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Mental health survey
Please take a few minutes of your time to complete the following questionnaire.
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1
Age
Select one or more answers
under 18
18-24
25-30
over 30
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2
Gender
Select one or more answers
male
Female
Non-binary
Prefer not to say
Other (please specify)
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3
Are you a student?
Select one or more answers
Yes
No
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4
On average, how many hours of sleep do you get each night?
Select one or more answers
less than 5
5-6
7-8
More than 8
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5
Do you have a daily routine (e.g. Specific time to wake up, studying, relax, activities.)?
Select one or more answers
Yes, Every day
Sometimes
Rarely
Never
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6
How would you rate the impact of a regular routine on your mental health?
Select one or more answers
Very Positive
Positive
Neutral
Negative
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7
What routine do you believe is best effective for your mental health stability?
30 words
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8
How after to you have physical activity (sports, exercising etc.)
Select one or more answers
Everyday
few times a week
occasionally
Never
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9
How is being physically active impact your mood
Select one or more answers
It improves significantly
Improves just a little
No change
It gets worse
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10
Do you believe that being physically active helps manage stress and anxiety?
Yes
Somewhat
No
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11
What physical activity is most effective to you for your mental health?
30 words
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