Coronavirus disease (COVID-19) technical guidance by WHO RCCE action plan: COVID-19 preparedness | Page 14

Annex 1 COVID-19 Rapid Quantitative Assessment Tool
This tool, which is similar to the questions asked in qualitative form in Annex 1A could be used in
an online survey in different social media platforms and hotlines. The combination of qualitative
and quantitative versions would allow for breadth and depth and triangulation of results.
ATTENTION: review with partners, adapt and pre-test the questionnaire to your local context
No.
1
QUESTIONS
Answers
Location:
To be filled in from forms at participant registration.
Sex of the interviewee:
Interviewee age:
Interviewee occupation:
Level of education:
2
Have you ever heard about
Choose one answer :
(COVID-19)? □
□
What do you know about the Choose one best answer:
the new coronavírus disease
3
new coronavirus disease?
(Only one option)
4
What kind of information
disease? (Legends to be
added to the questionnaire)
Where did you hear about the
new coronavirus from? What
channels or sources?
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RC C E A C T I O N P L A N G U I DA N C E
No
I don’t know anything
It’s a virus that can cause a disease
It’s a government’s programme
It’s a TV/radio campaign
Other: ________________________________
Mark all answers that are true:
have you received about the
5
□
□
□
□
□
Yes
|
□
□
□
□
□
□
How to protect yourself from the disease?
Symptoms of the new coronavirus disease
How it is transmitted
What to do if you have the symptoms
Risks and complications
Other: ________________________________
Mark all channels that you heard about the disease from:
□
□
□
□
□
□
□
□
□
□
Radio
TV
WhatsApp
Social Media (not WhatsApp)
Health unit/Health care worker
Family members
Friends
Community health workers
Red Cross Red Crescent volunteers
Other community mobilisers
C O V I D - 19 P R E PA R E D N E S S A N D R E S P O N S E