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Wishes, Insecurities, Strength, and Mental Health Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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1

What are your greatest wishes at the moment?

Please select one option that best represents your current wishes.
2

How would you rate your current level of insecurities?

Please rate on a scale of 1 to 10, where 1 is the lowest and 10 is the highest level of insecurities.
3

What is your greatest strength that helps you overcome challenges?

Please describe your greatest strength that you rely on during difficult times.
4

Do you often experience feelings of anxiety or depression?

Please select one option that best describes your current mental health.
5

How do you typically cope with stress or negative emotions?

Please select one option that best represents your coping mechanisms.
6

On a scale from 1 to 10, how would you rate your overall mental well-being?

Please rate your mental well-being on a scale from 1 to 10, where 1 is the lowest and 10 is the highest.
7

What is one insecurity that often holds you back?

Please describe one insecurity that you feel impacts your life negatively.
8

Have you ever sought professional help for your mental health?

Please select one option that best represents your experience with professional help.
9

What is one thing you wish you could change about your mental health?

Please describe one aspect of your mental health that you wish to improve or change.
10

How important is self-care in maintaining your mental well-being?

Please select one option that best describes the importance of self-care for you.