HeySurvey survey

Wellness and Lifestyle Survey*

We’d love to learn more about your health and everyday habits.

In general, how would you rate your overall health right now?*

Think about your physical, mental, and emotional health.

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5

Poor-Fair-Good-Very Good Excellent

How many days per week do you get at least 30 minutes of physical activity?*

This could include walking, biking, sports, or even active chores.

0 days
1-2 days
3-4 days
5 or more days

Do you currently manage any ongoing health conditions?*

Select any that apply. Your answers help us provide better support.

Diabetes
Heart issues
Asthma or allergies
No ongoing conditions
Prefer not to answer

How would you describe your current stress level?*

Consider work, family, and daily life.

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Very low-Low-Moderate-High Very high

How many hours of sleep do you usually get on a typical night?*

Quality sleep is important for well-being.

Less than 5 hours
5-6 hours
7-8 hours
More than 8 hours

How easy is it for you to access the healthcare you need?*

Think about doctor visits, prescriptions, and routine care.

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Very difficult-Somewhat difficult-Okay-Somewhat easy Very easy

Which of these healthy habits do you focus on regularly?*

You can choose more than one!

Drinking enough water
Consistent exercise
Balanced meals
Limiting screen time
Daily mindfulness or relaxation

What is one health goal you’d like to achieve this year?

Share a simple health goal—big or small.

Do you have any suggestions or ideas that could help our community live healthier?

Share your thoughts, tips, or feedback.

Thank you for taking a part in this survey.