Your Health & Well-Being 🌿

Tell us how you’ve been feeling and what support would help. Please skip any question you’d rather not answer and avoid sharing identifying or medical details.

How would you rate your overall health?

Think about your physical and mental health over the past two weeks.

How many hours of sleep do you usually get each night?

Think about your sleep over the past two weeks.

How stressed have you felt over the past two weeks?

Choose a number from 1 (not at all stressed) to 5 (extremely stressed).

From Least to Most

On how many days in the past week were you physically active for at least 30 minutes?

Include activities like walking, cycling, dancing, or adapted exercise. The 30 minutes can be spread throughout the day.

What has made it harder to look after your health recently?

Select all that apply. Choose “None of these” or “Prefer not to answer” on its own.

How often did you eat fruit or vegetables in the past week?

Include fresh, frozen, or canned options.

How often have you felt rested when starting your day?

Think about the past two weeks. Choose from 1 (never) to 5 (always).

From Least to Most

What health support would be most useful to you?

Select up to three options. Choose “No support needed right now” or “Prefer not to answer” on its own.

What one change would make it easier to care for your health?

Share a practical idea, if you’d like. Please avoid including personal medical details.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.