Community Discussions and Social Participation

How much progress have you made towards this goal? (1, No progress | 2, Little progress | 3, Some progress | 4, Substantial progress | 5, Goal achieved)

In the past month (baseline)/since the beginning of this study (follow-up) have you participated in or taken action through a group or organization to improve yourself, your community, or help others? (0, No | 1, Yes)

In the past month (baseline)/Since joining the study (follow-up), have you started a new social connection or re-established an old one? (0, No | 1, Yes)

On a scale from 1, None of the time | 2, A little of the time | 3, Some of the time | 4, Most of the time | 5, All of the time ...

• In the past month (Baseline)/Since joining the study, about how often did you feel anxious?
• In the past month (Baseline)/Since joining the study, about how often did you feel restless or fidgety?
• In the past month (Baseline)/Since joining the study, about how often did you feel that everything took effort?
• In the past month (Baseline)/Since joining the study, about how often did you feel so sad that nothing could cheer you up?

Mean of 4 item raw score.

I feel confident in my ability to seek help for my health problems. I feel confident in my ability to solve my health problems. I feel comfortable with challenges related to solving my health problems.

Response Scale: 1, Not confident at all | 2, Slightly | 3, Somewhat | 4, Confident | 5, Very confident Score: Mean of 1-5 Scores

How easy is it to get help from members of your community if you need it? 1, Impossible | 2, Difficult | 3, Possible | 4, Easy | 5, Very easy How often do you feel that there are people you can turn to? 1, Never | 2, Sometimes | 3, Often | 4, Most of the time | 5, Always To what extent were you hesitant to tell others what you want or need from them? 1, Very much | 2, Quite a bit | 3, Somewhat | 4, A little | 5, Not at all To what extent are you willing to seek support from others if you need it? 1, Not at all | 2, A little | 3, Somewhat | 4, Quite a bit | 5, Very much When you feel afraid, anxious, or uncertain, how often do you seek help or support from others in your life (e.g., reaching out to neighbors, joining support groups, attending social events?) 1, Never | 2, Sometimes | 3, Often | 4, Most of the time | 5, Always

Score: Mean of 1-5 Scores

How much can you trust the federal government to do what is right regarding the social changes you want to make? (1, No trust | 2, Little | 3, Some | 4, Quite a lot | 5, A great deal ) How often can you trust your state government to do what is right when it comes to handling the social changes you want to make? (1, Never | 2, Rarely | 3, Sometimes | 4, Often | 5, Always ) How often can you trust your local government to do what is right when it comes to handling the social changes you want to make? (1, Never | 2, Rarely | 3, Sometimes | 4, Often | 5, Always )

Score: Mean of 1-5 scores

When I face problems, I am confident that I can solve them. How confident do you feel in your ability to achieve your goals? How comfortable are you with taking on new challenges? Response Scale: 1, Almost never | 2, Rarely | 3, Sometimes | 4, Often | 5, Almost always Score: Mean of 1-5 Scores

How likely or unlikely are you to vote in the next local, state, or national elections? (1, Extremely unlikely | 2, Unlikely | 3, Neutral | 4, Likely | 5, Extremely likely)

I feel responsible for the well-being of others in groups I belong to I am committed to help others in groups I belong to I believe that all citizens have a responsibility to their fellow citizens I believe that it is important to be informed of societal issues Response Scale: 1, Strongly disagree | 2, Disagree | 3, Neither | 4, Agree | 5, Strongly agree In the past month (Baseline)/Since the beginning of the study (follow-up), how concerned, if at all, were you about others with whom you are connected? Response Scale: 1, Not at all | 2, Slightly | 3, Moderately | 4, Very | 5, Extremely Score: Mean of 1-5 Scores

Physical well-being goal: In the past month, what is a physical well-being goal (e.g., going to the gym, doctor's visit, sports, etc.) you've set for yourself? (Open text).

Civic participation supplement: If Yes to civic action - Were your interactions primarily in person, primarily online/phone, or both? (1, In person | 2, Online/phone | 3, Both).

In the past month (Baseline) / since the beginning of this study (follow-up) / In the last three months (3MFU), how often did you participate in group/organization activities? (0-7 days per week).

Do you currently belong to any of these groups? (Select all that apply: Professional/work-related organizations; Religious/spiritual groups; Parenting/educational/learning groups; Neighborhood/local associations; Political/advocacy organizations; Charitable organizations; Support/self-help groups; Other).

Social connection supplement: If Yes to new social connection - How many connections have you made? (Numeric)

Subjective well-being: In the past month (Baseline) / Since joining the study (IMFU) / In the last three months (3MFU): I have felt cheerful and in good spirits; I have felt calm and relaxed; I have felt active and vigorous; I woke up feeling fresh and rested; My daily life has been filled with things that interest me.

Response Scale: 1, None of the time | 2, A little of the time | 3, Some of the time | 4, Most of the time | 5, All of the time.

Score: Mean of 5-item raw scores.

Subjective health [3MFU only]: In general, how would you rate your health today? (1, Very good | 2, Good | 3, Moderate | 4, Bad | 5, Very bad).

Self-care behaviors [3MFU only]: In the last three months, how many hours of sleep did you typically get each night? (Numeric). How frequently did you shower/take a bath? Cook for yourself? Clean your space? (1, More than once a day | 2, Every day | 3, Every other day | 4, Once a week | 5, Less than once a week).

In the last three months, how much progress have you made towards this goal? (1, No progress | 2, Little progress | 3, Some progress | 4, Substantial progress | 5, Goal achieved). Assessed for: (a) the goal set at Baseline; (b) the goal set at Immediate Follow-Up; (c) a goal mentioned during the discussion sessions; and (d) any other goal the participant identifies. Score: Individual item rating (1-5) per goal.

Social support received:

On a scale from 1, None of the time | 2, A little of the time | 3, Some of the time | 4, Most of the time | 5, All of the time ...

• Since joining the study, how often do you feel that you are "in tune" with the people around you?
• (rev) Since joining the study how often do you feel that you lack companionship?
• (rev) Since joining the study, how often do you feel isolated from others?
• Since joining the study, how often do you feel that there are people you can turn to? Score: Mean of 4 item raw scores. (rev) means reverse scored.

Social support offered (Three Month Follow Up only):

In the last three months, have you supported (emotionally or with concrete actions) somebody who has a health issue? (Yes|No)

In the last three months, have you visited any of the following for yourself? (Select all that apply): Primary care / general practitioner; Mental health professional (e.g., therapist, psychologist, psychiatrist); Specialist (e.g., cardiologist, dermatologist); Emergency room or urgent care; Dentist or orthodontist; Other healthcare provider; I have not visited any healthcare provider in the last three months. In the last three months, have you received or are you currently receiving mental health treatment or therapy? (0, No | 1, Yes)

In the last three months, how often did you refrain from using hurtful language toward or about: people with substance use disorder; people with mental health conditions; people of a different race or ethnicity; people of a different political affiliation; people of a different religion; other groups? Response Scale: 1, Never | 2, Rarely | 3, Sometimes | 4, Often | 5, Always. Score: Mean of item raw scores.