The survey questionnaire assesses the extent to which an extreme weather event caused negative impacts across 3 categories labelled Livelihood, Wellbeing, and Connection. A response scale at the top ranges from 0 to 5, where 0 represents None, Not Directly Impacted, 1 represents Slightly, 2 represents Somewhat, 3 represents Moderately, 4 represents Severely, and 5 represents Extremely Impacted. The Livelihood section includes items such as loss of income, increased expenses, increased personal workload, increased professional workload, loss of property or infrastructure, displacement, destruction of land, loss of stock or crops, and disruption to off-farm work or study, followed by a Livelihood subscale score row. The Wellbeing section includes physical health impacts, reduced food or water availability, exhaustion, disrupted sleep, reduced motivation, trauma exposure, flashbacks, anxiety, stress, shame, hopelessness, distress about landscape changes, and reduced mood, followed by a Wellbeing subscale score row. The Connection section includes death of friends or family members, reduced community connection, reduced social motivation, reduced recreational activities, disruption to unpaid personal work roles, disrupted personal relationships, and disrupted connection to land, followed by a Connection subscale score row. The form concludes with an R E v I E W Total Score field at the bottom.Rating Evaluation – Impacts of Extreme Weather (REvIEW) response form
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