Inclusion Criteria:  All obstetrics and gynecology department healthcare workers who were or had been resident, physicians or consultant physicians, nurses, and paramedical healthcare active during the COVID-19 pandemic period at a designated Fayoum university hospital, regardless of gender, age, experience, and duration of employment.  Exclusion Criteria:  Exclusion criteria:  physicians who were retired or did not currently work in a designated COVID-19 hospital. Physicians from other specialties Physicians were on leave during the pandemic for various reasons.