Christchurch Recovery

Thank you for participating in this evaluation. By submitting this questionnaire, you are consenting to have your results combined with other participants in order to evaluate whether or not the micronutrients are of help to those recovering from this event. Your individual results will not be identified and your privacy will be protected.  

Based on the packaging instructions, take the pills with food and water. Research has shown that it is best to not take them too close to going to sleep.

For more information, please visit:

http://www.canterbury.ac.nz/science/contact-us/people/julia-rucklidge.html

 

This questionnaire asks about your recent experiences following the Christchurch Mosque attacks. Please choose the most appropriate answer and don't spend too long on each question.

Name:
Phone Number:
Email address:
The following questions are to be answered the first time you complete these questionnaires. They help us get to know a bit more about you, which is important if you are taking a micronutrient product.

If you have completed these questions before, you do not need to complete them again.
Age (years):
Gender:
Please indicate which of the following ethnic groups you belong to (you may tick more than one).

Please indicate your highest educational qualification

What is your occupation?
What is your partner's occupation (if applicable)?
On average, how many hours sleep per night have you had since the shooting?
On average, how many hours did you normally sleep per night prior to the shooting?
Have you done any of the following since March 15th? (Select all that apply)
Are you currently taking any medications? If Yes, please use the Comments below to tell us what medications you are taking and for what conditions.
Do you have any known allergies to ingredients commonly found in micronutrient products (e.g. Vitamin C, vitamin D, iron, magnesium, gingko bilboa, grape seed)?
If Yes, please indicate in the Comments which product you are allergic to.
Do you have problems with your thyroid? If Yes, please indicate in the Comments what treatment you are using for your thyroid problems.
FORTNIGHTLY QUESTIONS: These are questions we would like you to complete every two weeks.

It is very easy to miss questions here. Please answer carefully to ensure you answer all questions. 
Over the last week, how many hours of sleep have you had on average, per night?
On average, please tell us how many pills you are taking per day (State zero if you have not started taking the pills yet).
How many weeks have you been taking the nutrients (State zero if you have not started taking the pills yet)?
Approximately how many doses have you missed over the past 2 weeks. State zero if you have not started taking the pills yet. 
A dose is however many pills you are taking at one time e.g. 3 pills at a time is one dose.
Are you experiencing any problems associated with taking the pills? If Yes, please use the Comments section to describe the problems you are having.
Below are some side effect that can happen when taking medications. Please select any that have happened to you since starting the study. Please use the Comments section to tell us about any other side effects you may have experienced that aren't listed below.
Please read each statement and choose how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any question.
I found it hard to wind down.
I was aware of dryness of my mouth.
I couldn't seem to experience any positive feeling at all.
I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion).
I found it difficult to work up the initiative to do things.
I tended to over-react to situations.
I experienced trembling (e.g. in the hands)
I felt that I was using a lot of nervous energy.
I was worried about situations in which I might panic and make a fool of myself.
I felt that I had nothing to look forward to.
I found myself getting agitated.
I found it difficult to relax.
I felt down-hearted and blue.
I was intolerant of anything that kept me from getting on with what I was doing.
I felt I was close to panic.
I was unable to become enthusiastic.
I felt I wasn't worth much as a person.
I felt that I was rather touchy.
I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat).
I felt scared without any good reason.
I felt that life meaningless.
Below is a list of difficulties people sometimes have after stressful life events. Please read each item and then indicate how distressing each difficulty has been for you during the past week, with respect to the Christchurch Mosque attacks. How much have you been distressed or bothered by these difficulties?
Any reminder brought back feelings about it.
I had trouble staying asleep.
Other things kept making me think about it.
I felt irritable and angry.
I avoided letting myself get upset when I thought about it or was reminded of it.
I thought about it when I didn't mean to.
I felt as if it hadn't happened or wasn't real.
I stayed away from reminders of it.
Pictures about it popped into my mind.
I was jumpy and easily startled.
I tried not to think about it.
I was aware that I still had a lot of feelings about it, but I didn't deal with them.
My feelings about it were kind of numb.
I found myself acting or feeling like I was back at that time.
I had trouble falling asleep.
I had waves of strong feelings about it.
I tried to remove it from my memory.
I had trouble concentrating.
Reminders of it caused me to have physical reactions, such as sweating, trouble breathing, nausea or a pounding heart.
I had dreams about it.
I felt watchful and on-guard.
I tried not to talk about it.
Please leave the following questions blank if you HAVEN'T started taking the pills.
Compared to when you started taking the pills, how much do you think your ANGER has changed?
Compared to when you started taking the pills, how much do you think your MOOD has changed?
Compared to when you started taking the pills, how much do you think your ANXIETY has changed?
Compared to when you started taking the pills, how much do you think your SLEEP has changed?
Compared to when you started taking the pills, how much do you think your ENERGY has changed?
Compared to when you started taking the pills, how much do you think you have changed OVERALL?
If completing these questionnaires has distressed you in any way, these are contact details for people who can help you:

Text or call 1737
Lifeline 0800 543 344
Please let us know if you have any questions, comments or concerns you would like to raise with Professor Julia Rucklidge:
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