Personal Well-Being & Support Check-In

How safe do you feel sharing personal concerns in this environment?*

Think about emotional safety, privacy, and whether you feel respected when speaking up.

Not safe at all to Very safe

Have you recently experienced stress related to money, housing, or basic needs?*

Choose the option that best matches your current situation.

Which sensitive challenges have affected you in the past 6 months?

Select all that apply. Only choose what you feel comfortable sharing.

How supported do you feel when dealing with personal or difficult issues?*

This could include support from managers, coworkers, organizers, staff, or available resources.

Not supported at all to Very supported

Have you avoided asking for help because of fear of judgment, consequences, or loss of privacy?*

Please answer based on your honest experience.

What kind of support would make the biggest difference for you right now?

A few words are enough if you prefer to keep it brief.

Have you experienced harassment, bullying, or inappropriate behavior in this setting?*

Answer based on your own experience, whether recent or ongoing.

If you would like, please share anything else that feels important about your experience or well-being.

You can mention concerns, barriers, or ideas for better support.

How urgent is your need for additional support or follow-up?*

This helps identify whether immediate action may be helpful.

No support needed right now to Need support as soon as possible

Thank you for taking a part in this survey.

This is a HeySurvey survey template.