What is your age?
* must provide value
What is your gender?
* must provide value
Male
Female
Non-binary/Other
Do you consider yourself Hispanic or Latino?
* must provide value
Yes
No
Not sure
I'd rather not say
Which best describes your ethnic background (check all that apply)?
* must provide value
American Indian or Alaska Native
Asian
African/Black
Native Hawaiian or Pacific Islander
European/White
Not sure
I'd rather not say
Are you a current U.S. resident?
* must provide value
Yes
No
How did you hear about this study?
* must provide value
Online via MGB Rally
Local Flyer
TestMyBrain.org
Do you currently have a diagnosis of a neurological disorder? (e.g. Alzheimer's or other
dementia, Parkinson's)
* must provide value
Yes
No
Do you have any physical disability that affects your ability to respond to pictures and words on
your computer screen?
* must provide value
Yes
No
Have you suffered any accident or head injury in the last year that resulted in a loss of
consciousness lasting more than one minute?
* must provide value
Yes
No
In the past three months, how often have you used the following substances?
Cocaine (coke, crack, etc.)
Amphetamine-type stimulants (speed, diet pills, ecstasy, etc.)
Inhalants (nitrous, glue, petrol, paint thinner, etc.)
Hallucinogens (LSD, acid, mushrooms, PCP, Special K, etc.)
Other
* must provide value
Never
Once or twice
Monthly
Weekly
Almost daily
Daily
If you used a substance in the last three months that was not listed in the previous question, please specify.
Over the last 2 weeks, how often have you been bothered by thoughts that you would be better off dead, or of hurting yourself?
* must provide value
Not at all
Several days
More than half the days
Nearly every day
Do you have regular or daily access to a smartphone over the next three weeks?
* must provide value
Yes
No
Does the smartphone have reliable internet access?
* must provide value
Yes
No
Was the smartphone purchased in the last 5 years?
* must provide value
Yes
No
Are you awake by 9am (or soon after) most days?
* must provide value
Yes
No
Do you go to sleep before 9pm most days?
* must provide value
Yes
No
Will you be able to complete 5-10 minute assessments, three times a day for the next three weeks?
(between 9am and 9pm)
* must provide value
Yes
No
What is your email address?
* must provide value
What time zone do you live in?
* must provide value
Eastern Central Mountain Pacific Alaska Hawaii-Aleutian Other
Do you live in a place that observes daylight savings time?
* must provide value
Yes
No
In the past 7 days including today, how much were you distressed by faintness or dizziness?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling no interest in things?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by nervousness or shakiness inside?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by pains in heart or chest?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling lonley?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling tense or keyed up?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by nausea or upset stomach?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling blue?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by suddenly feeling scared for no reason?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by trouble getting your breath?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by the feeling of worthlessness?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by spells of terror or panic?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by numbness or tingling in parts of your body?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling hopeless about the future?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling so restless you couldn't sit still?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling weak in parts of your body?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by thoughts of ending your life?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely
In the past 7 days including today, how much were you distressed by feeling fearful?
* must provide value
Not at all
A little bit
Moderately
Quite a bit
Extremely