Isolation

What is your name? (if comfortable)

Date of Birth

What is your Gender? (if you're comfortable to say)

Have you felt lonely lately?

If yes on the last question, how often have you felt lonely?

How likely are you to be a social butterfly?

I would like to be more social in my life?

What's stopping you from being social?

How satisfied are you with yourself?

What made you this way?

What is your outlet to help you not be lonely?

How hard would it be to try and change?

How hard is it to make friends?

Would you like to make a friend?

Any socials that you have? (Instagram, Snapchat, Facebook, ect.)

Email, so I am notified that the survey is taken

Did this help get some inner emotions out?