Anxiety Check-In Survey 😊
In the past 2 weeks, how often have you felt nervous, anxious, or on edge?*
Think about your day-to-day experience, not just one unusual moment.
Which situations tend to increase your anxiety the most?*
Select all that apply based on your usual experience.
How much has anxiety affected your focus or productivity recently?*
Consider how easy or difficult it has been to stay on task.
What physical signs of anxiety do you notice most often?
Choose any that you commonly experience.
When do you most often feel anxious?*
Pick the one that best matches your usual pattern.
What usually helps reduce your anxiety?
A short answer is fine. Share what works best for you.
How comfortable do you feel asking for support when anxiety comes up?*
This could include support from a manager, teammate, friend, family member, or professional.
In your own words, how has anxiety impacted your overall experience recently?
You can mention daily routines, relationships, motivation, or anything else that feels important.
What kind of support would be most helpful for you right now?
Choose the options that would make the biggest difference.
Thank you for taking a part in this survey.
