Quality of life survey

You would rate the quality of your life as: ^*

You can give only one answer.

In one sentence, please specify the reason for this choice: ^*

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	health - very dissatisfied	health - dissatisfied	health - moderately satisfied	health - satisfied	health - very satisfied
finances	finances - very dissatisfied	finances - dissatisfied	finances - moderately satisfied	finances - satisfied	finances - very satisfied
job	job - very dissatisfied	job - dissatisfied	job - moderately satisfied	job - satisfied	job - very satisfied
education	education - very dissatisfied	education - dissatisfied	education - moderately satisfied	education - satisfied	education - very satisfied
family relations	family relations - very dissatisfied	family relations - dissatisfied	family relations - moderately satisfied	family relations - satisfied	family relations - very satisfied
love	love - very dissatisfied	love - dissatisfied	love - moderately satisfied	love - satisfied	love - very satisfied
friendship	friendship - very dissatisfied	friendship - dissatisfied	friendship - moderately satisfied	friendship - satisfied	friendship - very satisfied
place of residence	place of residence - very dissatisfied	place of residence - dissatisfied	place of residence - moderately satisfied	place of residence - satisfied	place of residence - very satisfied
look	look - very dissatisfied	look - dissatisfied	look - moderately satisfied	look - satisfied	look - very satisfied
physical condition	physical condition - very dissatisfied	physical condition - dissatisfied	physical condition - moderately satisfied	physical condition - satisfied	physical condition - very satisfied
free time	free time - very dissatisfied	free time - dissatisfied	free time - moderately satisfied	free time - satisfied	free time - very satisfied

Please specify how much joy is in your life? ^*

You can give only one answer.

What gives you the most joy? ^*

You can select several answers.

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	job - not important at all	job - not important	job - neutral	job - important	job - very important
education	education - not important at all	education - not important	education - neutral	education - important	education - very important
money	money - not important at all	money - not important	money - neutral	money - important	money - very important
family	family - not important at all	family - not important	family - neutral	family - important	family - very important
friends	friends - not important at all	friends - not important	friends - neutral	friends - important	friends - very important
hobby	hobby - not important at all	hobby - not important	hobby - neutral	hobby - important	hobby - very important
love	love - not important at all	love - not important	love - neutral	love - important	love - very important
travels	travels - not important at all	travels - not important	travels - neutral	travels - important	travels - very important
faith	faith - not important at all	faith - not important	faith - neutral	faith - important	faith - very important
fashion	fashion - not important at all	fashion - not important	fashion - neutral	fashion - important	fashion - very important
social prestige	social prestige - not important at all	social prestige - not important	social prestige - neutral	social prestige - important	social prestige - very important

Do you think your life has meaning? ^*

You can give only one answer.

	yes
	no

Please list three things that give your life meaning:

Do you have dreams? ^*

You can give only one answer.

	yes, I try to make them come true
	yes, but they're just dreams - I don't do anything to make them come true
	no, I used to have dreams, but not now
	no, I've never had a dream
	not now, I've already made my dreams come true

If you would like to change something in your life, it would be: ^*

You can select several answers.

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 friends - not comfortable at all	among friends - rather not comfortable	among friends - moderately comfortable	among friends - rather comfortable	among friends - completely comfortable
among the family	among the family - not comfortable at all	among the family - rather not comfortable	among the family - moderately comfortable	among the family - rather comfortable	among the family - completely comfortable
among strangers	among strangers - not comfortable at all	among strangers - rather not comfortable	among strangers - moderately comfortable	among strangers - rather comfortable	among strangers - completely comfortable
in the family home	in the family home - not comfortable at all	in the family home - rather not comfortable	in the family home - moderately comfortable	in the family home - rather comfortable	in the family home - completely comfortable
with my partner	with my partner - not comfortable at all	with my partner - rather not comfortable	with my partner - moderately comfortable	with my partner - rather comfortable	with my partner - completely comfortable
at work/school	at work/school - not comfortable at all	at work/school - rather not comfortable	at work/school - moderately comfortable	at work/school - rather comfortable	at work/school - completely comfortable
in the crowd	in the crowd - not comfortable at all	in the crowd - rather not comfortable	in the crowd - moderately comfortable	in the crowd - rather comfortable	in the crowd - completely comfortable
during public speaking	during public speaking - not comfortable at all	during public speaking - rather not comfortable	during public speaking - moderately comfortable	during public speaking - rather comfortable	during public speaking - completely comfortable
abroad	abroad - not comfortable at all	abroad - rather not comfortable	abroad - moderately comfortable	abroad - rather comfortable	abroad - completely comfortable
in the night	in the night - not comfortable at all	in the night - rather not comfortable	in the night - moderately comfortable	in the night - rather comfortable	in the night - completely comfortable
in your own home	in your own home - not comfortable at all	in your own home - rather not comfortable	in your own home - moderately comfortable	in your own home - rather comfortable	in your own home - completely comfortable
alone	alone - not comfortable at all	alone - rather not comfortable	alone - moderately comfortable	alone - rather comfortable	alone - completely comfortable

Please specify how often do You feel sad or depressed? ^*

You can give only one answer.

Please specify how often do You feel happy, glad or joyful? ^*

You can give only one answer.

	spending time with family		partying
	doing sports		watching TV
	spending time with friends		food
	traveling		sleeping
	working		consumption of alcohol/stimulants
	studying		hobby
	other: what?

I don't want to change anything	having children	passion / hobby
relationship with the family	education	faith
love	work	appearance
relationship with friends	finances	weight
relationship with a partner	way of spending free time	other issues: what?

You would rate the quality of your life as: *

In one sentence, please specify the reason for this choice: *

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

Please specify how much joy is in your life? *

What gives you the most joy? *

Please specify how important the following issues are in your life: *

Do you think your life has meaning? *

Please list three things that give your life meaning:

Do you have dreams? *

If you would like to change something in your life, it would be: *

Please specify to what extent you feel comfortable in the following situations: *

Please specify how often do You feel sad or depressed? *

Please specify how often do You feel happy, glad or joyful? *

You would rate the quality of your life as: ^*

In one sentence, please specify the reason for this choice: ^*

Please specify your level of satisfaction with particular areas of life: ^*

Please specify how much joy is in your life? ^*

What gives you the most joy? ^*

Please specify how important the following issues are in your life: ^*

Do you think your life has meaning? ^*

Do you have dreams? ^*

If you would like to change something in your life, it would be: ^*

Please specify to what extent you feel comfortable in the following situations: ^*

Please specify how often do You feel sad or depressed? ^*

Please specify how often do You feel happy, glad or joyful? ^*