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Student Well-being Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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how does factors
1
How old are you
Select one or more answers
under 10
11-20
21-30
31-40
40+
2
GENDER
Select one or more answers
female
male
prefer not to say
3
How do factors such as time spent on social media affect your mood for school work and academic success?
Select the option that best describes the impact of social media on your mood.
Positive impact
Negative impact
No impact
4
Rate your overall sleep quality and its effect on your academic success.
Rate your overall sleep quality on a scale from 1 to 10, with 1 being poor and 10 being excellent.
5
Describe your study habits and how they influence your school work.
Please provide a brief description of your study habits and how they impact your academic performance.
6
How does your nutrition affect your mood and academic performance?
Select the option that best reflects the impact of your nutrition on your mood and academic performance.
Positive impact
Negative impact
No impact
7
How does screen time for entertainment impact your focus and academic success?
Choose the option that best describes the influence of screen time on your focus and academic success.
Significantly decreases focus
Decreases focus slightly
No impact on focus
Increases focus
8
How do extracurricular activities affect your school work and overall mood?
Select the option that best represents the impact of extracurricular activities on your academic performance and mood.
Negatively impact both
Positive impact on mood only
Positive impact on academic performance only
Positive impact on both
9
To what extent does peer influence impact your academic success?
Indicate the level of influence your peers have on your academic success.
Highly influential
Moderately influential
Slightly influential
Not influential
10
How does the school environment affect your overall mood for school work?
Choose the option that best describes the impact of the school environment on your mood for school work.
Negative impact
Neutral impact
Positive impact
11
How does your family background influence your academic success?
Describe how your family background influences your academic success.
12
Overall, how do these factors collectively impact your motivation for school work?
Provide your overall perspective on how the mentioned factors collectively affect your motivation for school work.
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