E-mail

Audio-conference (e.g., Skype, Facetime, Zoom) Videoconference (e.g., Skype, Facetime, Zoom) Online platforms Online forum Chat Social networks (e.g., Facebook, Twitter, WhatsApp, Instagram, LinkedIn) Smartphone and tablet apps Virtual rooms (e.g., Second Life) Telephone calls Other(s): (please specify)

12. Which device(s) have you already used to maintain at-distance psychological counselling?

Computer Tablet Telephone/smartphone Other(s): (please specify)

13. How do you rate your experience using this type of tools for conducting at-distance psychological counselling before the imposition of confinement measures by the declaration of the national state of emergency?

Very negative Negative Neither negative nor positive Positive Very positive

14. How do you rate your clients' involvement in therapeutic activities that use this kind of tools before the imposition of confinement measures by the declaration of the national state of emergency?

Very low Low Moderate High Very high 15. What are the advantages that you have already benefited from, or that you consider you could have benefited from, by using this type of tools in psychological counselling, before the imposition of confinement measures by the declaration of the national state of emergency? Geographic flexibility, both for professionals and clients (i.e., they can interact from any location)

Time flexibility Cost-benefit ratio To be able to reach new groups of people in need of psychological counselling Easy access to some target groups (e.g., people with anxiety, people with disabilities, refugees) New business areas None Other(s): (please specify)

16. Which are the challenges that you have faced or feared to face with the use of this kind of tools in psychological counselling processes before the imposition of the confinement measures by the declaration of the national state of emergency?

Reduced therapeutic adherence Di fficulty in establishing or maintaining the therapeutic relationship Significant decrease or increase in the frequency of the sessions Temporal managemen<sup>t</sup> of the sessions Setting boundaries Interruption of the sessions Less client involvement in and commitment to the session Lack of non-verbal communication (Possible) misunderstandings Di fficulty in therapeutically approaching a problem/topic Lack of security Reduced privacy Ethical concerns None Other(s): (please specify)

Considering the challenges imposed to all psychologists by the COVID-19 pandemic situation (SARS-CoV-2), we ask you to answer the following questions according to your current professional practices.

17. Have you continued to provide psychological counselling to your clients regularly?


(Note: If the answer to the previous question is no, the next question appears, and the participant has finished his/her questionnaire)


Yes

No

(Note: If the answer to the previous question is yes, the next question appears) *Int. J. Environ. Res. Public Health* **2020**, *17*, 7663


Between 0% and 25% Between 26% and 50% Between 51% and 75% Between 76% and 100%


Diminished a lot Diminished Remained the same Increased Increased a lot

22. The duration of the psychological counselling with each client that you continue to monitor

Diminished a lot Diminished Remained the same Increased Increased a lot

23. Which tool(s) do you use to provide regular at-distance psychological counselling to your clients?

E-mail Audio-conference (e.g., Skype, Facetime, Zoom) Video-conference (e.g., Skype, Facetime, Zoom) Online platforms Online forum Chat Social networks (e.g., Facebook, Twitter, WhatsApp, Instagram, LinkedIn) Smartphone and tablet apps Virtual rooms (e.g., Second Life) Telephone calls Other(s): (please specify)

24. Which device(s) have you already used to maintain at-distance psychological counselling?

Computer Tablet Telephone/smartphone Other(s): (please specify)

25. How do you rate the therapeutic adherence of your clients currently, when compared to in-presence sessions?

Much smaller *Int. J. Environ. Res. Public Health* **2020**, *17*, 7663

> Smaller More or less the same Greater Much greater

26. How do you rate the therapeutic relationship with your clients currently, when compared to in-presence sessions?

Much worse Worse More or less the same Better Muchbetter

27. How do you rate the results of each therapeutic session currently, when compared to in-presence sessions?

Much worse Worse More or less the same Better Much better

28. How do you rate the feedback of your clients, when compared to in-presence sessions?

Much worse Worse More or less the same Better Much better


Time flexibility Cost-benefit ratio To be able to reach new groups of people in need of psychological counselling Easy access to some target groups (e.g., people with anxiety, people with disabilities, refugees) New business areas Other(s): (please specify)

31. Which are the difficulties that you face in promoting at-distance psychological counselling sessions?

Reduced therapeutic adherence Difficulty in establishing or maintaining the therapeutic relationship Significant changes in the frequency of the sessions Temporal managemen<sup>t</sup> of the sessions Setting boundaries Interruption of the sessions

Less client involvement in and commitment to the session Lack of non-verbal communication (Possible) misunderstandings Difficulty in therapeutically approaching a problem/topic Lack of security Reduced privacy Ethical concerns Other(s): (please specify)

32. What are the difficulties that are reported by your clients in relation to maintaining at-distance psychological counselling?

Thank you for your collaboration.
