.
Well-being And Mental Health Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
Start
Secured
Survio
Create a survey
1
How would you rate your overall well-being?
Please select one option that best describes your overall well-being.
Very Poor
Poor
Average
Good
Excellent
2
On a scale of 1 to 10, how satisfied are you with your current mental health?
Please rate your satisfaction on a scale of 1 to 10, with 1 being the least satisfied and 10 the most satisfied.
3
What activities do you find most beneficial for your mental health?
Please briefly describe the activities that help improve your mental health.
4
Do you currently practice any mindfulness or relaxation techniques?
Please select one option that best describes your current practices.
Yes, regularly
Sometimes
No
5
How often do you experience stress or anxiety symptoms?
Please select one option that best describes the frequency of your stress or anxiety symptoms.
Daily
Several times a week
Once a week
Rarely
Never
6
Are you currently receiving professional help for your mental health?
Please select one option that best describes your current situation.
Yes, I am receiving professional help
No, but considering seeking help
No, not considering seeking help
7
How would you rate the level of social support you receive in times of need?
Please select one option that best describes the level of social support you receive.
Very Low
Low
Moderate
High
Very High
8
What factors do you think contribute most to your mental well-being?
Please briefly describe the factors that you believe have the most impact on your mental well-being.
9
Have you ever participated in mental health education or awareness programs?
Please select one option that best describes your past participation.
Yes, I have participated
No, but interested in participating
No, not interested
10
Would you recommend any mental health resources to others?
Please share any mental health resources that you find helpful and would recommend to others.
Submit
Create a survey