Were they (any of them) hospitalized for COVID-19?

         [ ] No

         [ ] Yes

   5d. Did they (any of them) die because of COVID-19?

         [ ] No

         [ ] Yes

   If yes, ask:

   5e. Who died? [check all that apply]

         [ ] Partner

         [ ] Parent

         [ ] Child

         [ ] Sibling

         [ ] Grandparent

         [ ] Other family members (e.g. aunt, uncle, cousin)

         [ ] Close friend

         [ ] Other

6. Has anyone (else) that you interact with regularly, by this we mean at least twice a week, been diagnosed or been sick with COVID-19?

[ ] No

[ ] Yes

[ ] Not sure, I think someone I interacted with might have had COVID-19

   If yes or not sure, ask:

   6a. Were you around (any of) them when they were sick or just before, in the 2 weeks before they got sick?

         [ ] No

         [ ] Yes