Anxiety Impact Survey*

A simple survey to understand how anxiety may affect experiences, decisions, and daily interactions in your group.

How often have you felt anxious in this setting recently?*

Think about your recent experiences over the past 2 weeks.

Never to Very often

Which situations here tend to make you feel most anxious?

Choose all that apply.

How much does anxiety affect your ability to focus or participate?*

Consider how it impacts your attention, confidence, or involvement.

Not at all to A great deal

When are you most likely to feel anxious?

Pick the one that best matches your experience.

What physical or emotional signs of anxiety do you notice most?

A quick example could be restlessness, overthinking, or trouble concentrating.

How comfortable do you feel asking for support when anxiety comes up?*

This helps identify whether people feel safe reaching out.

Very uncomfortable to Very comfortable

What usually helps reduce your anxiety in this setting?

Choose all that apply.

What is one change that would help you feel calmer and more supported?*

Share one practical idea that could improve your experience.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.