survey examples Other

Quality of life survey

  • 1. You would rate the quality of your life as: *

    You can give only one answer.
  • 2. In one sentence, please specify the reason for this choice: *

  • 3. Please specify your level of satisfaction with particular areas of life: *

    You can give only one answer in a row.
    very dissatisfied dissatisfied moderately satisfied satisfied very satisfied
    health  
    finances  
    job  
    education  
    family relations  
    love  
    friendship  
    place of residence  
    look  
    physical condition  
    free time  
  • 4. Please specify how much joy is in your life? *

    You can give only one answer.
  • 5. What gives you the most joy? *

    You can select several answers.
  • 6. Please specify how important the following issues are in your life: *

    You can give only one answer in a row.
    not important at all not important neutral important very important
    job  
    education  
    money  
    family  
    friends  
    hobby  
    love  
    travels  
    faith  
    fashion  
    social prestige  
  • 7. Do you think your life has meaning? *

    You can give only one answer.
  • 8. Please list three things that give your life meaning:

  • 9. Do you have dreams? *

    You can give only one answer.
  • 10. If you would like to change something in your life, it would be: *

    You can select several answers.
  • 11. Please specify to what extent you feel comfortable in the following situations: *

    You can give only one answer in a row.
    not comfortable at all rather not comfortable moderately comfortable rather comfortable completely comfortable
    among friends  
    among the family  
    among strangers  
    in the family home  
    with my partner  
    at work/school  
    in the crowd  
    during public speaking  
    abroad  
    in the night  
    in your own home  
    alone  
  • 12. Please specify how often do You feel sad or depressed? *

    You can give only one answer.
  • 13. Please specify how often do You feel happy, glad or joyful? *

    You can give only one answer.
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