Social Isolation Survey
This survey is designed to assess experiences, perceptions, and the possible causes and impacts of social isolation. Your responses will help us better understand the prevalence and depth of social isolation in your community.
In the past month, how often have you felt isolated from others?*
Please reflect on times you felt disconnected or alone.
How satisfied are you with the amount of social contact you currently have?*
Think about time spent with friends, family, or social groups.
Which of the following do you feel are barriers to connecting with others in your life?
Select all that apply.
How would you describe your relationships with people you interact with regularly?*
Please give a brief description (e.g., close friends, coworkers, acquaintances, etc.).
During a typical week, how many times do you participate in social activities outside your home?*
Include gatherings, clubs, group events, religious services, etc.
Do you have someone you can confide in when you’re feeling down or stressed?*
Please consider friends, family, or support groups.
In your opinion, how much has technology (such as social media or messaging apps) helped or hurt your sense of connection with others?
Please explain your thoughts in a few sentences.
What strategies, if any, do you use to reduce feelings of loneliness or isolation?
If you wish, please share any additional thoughts or suggestions on what could help reduce social isolation in your community.
Your feedback is valuable but optional.
Thank you for taking a part in this survey.
