Social Determinants of Health

Social Determinants of Health

Sex:
Current Marital Status:
Current Employment Status:(Required)
What is Family Monthly Income:(Required)
Are you currently worried about financial stability?(Required)
Have you faced barriers in accessing healthcare? (Select all that apply)(Required)
How far is the nearest healthcare facility from your residence?(Required)
How often do you visit a healthcare provider?(Required)
What is your living family structure? during last 12 months(Required)
What is the type of mass gatherings event you attend?(Required)
Do you have any chronic diseases?(Required)
Have you experienced any health symptoms/event during or 1 week post this event ?(Required)
Have you had a health check-up before attending this event?(Required)
Are you a smoker ?(Required)
How do you rate your overall physical fitness before starting this event?(Required)
Do you take breaks during the long walks in this event?(Required)
Do you stay hydrated during the event ?(Required)
Have you ever felt peer pressure to engage in risky activities (e.g., smoking, substance use)?(Required)
Have you participated in any activities that involve excessive risk-taking during this Events ?(Required)
Do you feel that this event environment encourages or discourages risky behaviors?(Required)
Do you use any substances (e.g., drugs, alcohol) during this event(Required)
Over the last two weeks, you felt little interest or pleasure in doing things?(Required)
Over the last two weeks, how often have you felt down, depressed, or hopeless?(Required)
Have you ever experienced anxiety or panic attacks?(Required)
How would you rate your overall health today?(Required)
How satisfied are you with your social life?(Required)
Do you believe that your health affects your daily activities?(Required)
Do you think you need accompanying assistance during this event ?(Required)
Did you have anyone who cared and accompanied you on this vent?(Required)
How often have you visited a healthcare facility during this event?(Required)
Do you know if health services during this event are available free of charge or paid?(Required)
Did you know the emergency number if you have a health issue?(Required)
When you have the choice to ride the bus, train, or car, do you prefer to use it?(Required)
If you prefer not to use public transportation, what are the reasons?(Required)
How would you rate your awareness of health risks associated with this event?(Required)
Before attending this event did you receive information regarding health risks and safety measures?(Required)
Have you encountered any communication barriers related to health information in this event?(Required)