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Factors Influencing Health-Related Quality of Life Among 5th to 7th Grade Students Survey

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

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1

What grade are you currently in?

Please select your current grade from the options below.
2

Rate your overall health-related quality of life.

Please rate your overall health-related quality of life on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
3

Do you have any chronic illness?

Please provide a 'Yes' or 'No' answer.
4

Are you currently on medication for any systemic disease?

Please provide a 'Yes' or 'No' answer.
5

What do you think contributes the most to your quality of life?

Please provide a brief answer sharing your thoughts.
6

How often do you engage in physical activity?

Please select the frequency of your physical activity engagement.
7

Do you feel supported by your family in maintaining a healthy lifestyle?

Please provide a 'Yes' or 'No' answer.
8

Rate the importance of mental well-being in your life.

Please rate the importance of mental well-being in your life on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
9

How comfortable do you feel discussing your health concerns with your teachers?

Please rate your comfort level in discussing health concerns with your teachers on a scale of 1 to 10, with 1 being the lowest and 10 being the highest.
10

In your opinion, what additional support could improve the quality of life of students in grades 5 to 7?

Please provide your thoughts on additional support that could enhance the quality of life of students in grades 5 to 7.
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