Coronavirus Behavioral Health Mindset (CV-BHM) Employee Self-Check

This self-assessment lets individuals know if they are adopting behaviors that can help prevent the spread of the coronavirus. The CV-BHM is an assessment designed to increase one’s self-awareness around controlling the spread of the virus in general while also avoiding personal infection. The CV-BHM is not a medical test. If you feel you may need testing or treatment, we encourage you to consult with your healthcare provider. 
 
Your responses are completely confidential, so please be completely candid in your answers. For each statement or question, select the answer that best describes you.
This self-assessment lets individuals know if they are adopting behaviors that can help prevent the spread of the coronavirus. The CV-BHM is an assessment designed to increase one’s self-awareness around controlling the spread of the virus in general while also avoiding personal infection. The CV-BHM is not a medical test. If you feel you may need testing or treatment, we encourage you to consult with your healthcare provider. 
 
Your responses are completely confidential, so please be completely candid in your answers. For each statement or question, select the answer that best describes you.
I feel I have a great deal of control over whether I get infected with coronavirus or not.
Yes
No
I listen to the news to learn how to avoid getting coronavirus.
Yes
No
I am open to being tested for coronavirus if I ever exhibit any symptoms of the virus (e.g., fever, dry cough, shortness of breath).
Yes
No
I responsibly educate others on how to avoid getting the coronavirus.
Yes
No
I am in a higher risk group (e.g., I am older and/or have health concerns) and must be very knowledgeable to avoid coronavirus exposure.
Yes
No
I am very committed to preventing the rapid spread of coronavirus.
Yes
No
I think people are exaggerating the seriousness of the coronavirus health risk.
Yes
No
If I thought I had been exposed to the virus I would probably not tell anyone.
Yes
No
I would accept being quarantined if I had the coronavirus.
Yes
No
If I thought I had symptoms of coronavirus, I would not go for testing.
Yes
No
I practice physical or social distancing (i.e., actions such as avoiding crowds and self-isolation that are taken to stop or slow the spread of a highly contagious disease) to avoid exposure to coronavirus.
Yes
No
I travel regularly on crowded public transportation (e.g., buses and trains) and do not plan on cutting back.
Yes
No
I will travel on an airline, train, or cruise line even during the coronavirus pandemic.
Yes
No
I am “self-isolating” myself even though I do not think I have the virus.
Yes
No
I regularly attend social gatherings or parties since I do not fear getting infected.
Yes
No
I like being around my friends for social support even if they could expose me to coronavirus.
Yes
No
I would rather telecommute than go to an office or classroom in order to avoid the virus.
Yes
No
I would still socialize with others even if I had some symptom associated with the virus.
Yes
No
I try to stay six feet or more from other people in order to avoid contracting the coronavirus.
Yes
No
I cannot afford to engage in physical or social distancing since I need to be around others at work or school.
Yes
No
I am open to wearing a protective face mask that can block coronavirus spread from someone’s cough.
Yes
No
I wash my hands regularly during this coronavirus scare.
Yes
No
I try not to touch my face, nose, or mouth knowing that this behavior could infect me.
Yes
No
I still shake hands with people even if I do not know if they have the virus.
Yes
No
I have stored enough quantities of medicine, food, and water in case I am ever quarantined.
Yes
No
When I feel a sneeze or cough coming on, I cover my mouth and try to cough or sneeze into my elbow (or other safe target) to prevent the spread of any germs or virus.
Yes
No
I regularly clean counter tops, doorknobs, hand railings, and other surfaces with disinfectants to prevent the spread of coronavirus.
Yes
No
I think it is very smart to close schools and workplaces to avoid the spread of coronavirus.
Yes
No
I try to avoid restaurants, buffets, and open food courts to prevent the spread of coronavirus.
Yes
No
If I thought I had the virus I would get tested immediately.
Yes
No
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