The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Sleep Quality Among Healthcare Workforce During Covid-19 Pandemic

Dear Potential Research Participant:

We are conducting a study to evaluate and track the effects of the Coronavirus Disease 2019 (COVID-19) pandemic, as a stressful event, on the sleep quality of healthcare workers.

The survey asks about how the pandemic has affected your stress level and sleep quality.

• If you agree to participate, you will be asked to complete an online survey that will take approximately 10 minutes to complete.

• Your participation in this survey is completely voluntary and will not affect you in any way.

• This survey is anonymous, and is not associated with any risk of the loss of confidentiality inherent to any research study.

• If you fill out this questionnaire (survey), you are consenting or agreeing to take part in this research. We will take all steps legally possible to keep this information confidential.

• If you have any questions about this survey or the study, please contact Dr. Fidaa Shaib at shaib@bcm.edu. If you have additional questions about your rights as a research subject, contact the Institutional Review Board for Human Subject Research for Baylor College of Medicine & Affiliated Hospitals at (713) 798-6970.

Thank you for taking the time to participate in this survey.

Sincerely,

Fidaa Shaib, MD

Ghada Bourjeily, MD

Hrayr Attarian, MD

The option "" can only be selected by itself. Selecting this option will clear your previous selections for this checkbox field. Are you sure?

Please enter your age:

* must provide value

Gender

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Please enter your gender:

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Race (choose all that apply)

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White

Black or African American

Asian

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American Indian or Alaska Native

Other

Prefer not to say

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Ethnicity

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Marital status

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Please enter Other marital status:

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Current living arrangement:

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Other living arrangement:

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Who is providing your Alternate Housing:

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Other provider of your Alternate Housing:

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Do you have children living with you?

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Yes

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Age of children

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Younger than 2 years

2-12 years

13-18 years

Older than 18 years

Are you breastfeeding?

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Yes

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Are you or your partner currently pregnant?

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Yes

Prefer not to say

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Please select:

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I am pregnant

My partner is pregnant

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Is your partner a health care worker?

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Yes

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Do you live with or closely care for family/friends who are 60 years of age or older?

* must provide value

Yes

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What type of healthcare worker are you?

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Other type of healthcare worker:

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Please select your type of practice

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Academic

Private Practice

Government

Retired

Other

Other type of practice:

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What is your Academic rank? (If applicable)

What is your other rank:

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Role in Pandemic

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Frontline (ED, ICU, Urgent Care, COVID unit)

Enlisted in Surge Plans

Taking over regular responsibilities from Frontline and Back up people

Not involved with COVID care

Administrative

Other

What is your Other role:

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Location of practice

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Urban

Suburban

Rural

Country of residence

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State/Territory of residence

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City of residence

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State/Territory where you work

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City/town where you work

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Zip code of work (optional)

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.