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Well-being Care Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you practice meditation regularly?
Please select one option.
Yes
No
2
How do you rate your overall well-being?
Please rate on a scale of 1 to 10.
3
What activities do you do to relax and unwind?
Please provide your answer.
4
Do you prioritize sleep for your well-being?
Please select one option.
Yes
No
5
How often do you exercise to maintain your well-being?
Please select one option.
Daily
3-4 times a week
1-2 times a week
Rarely
6
Do you have a balanced diet for well-being?
Please select one option.
Yes
No
7
What is your preferred stress-relief method?
Please provide your answer.
8
Have you tried mindfulness practices for well-being?
Please select one option.
Yes
No
9
How satisfied are you with your current well-being routine?
Please rate your satisfaction on a scale of 1 to 10.
10
What improvements would you like to make in your well-being routine?
Please provide your answer.
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